A review of his medical record indicates that he was recently started on prednisone for his breathing. He has recent weight loss and poor appetite. He continues to go for chemotherapy every 2 weeks, followed by Dr. Wertheim. He continues to suffer from chronic anemia related to his cancer, chronic COPD with shortness of breath and new onset BPH. At today’s visit the patient is awake, alert and oriented. He reports that he has loss 8 lbs recently. He has a poor appetite and has not been taking his megace. He reports generalized neoplasm pain, which he describes as aching with a severity of 4/10. He reports that his pain does not radiate and there are no aggravating factors. He reports that his pain is manage with his current pain regimen of
D.D has no known allergies and his current vital signs are 36.8F, 115 pulse, 25 RR, 102/77, 91% SpO2. His lab work is all normal except for elevated WBC and glucose. D.D is put on a morphine PCA pump (1.78mg every 2 hours) to help regulate his pain, metronidazole (1500mg once a day) and cefTRIAXone in dextrose (2000mg once a day) to help fight the infection, oxyCODONE (3.6mg every four
It was September 2014; our family received some depressing news. My uncle was in his mid- seventies and he has been on many of different medications for the past twenty years. He has had some minor issues before but nothing to this extent. He was experiencing stomach pains and wasn’t feeling right. Little did we know that this time he would be spending more than a couple days in the hospital.
The patient is a 44-year-old gentleman who no longer sees an endocrinologist as that office closed. He was last seen here in October of 2014. He had an appointment in April, but showed up late and decided not to stay for this. He did have lab work that he was supposed to do from December, but he never did get this done. He does tell me he continues to work two jobs and finds it very difficult to take good care of himself, he does not eat well. He continues to smoke greater than a half a pack of cigarettes per day.
Current medications for dementia are limited and there is a need to explore traditional medicinal system to investigate the agents that can prevent progression of memory loss or improve the existing capacity of learning and memory. Thus present study was carried out to evaluate the effects of Ayurveda drug formulations, Tinospora cordifolia (Tc) & Phyllanthus emblica (Pe) with and without Ocimum sanctum (Os) on learning performance and memory of mice. We also tried to investigate the possible mechanisms of these plant drugs for their effects on learning and memory using Scopolamine, Diazepam and Cyclosporine as amnesic agents.
At today's visit he is accompany by his wife. He is awake, alert and oriented times 3. He complained of neoplasm related back pain that he describes as stabbing and constant that radiates to his abdomen, the pain is 4/10 in severity. His neoplasm related pain regimen includes Fentanyl Patches 75 mcg Q 48 hrs; Dilaudid 2mg PO Q 4 hours as needed for neoplasm
A 58 year old male with a history of prostatic adenocarcinoma, in remission post chemo-radiation therapy, presented with a six month history of worsening intermittent dysphagia to soft and solid food, low back and right rib pain, and a weight loss of 50 lbs. He had a 30 pack year smoking history. Clinical exam revealed an emaciated gentleman with conjunctival pallor and diffuse tenderness over his low back and over his
A review of his medical records indicates that he had decided to not undergo chemotherapy or radiation therapy for his cancer. He also suffers from chronic stable HTN, Chronic gout and chronic Barrett’s esophagitis and crohn disease.
Based on the medical report dated 12/15/16, the patient complains of constant pain to her neck, bilateral shoulders and bilateral knee/leg. Pain is described as sharp, stabbing, achy and
At today’s visit he is awake, alert and oriented. He reports feeling well. He states that is shortness of breath has improved. He states that he is using his oxygen as needed, but he uses the nebulizer every 4 hours. He reports dull, achy, intermittent chronic cancer pain in the chest and back. He states that his pain is well palliated with his current pain regimen of fentanyl 25 mcg patch Q 72 hours and prn oxycodone 5 mg. He rates his pain as a 2/10. He reports a great appetite and that he is having regular bowel
A review of his medical record indicates a medical history of COPD-chronic, CHF-chronic and NIDDM-chronic. His medical record indicates that on 10/11/16 he saw Dr Mustafa for a complaint of SOB, cough, congestion and wheezing. He was prescribed a Medrol dose pak and ABT Azithromycin. On 10/14/16 again he saw Dr Mustafa for wheezing and productive cough because he did not obtain the previously prescribed medication from the pharmacy and again on 10/21/16 he saw Dr. Mustafa for SOB, weak and dizziness at which time he was referred to palliative care.
Shaun was seen today as ongoing management of his asthma with fixed airflow obstruction. Whilst he originally did very well coming off the Alvesco and continuing with the Seretide 250/25 two puffs twice a day, in the colder months, his asthma control has worsened and he is using Ventolin every other day multiple times throughout the day. He is also noticing some exercise limitation. Pleasingly, though, he is not having any nocturnal symptoms of asthma. There seems to be no other cause for his deterioration, in particular, he has no nasal or sinus symptoms and he has had no return of his GORD on his current Somac therapy. He has had issues before with his asthma and it is perhaps the cold air that is exacerbating his underlying airways
five years old. Prednisone has the possible side effects of weight gain, behavior change, delayed growth, and high blood pressure (Genetic and Rare Diseases Information Center, 2017). The loss of the protein dystrophin causes a weak plasma membrane that is damaged while muscle contractions occur. Also, the loss of the protein dystrophin allows both extracellular calcium influx and the release of endogenous ligands. Due to the calcium influx it causes overactivation of calpain, which could have activated the NF-kB inflammatory pathways mediated by degradation of IkB-alpha and arouse inflammatory cytokine release, which further damages muscle regeneration (Department of Molecular Therapy, 2016). Another treatment for Duchenne muscular
The patient I am presenting has a history of breast cancer and lymphoma. The patient was complaining of palpitations which brought her into the hospital. The patient also complained of an abnormal lump in her neck. The severity of the patients pain prior to the procedure she undertook were moderate. Following the procedure the patients pain severity increased. For treatment the patient has been seen by her primary