The Health and Follow-up of Tyler

For the pass this assignment will describe the investigations that are carried out to enable the diagnosis of these physiological disorders. For the merit this assignment will assess possible difficulties involved in the diagnosis from their signs and symptoms.

The clinic RN reviews Amanda's prenatal record prior to performing a nursing assessment. Amanda has given birth twice, once at 35-weeks (twins) and once at 39-weeks (singleton). All of these children are alive and well. She has had one spontaneous abortion at 9-weeks gestation.

A CT scan was taken of Ms. Adae chest on June 29. 2006 and was told it was normal and demonstrated no abnormality of the spinal region according to the hospital

It all started on August 12, 2002. On that hot, humid day, the world was blessed with Tyler Wayne Crecelius. He was born at 7:01 p.m. at Floyd Memorial Hospital to Josh Crecelius and Tony Gertz. Tyler had no siblings then, and still has

Tyler St Amand has distinguished himself among our graduating class. Hard work, dedication and a strong desire to learn throughout high school has resulted in well-deserved success. A positive role model, Tyler is a student that is respected by both peers and faculty. His ability to lead by example is seen throughout his high school career. Tyler has consistently raised the bar for himself in his academics and with outside interests. It is with great pleasure that I recommend Tyler St. Amand. A leader on and off the field, he has developed strong interpersonal skills and understands there is more to sports than winning a game, and more to academics than the restating of information.

AAR’s first was born in 1999, she was term and seven pounds. AAR’s second child was born in 2003, she was term and seven pounds six ounces. AAR’s third child was born in 2005, she was term and seven pounds twelve ounces. AAR’s second child had a decreased fetal heart rate due to the placenta cord being wrapped around her neck.

Birth sibling is a Caucasian male born August 31, 2014, and her father is known. He is the third child born to birth mother. He was placed in the NICU when he was born. He received 0.3 mg of Methadone and Clonidine to help with his withdrawals while in the hospital. He was diagnosed with Neonatal Abstinence Syndrome by his doctor. He does not have any other health or psychological problems.

Tricia and Justin brought their little boy, Lincoln, in for his very first session in my newborn photographer studio. He was born on July 27, which made him 8 days new when I met him. Lincoln was a tiny little guy weighing 5 pounds 13 ounces at birth.

The vital signs he shows including BPI indicate 160/92 left are sitting; P: 60; R: 16; T: 98; weight: 220lbs.; height: 70”. His physical assessment showed decreased pedal pulses BL with lower leg edema from ankle to mid. No lymph nodes, decreased breathe sounds throughout, no adventitious sounds in the lungs. The heart has RRR without murmur, and carotids examination revealed right bruit. He has android obesity, WC = 44 inches. The lab test results showed Total cholesterol – 210, LDL- 200, HDL- 25, Triglycerides – 250, Fasting blood sugar – 140, HgbA1c – 7.5, CXR – hyperinflation

She had to take a neurological examination in which, she had absent abdominal reflexes with brisk tendon jerks and bilateral extensor plantar responses. Blood investigations

Fundi were benign. Visual fields full to confrontation. Extraocular motions intact. PERRLADC. Normal facial symmetry, sensation, and movement. Tongue and uvula were midline. Normal auditory acuity. Normal shoulder shrug.

On examination, he has 4-5/5 strength throughout the bilateral lower extremities. Sensation is intact to light touch throughout the bilateral lower extremities. He has tenderness over the lumbar paravertebral musculature bilaterally. He has pain with flexion and extension of the lumbar spine. He has a positive slump and straight leg bilaterally.

By dates, she is 33 ½ weeks. Both twins are cephalic with twin A on the left, slightly anterior, and twin B more to the right and superior. Both have good amniotic fluid. The dividing membrane is identified. The BPP scores are 8/8 and the Doppler studies are reassuring. An overview fetal anatomy assessment was performed, though limited by the more advanced gestational age in conjunction with twins. No gross malformations were noted but again a detailed assessment was not possible.

Apical pulse was in the fifth intercostal space with no thrill. Rate was 89 beats per minutes, rhythm regular, S1 and S2 are crisp and not diminished. No extra sounds or murmurs were auscultated. Breath sounds equal bilaterally and unlabored with no cough. Abdomen was flat, symmetric with no masses. Bowel sounds present with no bruits. Skin has consistent color that is appropriate to ethnicity. Skin is warm and dry with

Endocrine: History of Type two diabetes, he stated that his blood before breakfast was 95.