Symptoms And Treatment Of A Healthy 44 Year Old

L.M. is a 75-year-old female who suffers from severe dementia and lives in a SNF. She was diagnosed with lung cancer in 2005 and as a result had a right upper and middle lobectomy. She also has a history of severe emphysema. L.M. has had several pneumonic infections and has an allergy to Pneumovax. She has a recurrent aspiration risk and received a tracheostomy and a PEG tube in January 2012.

Any inflammatory process that involves the skin, such as contact dermatitis, can leave areas of hypopigmentation upon healing.

A 50 years old male who has bilateral pneumonia, was found to have pneumothorax while on mechanical ventilation CPAP/PS mode. While placing the pigtail catheter, the patient

Pt approached staff 2200 stating, she was having a hard time breathing. Pt also stated her tongue was swollen from an allergic reaction. Mild tongue swelling noted. After assessing the patient, she had bilateral audible wheezes and o2 stat at 96%. No s/s of respiratory distress noted. Pt received a nebulizer treatment at 2205 and was fine after tx, stating "my breathing improved." Prn Bendaryl was also given after a swallow evaluation. No further medical complaints. Slept well through the

Shortness of breath and sudden chest pain are the primary symptoms. The chest pain is typically localized to the affected side. Tiredness may also be a symptom.

Pneumocephalus, defined as an accumulation of intracranial air, is a common finding after neurosurgical procedures. However, pneumocephalus is not associated with any symptoms in the vast majority of cases [1, 2]. In addition to neurosurgery, other possible causes of pneumocephalus include craniofacial trauma, infections, and tumors of the skull base. Although is not frequent, spontaneous pneumocephalus has been described as well. By Reasoner et al., 66% of CT scans performed after intracranial surgery showed 5-10% of the volume being occupied by intracranial air with all postoperative scans detecting trace amounts of air [2]. The time required for complete reabsorption of the entrapped air is approximately 2-3

The interstitial edema of the head and neck is visually striking but generally of little clinical consequence. However, edema may narrow the lumen of the nasal passages and larynx, potentially compromising the function of the larynx or pharynx and causing dyspnea, stridor, cough, hoarseness, and dysphagia. In addition, cerebral edema can also occur and lead to cerebral ischemia, herniation, and possibly death.

Powered byLoading...Megan Greene Professor Gretchen Leach Warzecha IDS 101 5 February 2016 Research Plan Asthma “Asthma is a chronic disease of the lungs that inflames and narrows the airway” (National Heart, Lung, and Blood Institute). Asthma is not biased it affects the young and the old. Asthma can be brought upon by genetics and/or by triggers within their environment like dust, pollen or smoke. An asthma attack occurs when the lungs are subjected to an irritant which then causes the airways to swell. This swelling causes what is called wheezing, which is a whistling sound caused by air being pushed through swollen, irritated airways. Another by-product of an asthma attack is air trapping. Air trapping occurs when a patient, who is having a

Profoundly scarred and suspected to have committed 27 murders, “Patient 394” takes us deep into her perverted realm of mutilation, suffering and otherworldly guidance.

The patient presents with probable muscle tension dysphonia (CAPE-V 62/100). She is characterized by hoarseness and roughness in her voice. Ms. Pepper’s forced vital capacity was 2900 cc ml. The average vital capacity for women is between 3000-4000 cc ml. Ms. Pepper’s vital capacity is below the normal. Ms. Pepper predicted MPT was 17.11 seconds. According to Awan & Ziminsky-Ammon (1996), the average mean for MPT should be about 19.70 (SD of 5.79) Reduced MPT might indicate either a problem with reduced respiratory capacity or control and/or loss of air through incomplete glottal closures. However, the increased tension may require excessive levels of subglottal air to initiate and maintain phonation so someone may run out of air quicker and/or

Storage in the GAG can create enlargement of the tongue, adenoids and/or tonsils with the structure of collapsible, space occupying lesions in pharyngolaryngeal walls (Simmons et al 2005). Blockage is frequently worsened by the existence of the swelled secretions around the lower and upper respiratory tracts (Leighton et al 2001). Manifestations of ENT are alongside the first illness-specific manifestation to emerge; it could activate conclusion of MPS and tends to evolve as with time (Muhlebach et al 2011; Wold et al 2010). You’re able to see the effects during Rapid Eye Movement (REM) sleep; it causes a loss of strength in the accessory muscles of respiration and reduction in ventilator CO2 chemo sensitivity (Dempsey et al 2010). Because of the changes that happen alongside sleep, ventilatory compromise generally first manifests as Sleep Disordered Breathing (SDB) and unfamiliar hypoxemia during sleep. SDB happens in 80% of MPS victims (John et al 2011; Leighton et al 2001; Semenza and Pyeritz 1988). It can be classified as Obstructive Sleep Apnoea (OSA) or sustained hypoventilation. Due to the interactions

Living with Long Term Conditions can be extremely challenging; coping with the stigmas surrounding LTCs, and enduring the pain, poor nutrition and depression that can occur simultaneously. Nutrition is one of the most fundamental needs of any individual, and the ability to maintain a proper diet is easily overlooked by health professionals. Pain, if not managed accordingly, can make a patient's life uncomfortable. These factors contribute to depression which worsens the condition of the patient; they may be managing their health but over-looking their well-being (Randall & Ford 2011). The approach to manage a LTC has to include the biological, psychological and sociological impact of the condition on the individual, which is known as the biopsychosocial

The Aunt Minnie case I chose was of a 58-year-old woman who came into the ER after experiencing increase pain within her throat and chest after choking on a chicken bone 3 days prior. The physician ordered the following x-rays; lateral soft tissue neck, AP and Lateral Chest. The findings were inconclusive for localization of a foreign body. The subsequent exam was CT which was performed and demonstrated an esophageal perforation was present. Patients who are seen for a possible esophageal perforation will described signs and symptoms just as this patient had, which included; neck, chest, epigastric pain, dysphagia, or dyspnea. On the more severe end patients may appear

Mastoiditis was evident and it is thought this is where the air leaked into the intracranial space (6). Damergis et al report a case of otogenic pneumococcal meningitis with pneumocephalus in a male on chronic immunosuppressant therapy. A 33 year old man with crohn’s disease on azathioprine presented with worsening headache while being treated for otitis media with oral antibiotics. Initial CT brain reported pneumocephalus, and cerebrospinal fluid analysis and culture diagnosed pneumococcal meningitis. The usual location for air secondary to mastoiditis is the posterior or middle cranial fossa. It is unusual for air to confine to the frontal lobe as was in this case. This finding is more commonly due to adjacent sinusitis (5). Kim et al describe a case of pneumocephalus caused by pneumococcal meningitis, in which a CT brain suggested the diagnosis. CSF culture showed bacterial meningitis which later revealed streptococcus pneumonia. The patient was managed with antibiotics and responded well to treatment (7). Patangi reports a case of a 66 year old Caucasian man with pneumocephalus, streptococcal meningitis and mastoiditis. Again the mechanism is believed to be due to the invasion of mastoid air cells with bone destruction which when associated with positive pressure events such as coughing or sneezing causes forceful entry of air through the cranial defect (8). And finally Ciorba et al describes a case of pneumocephalus and meningitis secondary to acute otitis media

The first category has to deal with the health conditions due to the increased mass of fat (Bray 2004). Some examples include asthma, sleep apnea, osteoarthritis, and bone fractures. Obesity contributes to respiratory symptoms and cause exercise limitation (Zutler 2012). Sleep apnea is a disorder that causes difficulty breathing while asleep. A person who has sleep apnea may have stored fat around the neck, which narrows the airway and makes it hard to breathe (Zutler 2012). Osteoarthritis may be common in people with obesity because the extra weight may cause pain due to putting more pressure and wear on the joints. Also, there was a study done that explained why obese people have more chances of disability from falls than normal weight individuals (Himes 2012). People with more weight tend to fracture bones when they fall because the bones are already stressed due to the fact they have to support more weight. A fall is applying more stress, and the bone may already be fragile or overstressed. There are a lot more diseases that form due to more fat, but these are the most common in children.