The Case Of Patientm.b And Her Family

Susan is a 78 year old widowed lady who was admitted to a medical ward following an episode of coffee brown vomiting and breathlessness. Susan has a past medical history of chronic

Patient was in the ER room when first seen. PT was with her family members and family states that she speaks little English and that she has had abdominal pain for the past day along with bloody stools. Family states that she is on calcium supplements and no other medications. Last oral intake is 24 hours ago. Family states no known past medical history. Pt is in the hospital bed in the fetal position and towards the right side. Patient's airway is clear and breathing is normal. Skin is warm and dry. Patent is AAOx4. Assessment of head, neck, and chest show no signs of deformities. Abdominal area not assessed due to severe pain. Back is without deformity. The upper extremity shows no sign of deformities or trauma. The lower extremity shows

One afternoon a 67 year-old man presented to the emergency department of a small, rural hospital complaining of severe left leg and hip pain following a fall at home. The patient had no past history of falls. He had a history of impaired glucose intolerance, prostate cancer, hypercholesterolemia and hyperlipidemia. The patient’s current medications were atorvastatin and oxycodone for chronic back pain. The patient stated his pain was ten out of ten on a scale of one to ten with ten being the worst. The left leg appeared shorter than the right, edema was present in the calf, as was ecchymosis and he had limited range of motion. After an evaluation in triage by a registered nurse and a subsequent examination by the emergency department physician, a plan was established to sedate the patient using moderation sedation protocol and perform a manual reduction of the hip.

She converses appropriately. Blood pressure 92/60 supine. Blood pressure decreased to 72/50 standing. Pulse is 90 and regular. Weight 113 pounds. She has a normal appearance of her face and does not have a masked appearance of her face. She has good strength throughout her face. She has good strength of her extremities. She has only minimal cogwheel rigidity at the left wrist, but no cogwheel rigidity at the right wrist. She has no tremor of her hands. She moves her extremities freely and with normal speed. She is able to rise on her own from a sitting to a standing position, only minimal bradykinesia of standing. She walks fairly freely and there is a normal cadence of her gait. She did not have dyskinetic movements of her extremities. She is able to walk, including turning without losing her balance. She does not shuffle her feet when walking. She does not have en bloc turning. She has good posture stability

Mrs.V had young children and was very active. The pain and swelling in her hands made it hard for her to take care of her kids and be active. It took the doctors 2 years to diagnose her because she did not show usual symptoms. Her doctor started her on a treatment. After six months on the plan it didn’t help the pain. She needed another alternative.

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 an 81-year-old gentleman who is admitted after a fall at home. He patient feels that the fall was mostly mechanical. The patient was having left-sided weakness. He denies loss of consciousness, denies any other reasons for the fall, but does admit to feeling weaker and his left side feeling heavier. he denies any chest pain or significant short of breath. He has had a an upper respiratory infection but no fever but with some chills and several episodes of watery diarrhea. His medical history significant for CVA in 2011, coronary artery disease, mitral valve repair, atrial fibrillation on Coumadin and is also has a pacemaker in place. Complete work up was done. Cardiology was uncomfortable that there was no true syncopal

The patient is an 85-year-old female who is brought to the emergency room by her family because of weakness over the past 2 weeks and not acting herself. The niece reports the patient has a history of dementia in the last 6 months to one year. She evidently stopped her medication about a month and a half ago because she felt that they were not helping her. She had been experiencing generalized weakness, difficulty with ambulation, decreased po intake and decreased appetite for the past few weeks. Her medical history is significant for hypothyroidism. She has had a thyroidectomy, hypertension, hypercholesterolemia, and lung lung cancer. The patient presents with a degree of acute kidney injury. Initial creatinine is 2.62 and with some

This 61-year-old female who came to the ER because of worsening knee pain recurrent falls. She has had recurrent falls over the past several weeks. When seen by Dr. Lasheen in the office she had an unsteady gaits and she needed two people to assist her to ambulate. She states that she feels weak but denies any headache or loss of consciousness. It is Dr. Lasheen’s opinion that she has been slowly declining over the past several

The patient is a 57-year-old female who was electively admission for an orthopedic procedure. She has a very complicated past medical history including multiple medical problems hypertension, dyslipidemia, bowel syndrome with severe constipation, anorexia nervosa, depression, history of compulsive water drinking to the point of developing hyponatremia and she also has a neurogenic bladder which requires self-catheterization up to 5 times a day. She has also history of anemia of chronic disease and severe osteoporosis. She has compression fractures of the dorsal spine, first of the left elbow, as well as a fracture of her right hip and she suffers from great deal of pain in her right arm and wrist for a number of years. The patient underwent

The patient is an 87-year-old female who is brought in by her daughter because of ongoing dizziness over the past several days which is worsening. The patient keeps getting out of bed and moving around. She is also complaining of retrosternal chest pain which is worse with walking and exertion. She is unable to ambulate at home. It is to be noted she had a recent cardiac workup as an outpatient which was negative. She also had recent EGD that demonstrated a small hiatal hernia, as well as a large to what duodenal diverticulum. Her medical history is significant for diabetes mellitus with the known neuropathic arthropathy, hyperlipidemia, hypertension, chronic kidney disease stage III, as well as systemic lupus erythematosus. The patient

Mrs. B.N., a Caucasian 60 years old female admitted on March 15th morning through Cox South emergency department after transport by the Emergency Medical Service Team. Her sister called 911 when she passed out while she was on her bedside commode at home. She presented to the emergency room with short of breath, sharp chest pain, and left leg pain. She was also nausea and vomiting that has been present for several days. The patient basically indicated she has pain all over. Her left leg pain was worse than usual. She vomited multiple times per day with occasional small amount of blood. She has been dizzy, disoriented, and passed out several times at home in the past few days. She reported a subjective fever, headache, and has been unable to

A review of her medical records indicates that she has a fall in her kitchen 2 weeks ago. She is dot sustained any fracture, but sustained ecchymosis to left shoulder and left upper back. She continue to suffers from Parkinson which is chronic, HTN-stable, Hypotension-chronic, occurs daily in the AM, depression which is stable.

A review of her medical records indicates that she went to the ER on 12/4/16 with complaints of back pain as a result of her fall she had 2 days prior. She was prescribed Norco 5/325 mg p.o every 4 hours prn. She has an extensive history of falling at home due to her Parkinson disease which is progressive. She suffers from Parkinson with resulting tremors. She is receiving physical therapy from signature home health. She suffers from co-morbidities of chronic HTN, which is managed with medication, CAD which is stable, Chronic hypotension which is managed with medication, depression which is stable.

Case Study: A thirty six year old male has developed severe muscle weakness throughout the body. The condition began fifteen months ago with a left foot drop and within a year, he described difficulty with speech and swallowing, muscle twitching and cramping, and muscular atrophy throughout the upper and lower limbs. Within the last two months, his breathing has become more difficult, and there has been a noticeable difference in his voice. Prior to the fifteen months, he presented little to no symptoms. The patient, a medical doctor, has a wife and two young children.