Right Leg Cellulitis Case Studies

Cellulitis is an acute inflammatory illness of the dermis and the subcutaneous tissue (Black, 2009, p. 1225). The pathophysiology of cellulitis initiates when bacteria enters the skin, most commonly being streptococcus and/or staphylococcus. When the bacteria extends deeper into the dermis it causes an infection. Causing skin symptoms such as redness, swelling, and tenderness around the site of the infection. Skin areas that may be dry and flaking, broken, or wounded are the most prominent sites for bacteria to enter. Typically, cellulitis is treated with antibiotics. Possible complications of untreated cellulitis include: septicemia, muscle or bone infections, cellulitis around an eye may spread to the brain, bloodstream may spread to the

History of Present Illness: Mr. Olson is a very pleasant 57-year-old gentleman with multiple medical problems to include severe COPD, who is here today for an initial consultation for his shortness of breath. He is followed by a pulmonologist Dr. William Goodman, at the Veteran Affairs Administration. His last evaluation there was in February 2015. Mr. Olson states he has had ongoing dyspnea on exertion over the last two years. He complains of minimal cough. He does note some sinus problems for which he is on Flovent. In the past, he has had pulmonary function testing that did demonstrate reversible airflow obstruction, therefore he likely has some component of asthma overlay. He states that occasionally has chest tightness and chest heaviness. He has gained about 25 pounds over the last year. He is currently using Spiriva, albuterol as needed as well as Symbicort. He is also using supplemental oxygen at 2.5L per minute at night as well as on an as needed basis during the day. Mr. Olson admits to continued tobacco use with about a half pack to a pack a day. He states that when he is feeling depressed, he will smoke more.

Ms. B.T. is a Seventy-seven years old African American female who was brought to Southern Maryland Hospital by her son and daughter in-law on 11/21/14 with a chief complaint of increased fatigue and shortness of breath that has been on going for about 3 days. She has been a smoker of 3-4 packs of cigarette since she the age of 16 years old, but claimed to have stopped smoking since the on set of the symptoms. She is a retired elementary school history teacher that was diagnosed with acute exacerbation of COPD, and was transferred to the medical surgical unit for further evaluation.

He is a primarily at risk from build-up of secretions on his lungs and potential COPD. His notes say he smoked 20 cigarettes a day up until recently but it does not specify how long he has stopped smoking for. Cigarette smoke can cause hypertrophy and hyperplasia of the goblet cells which leads to the mass production of mucus. Cigarette smoke also has an impact the cilia movement which are used to clear secretions, the smoke in cigarettes makes these cilia smaller and move in different ways which makes them unable to remove the build-up of secretions (Lui, 2012). Damage to the cilia is caused by elements in the cigarette smoke for instance carbon dioxide, carbon monoxide, hydrogen cyanide and nitric oxide. Several studies have shown smoking is linked to respiratory tract infections and build-up of secretions in a smokers lungs (Lui, 2012). Mucociliary is a self-clearing mechanism which allows the body to remove inhaled pathogens and other particles. Pulmonary infections and injury to the lungs in patients with COPD and other lung disorders often occurs when mucociliary function is compromised (Lui,

History of Present Illness: Ms. Dall is a very pleasant woman who has a very extensive smoking history. She has obtained an initial CT scan, which showed a right upper lobe pulmonary nodule. She has subsequent PET scan and she is here today for followup of those results as well as pulmonary function testing. She continues to smoke about a pack a day and is not willing to quit at this point.

The patient was referred to the Radiologist from his GP, because of ongoing pain and difficulty when swallowing. The patient was 45years old male, consumed alcohol regularly and a heavy smoker.

The patient was diagnosed with renal failure 6 years ago and has been on dialysis for the past 5 years. The type

01/20/16 Progress Report documented that the patient was last seen on 12/08/15. He has seen Dr. Gammon and is scheduled to have a surgery on 02/01/16. He is planning to do a fusion into the left leg to help stabilize that nonunion. He is on Lyrica 150 mg twice a day and wants to increase that. He also takes Feldene 20 mg once a day, Robaxin 750 mg 2-3 times a day and Miraprex 0.25 mg once a day. He was advised to stop Feldene, 3 days before his surgery. He was also advised to stop any Aspirin products. He takes Aspririn 88 mg once a day.

[Name] returns today. She has seen Dr. [Name]. She has a history of an abnormal echocardiogram, and hypertension with hyponatremia.

The patient was referred to the Radiologist from his GP, because of ongoing pain and difficulty when swallowing. The patient was 45years old male, consumed alcohol regularly and a heavy smoker.

Plan is for upper extremity EMG as there has been failure of suspected radicular pain to resolve after more than 6 weeks, there is suspicion by history and physical examination findings that a neurologic condition other than radiculopathy may be present instead of or in a addition to radiculopathy (rule out peripheral

The patient is a 37-year-old African-American female Biochemist who works in quality control testing. She has been married since October 1, 1999 to her husband, her only sexual sexual partner. She has been an avid smoker since 1992 (1 pack a day) and stopped smoking briefly in 2004 during her pregnancy then continued smoking thereafter.

Cellulitis is a skin disease that affects more than three million people in the United States every year. It requires a medical diagnosis but can be treated by medical professionals. This disease may spread rapidly but can be resolved within a few days to a few weeks.

History of Present Illness: The patient has been experiencing decreased urinary flow over two years. He also complains of urinary frequency and increased nocturia, which interfere with his daily living. However, he has no complaint of pain.

A 65-year-old female smoker has been admitted to the hospital from the emergency department after having severe recurrent chest pain over 24 hours with positive troponin markers. Her symptoms have also been associated with intermittent palpitations. She has a positive history of 30-pack pack-year tobacco use, hypertension, and peripheral vascular disease. Her home medications include Llisinopril 40 mg once a day, cilostazol 100 mg twice per day, and lovastatin 40 mg once per day. Her admission ECG tracing shows ST-elevations in leads II, III, and AVF. Her initial vital signs are BP blood pressure 116/78 mmHg, pulse heart rate 54 beats/min, respirations rate 22 breaths /min, pulse oxygen 96% on 2 liters oxygen, and afebrile. All appropriate