2. An 56-year-old established patient presents to her doctor's office with chest pain and shortness of breath. The doctor orders an ambulance to take the patient to the ED to be checked out. From the ED the patient is admitted for some
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.
I have this notion that being an X-Ray Technician is something anybody can learn quick and easy. Get the patient undress, instruct the patient to get in the exam table, get the pelvic area covered then go to the computer and press a key in the keyboard.
Root Cause Analysis of the scenario The subject patient: Mr. B Age: 67-year Day: Thursday Timeline of events 3:30 p.m.: Mr. B. arrives at triage accompanied by his son. Assessment results - B/P 120/80, HR-88 (regular), T-98.6, R-32, weight 175 pounds, pain 10/10, Left leg appears shortened with edema in the calf,
Nursing Care Plan CLIENT CLINICAL PICTURE Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x
Client Complaints: The patient complained of crushing chest pain that radiated to his neck and jaw, short of breath (SOB) with exertion, and diaphoretic that had been going on for four hours that day.
Mrs. Schafer completed her pulmonary function test prior to the appointment time and she was evaluated by Dr. Theodore J Standiford. Mrs. Schaefer provided an acute report of her injury and symptoms she was experiencing. Dr. Standiford replied that Mrs. Schaefer lung capacity was reduced by a third. (1/3). I inquired if it was the result of the injuries in the MVA. Dr. Standiford replied that they are a contributing factor i.e. flail chest and fluid in her lungs from aggravated congested heart failure. Dr. Standiford noted left crackles breath sounds on his examination and recommended that Mrs. Schaefer return to her cardiologist and that a high resolution CT scan of her lungs be obtained prior to the next appointment to determine if she has
On January, 31st, Patient F.F. arrived to the emergency room in the hospital with her brother due to an increased temperature for ‘the past 3 days,’ fatigue, and was ‘unable to catch [her] breath.’ A focused assessment revealed crackles and wheezes in the lower lobes of the lungs. The patient was leaning over in a tripod position and breathing heavily between words. The patient’s heart sounds were normal with a regular S1 and S2. The patient denied having chest pain and edema was not present. The patient reported having a productive cough with green sputum for the past 3 days. Vital signs were taken and the patient’s oxygen saturation was 88%. The doctor ordered 2 liters of oxygen by nasal cannula for the patient with a continuous
An adult patient visited the doctor complaining of symptoms concerning his mouth and not being able to open it. The patient explained that he had injured himself causing puncture to his leg. The patient was provided a health examination that involved a brief screening into his history. The patient was asked
During my ICE rotation at Clements University Hospital, I saw a variety of patients. The first patient I worked with was a 68-year-old male diagnosed with diverticulitis. The patient had surgery to reduce the inflammation and pouches formed, but the problem persisted. The patient received two more abdominal surgeries following the first one, which helped significantly. Although the physical therapist did not mention any precautions, the patient was very slow to sit up and move. The patient had a hard time speaking, but understood the physical therapist when he spoke to him. The patient was very slow with his movements and required maximum assistance.
An example of good communication I observed during my shadow was when a patient was extremely nervous and cautious about having a procedure done because of how invasive the procedure was going to be. In great detail and depth, the radiographer calmly and patiently explained the entire procedure to the patient. Basically, the radiographer explained the step by step procedure of what the patient should expect during the entire procedure. Overall, the radiographer sat at the same level of the patient in order to look them into the eyes as they explained the procedure so the patient could thoroughly understand and be comfortable with the process. The radiographer was able to go into great detail about what the radiologist would being doing
Chest X-rays are difficult to interpret, but you did a great job. The ABCD systemic approach was applied appropriately, the trachea is visible and in a correct alignment, the bones are intact, no signs of fracture, the heart is enlarged, however, the diaphragm is not visible because of the disease
Misdiagnosis may eventually lead to serious implications, both in regards to medico-legal issues and resource utilization. If there is no diagnosis of cardiac disease the patient is sent for an X-ray which is also professionally evaluated. The decision of the further pathway of the patient depends on the ECG and X-ray results. If ECG is positive the patient is most likely diagnosed with ACS, AMI, Aortic Dissection or Angina and immediately admitted to the appropriate hospital ward where doctors will decide on an appropriate treatment. If ECG test is negative or when the doctor exclude the cardiac disease at the triage level the patient is referred for an X-ray. If the X-ray is positive, depending on imagining, the Pulmonary Embolism, Pneumonia, Foreign body, Pneumothorax and Aortic Dissection is most likely to be considered and patient is admitted to the appropriate hospital ward while consulting the suspicions and findings with respiratory unit/ward. If the X-ray is negative, the next decision will depend on the results of the test marker
Just to let you know recent blood tests including an autoimmune screen, FBE, U&Es, LFTs and urinalysis have all come back unremarkable. A chest x-ray demonstrates blunting to the left costophrenic angle indicating a small reaccumulation.
Re- evaluation saves lives- late evident spleenic injury Introduction There is a trimodal distribution of mortality due to trauma. Patient will die of catastrophic internal injuries within seconds to minutes. Secondly, it is the significant blood loss causing death within minutes to hours. Finally, death due to multi organ failure will take