Under Axis III: Medical Case Study

PHYSICAL EXAMINATION: Vital signs are WNL. Apparently he has had no chills, night sweats, or favors. Generalized malaise and a lack of energy have been the main concerns. HEART: Regular rate and rhythm with S1 and S2. No S3 or S4 is heard at this time. LUNGS: Bilateral rhonchi. No significant amphoric sounds are noted. ABDOMON: Soft nontender. No hepatosplenomegaly or masses are detected. RECTAL EXAM: Prostate smooth and firm. No stool is present for hemoccult test.

3. The conclusions section that sums up our thoughts and feelings regarding Tom Bradford’s erectile dysfunction solution…

Many doctors, pharmacists, biochemists and scientific researchers have engaged tremendous efforts to providing drugs and supplements that would help overcome sexual malfunction and ill-health.

F.C. is a 54-year-old man with a history of chronic heavy alcohol use. He has frequent bouts of gastrointestinal bleeding for which he has been hospitalized on six separate occasions over the years. He continues to drink and exhibits most of the common manifestations of alcoholic cirrhosis. He was recently hit by a car and was hospitalized for a broken leg. He appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 0.18. F.C.’s family reports that his mental functioning has deteriorated significantly over the past few months.

* Person has urinary tract infections, vaginal infections orsexually transmitted diseases that are not otherwise explained

Although there is no mention of the condition he has, he has challenging behaviour which may require physical intervention and physical restrain, requires

The patient whose chromosomes are organized on the Karyotype Worksheet #1, is a normal female as indicated by her XX sex chromosomes, with a total number of 46 chromosomes and her karyotype doesn’t exhibit any aneuploidy or structural errors.

BH is a pleasant 62- year old male who has been treated at Daybreak since June, 2014. He has been treated for hypertension, gout, renal insufficiency, pre-diabetes, hyperlipidemia and elevated cholesterol. He has a history of alcohol abuse.

The chest tube will not have any more drainage coming from it for fluids and when the lung is re-expanded in the case of a collapsed lung via

Jones had the following childhood illnesses that included mumps, measles, and chicken pox. He also was vaccinated for whooping cough, diphtheria, polio, and rheumatic fever. He stated he had no serious illnesses as a child but did break his arm from a fall from a tree. At the age of thirty, he had his appendix and gallbladder removed. He was hospitalized three years ago for what he felt was chest pressure but was determined to be acid reflux. Client states that he had tetanus shot three years ago and had both the flu and pneumonia vaccines last September. Client denies any skin problems, difficulty swallowing, or weight changes. He denies any urinary or bowel difficulties but states that since he has been taking diuretics his urine output has increased. Last set of labs drawn were within normal limits but his pulmonary function test (PFT) was abnormal. Spirometry (PFT) is a test of how well your lungs work and diagnose COPD ((Vestbo, Hurd, & Rodriguez‐Roisin, 2012).Client is alert and oriented to person, place, time, and situation. No neurological deficits

The Institute of Medicine (IOM) is a nonprofit organization that provides guidance to the Nation on issues related to biomedical science, medicine, and health and improving the Nation 's quality of care (.AHRQ, 2011). The organization established in 1970 as a component of the US National Academy of Sciences that works outside the framework of government to provide evidence-based research and recommendations for public health and science policy (IOM, 2016). The institute of medicine is well known for its health care quality initiative launched 1996.The health care quality Initiative is an ongoing process that focused on improving quality of healthcare nationwide. According to AHRQ the initiative is divided into three phases: The first phase (1996-1999) brought to light the Nation 's overall quality problem and outlined the gulf between good quality care and what really exists. The second phase (1999-2001) described a vision of how the health care system and the related policy environment must be transformed to close the gap. The third phase is ongoing and focuses on the efforts required to achieve this vision. (AHRQ, 2011)

Your first patient this week has a problem of the genitourinary tract that has plagued him since birth. Hypospadias is a birth deficiency of the penis that generally has four characteristics:

With a potential total of 150M men worldwide (30M in the United States alone) suffering from medical Erectile Dysfunction, there is a wide range of factors identified as the potential causes:

On 16/9/16 R presented to the clinic and upon arrival, completed a form to guide his care plan (Gulanick & Myers 2014, p. 852-7; SA Health 2016a). This form revealed he was asymptomatic and sought a general sexual health check-up. Due to these reasons, he was triaged to see a registered nurse in a nurse led clinic (NLC). In this private NLC, a routine interview process was conducted and revealed R to be a healthy (no notable PMHx) twenty-six-year-old of Indian descent who migrated from Singapore to Adelaide five months ago. Additional to these demographic factors, this process also allows for the collection of ones’ sexual history to determine

Firstly, age is a valuable dimension due to the strong positive correlation to erectile dysfunction (ED) incidence. Secondly, as shown in the demographic data presented by Lilly ICOS, most men who suffer from ED are either married or living together with their partner. Being the influence of the spouse one of the