Shingles Case Summary

This is 51 year old AAF. Patient is here for general physical exam for Medicaid application. Patient states that she has a pancrititis. For that reason, she can only perform vare minimal activities. Patient sates she cannot work for that same reason. Patient denies chest pain, reports SOB with minimal activy, denies N/V/ D, or fever. Patient denies depressive moods.

If you have had chickenpox during your childhood, it is sure that the virus has stayed in your system for numerous of years. But the virus has then been reactivated in later life, and that’s what causes the skin disease called “Shingles,” to develop. As well as chickenpox, there are other diseases which weakens our immune system. For example, HIV and/or AIDS can also cause Shingles to develop. Shingles is not considered a life threatening virus, but can become quite painful. Shingles is an extraordinarily painful condition that involves inflammation of sensory nerves.

My patient is a patient that is leaving the E.R. after being diagnosed with the shingles virus. The patient came into the E.R. with a rash on the right side of the trunk. The rash presented as clear blisters and was painful to the touch. The physician diagnosed the patient with

The focus of this case study is a 37-year-old Haitian American woman who lives with her husband of 10 years and two children, ages 8 (son) and 2 (daughter) named Mrs. Hudson. Mrs. Hudson has come to therapy through a recommendation of her primary care physician because she has had several episodes of an illness that started several months ago. She had been shopping for clothes for her daughter when she began to experience the following symptoms: heart racing, shortness of breath, sweating palm, and tightness in the chest. She worried that she might be having a heart attack and notified the store clerk who called the paramedics. The symptoms abated once the paramedics arrived and she was told to check with her primary care doctor. Mrs.

Shingles Questions and Answers raquo , raquo , raquo Shingles Treatment See all photos Shingles and Nerve Damage Question My husband had shingles at the age of years old he now has , which was made better by a local healer from the village. He has been suffering from pains on the lower left hand side, under his rib cage for the past six years approximately exactly the same place he had shingles as a boy . These pains spread from the mid back to almost the belly button. We live in the south west of France and have been to see many specialists, eliminating one possible problem at a time we started with a full stomach, intestine check up, blood tests and x rays of internal organs everything is in good working order. After that he had two infiltrations, injections used to calm the pain, on the top

Additional, the client has met a Major Depressive Episode, which includes him currently meeting the three criteria; A, B, and C. Criteria A suggest that the client meet five symptoms during a two week time period. The client’s symptoms are as follows: depressed mood most of the day nearly every day as indicated by observation of his wife, marked diminished interest in activities most of the day, nearly every day indicated by observation of him not going to work in the past two weeks, psychomotor retardation nearly every day the last two weeks observed by his wife due to him not leaving the bed, diminished ability to think noticed by others when suggesting courses of action as to what may be helpful to him, and lastly, recurrent suicidal thoughts of death demonstrated by his irrational inquiries about an un-diagnosable disease of him dying soon. Criteria B reads that the client’s symptoms have to put significant distress or impairment in life areas of function, which the client does meet due to him not being able to currently leave his home/bed. Finally, criteria C is met because the client has to history of substance abuse or another medical condition that indicates attributable physiological effects. Although, the narrative suggests that there is history of Major Depressive Disorder, those particular episodes, I believe are not clinically attached to this particular manic episode, where he is now saying, “My skin is coming off in

troduction: A well known but rare skin disease that can lead from the outcome of chickenpox Chis recognized as Shingles. This may affect someone’s life for only two weeks or even up to two years. This skin disorder is found most commonly as a single strip of blisters on either side of the torso, although Shingles can be found anywhere on the body. Varicella-zoster virus, the same virus that causes chickenpox and occurs with Shingles, stays dormant in the spinal cord, not certain if the disease will activate. Depending on the status of your health due to Shingles, the signs, symptoms, treatments, and risk factors all play a major role on a certain individual.

The social worker was called by Dr. Sundaram’s MA to speak with the patient about depression. The patient is a 23 year old, Caucasian, married woman with two children and orientated times four. The patient expressed that she is experiencing a great amount of anxiety and while waiting for Dr. Sundaram she experienced a panic attack. The patient explained that she used to take a high dose of Zanax in 2010 and that her depression and anxiety have started to get bad again; the patient has a 2 year old and a six month year old. The social worker administers a PHQ-9. The psychometric depression scale was twenty-three, a depression severity of severe depression. (See attached questionnaire) The patient denied suicide or homicidal ideations, but reports

Mr. Wright is a 61 year old male who presented to the ED with vague suicidal ideation without a plan. Per documentation Mr. Wright has been struggling with cancer for several years and recently relapsed on alcohol after being sober for the past 7 years. At the time of the assessment Mr. Wright denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He reports feelings of depression increase around this time of year. He states the cancer is not his primary concern, however the loneliness from the lack of support. Mr. Wright reports feelings of depression as: feelings of hopelessness, worthlessness, and insomnia. However, he later states the insomnia could have something to due with his acid Reflux. Mr. Wright appears calm and

During the intervention, the clinician with the patient reviewed the goals,objectives, and she recognized that is managing better her anxiety symptoms. Moreover,she won the hearing process for disability last week. The clinician provided positive reinforcement to the patient on being able to recognize her symptoms. She identified that the dynamics of her family is a trigger factor and that doesn’t help on her health. Indeed, she still without know the name, and details of her new grandbaby who was born two weeks

This 33 year old AAF. Patient has history of DM and HTN. Patient states she was on inslin, but not for the past 2 weeks. Patient states she was on 70/30 15 units BID, and metformin 1000 mg BID, and her BS was still in upper 200's and lower 300's. She didn't wanted to go back to the Health Department, because she was miss treated and felt like her chronic conditions were not being managed with care.

This is 24 year old WM. Patient is here complain of fungus on his upper torso, "had it before." Patient reports depressive moods; PHQ-9 Score of 10, denies thoughts of suicide or homicide. Patient states it's going on for the past 3 years related to a relationship he had with a girl. He still loves here and misses her. Patient is a current tobacco user, denies use of alcohol or illicit drugs. Patient has scoliosis and wants a referral for further evaluation and treatment. Patient denies chest pain,SOB, N/V/ D, or fever, Current pain 2/10, aching pain at the his ankle and hips related to his sclerosis.

The client is a 51-year-old African American male who was cooperative during the assessment. The client was given the diagnosis of Major Depressive Disorder, Mild while hospitalized during the 1980’s. The client is unable to remember the name of the hospital. The client has been prescribed the following medications: Clonidine Patch, Albuterol, Clarithromycin, Metformin, Loratadine, Carafate, Hydralazine, Triamterene, Clopidogrel, Tartrate, Lisinopril, Atorvastatin, Buproban, Pantoprazole, Amlodipine Besylate, Nitroglycerin, Lingual Spray.

The patient completed the electronic assessment by herself. She has 23 years and the results were negative for suicidal ideation (C-SSRS); positive for depression/severe (CAD-MMD, CAT-DI 75.3); positive/mild for anxiety (CAT-ANX: 44.6); negative for Mania/Hypomania (CAT-M/HM 41.2) and positive for alcohol and tobacco last year (NIDA assist ; 0). Moreover, the patient is not taking any medication and concurs with the outcomes. The patient has a previous mental health history and pharmacology therapy, including: Adderall, Prozac, Vyvanse, Zoloft, Paxil, Xanax among others. She explained that the best combination was Prozac and Adderall “I was successful, finished my school etc…”. Her parents are living with chronic diseases: mother has cancer

This is 44 year old AAF. Patient is here complaing of epigastric pain thrugh out the day. She is nauseouse at times. Patient is a resident at the Lovelady Center. Patient is a current smoker with 30 pack year history. Patient denies chest pain, SOB, fever. Patient reports some depression but deneis thoughts of sucide or homicied. current pain 8/10. Patient reports she is not taking any medications at this time, including previouse prescribed