Course Project Milestone 1: Health History Form Directions: Refer to the Milestone 1: Health History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 175 points, with 5 points awarded for clarity of writing, which means the use of proper grammar, spelling and medical language. Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Milestone1_Form_Smith” When you are
The first step in correct diagnosis of disease of a patient is to know his medical history. Physician should carefully ask patient information about his/her symptoms such as the onset, duration, and possible relief. The next step is physical examination of the patient. After listening to the patient 's description of the history of the symptoms, physicians generally conduct a physical examination. Inspection, Palpation, Percussion and Auscultation are the four components of physical examination.
information. Causation can be hard to prove, an example would be hypertension. Over the years there have been many things associated with the cause of hypertension such as the use of table salt, smoking, sleep apnea, alcohol, etc. To use the term causation in this example it would mean that every single person would get hypertension
Gouty arthritis, hypertension, hyperlipidemia and left ventricular hypertrophy are the main diagnosis. American College of Rheumatology diagnostic criteria for gout is the presence of urate crystals in the joint fluid (Hainer et al., 2014). Monosodium urate crystals are seen under a polarizing light microscope which confirms the diagnosis of gout. Furthermore, the most commonly affected area is the first metatarsophalangeal joint. Other common sites are mid-tarsal joints, ankles, knees, fingers,
the new onset of hypertension and either proteinuria or end-organ dysfunction after 20 weeks of gestation in a previously normotensive woman. Although most women develop signs of the preeclampsia in late pregnancy with gradual worsening until delivery, a few studies have reported delayed or new-onset postpartum preeclampsia in patients with no antecedent diagnosis of hypertensive disease in the current pregnancy (). Postpartum preeclampsia is defined as the presence of hypertension and proteinuria
interconnected. Acute kidney injury may lead to chronic kidney disease, both share common risk factors: (1) race/ethnicity; (2) genetic factors; (3) hypertension; (4) diabetes mellitus; and (5) metabolic syndrome (Chawla, Eggers, Star & Kimmel, 2014) Mr. Fisher has chronic hypertension, diabetes, and may have metabolic syndrome, as evidenced by obesity and hypertension. Metabolic syndrome is characterized by an increased waist size, triglycerides that are >150mg/dl, HDL 130/85, fasting glucose >100mg/dl. (McCance
(88.46%), hemorrhagic stroke (11.53%) and in males Ischemic stroke (94.87%), hemorrhagic stroke(5.12%). Among them 92% of strokes are Ischemic majorly seen in both males and females. Ischemic stroke (94.87%) is majorly seen in 60-69 yr age group. Hypertension(36.43%) is the major risk factor found in males(60%) and females(40%) among hyperlipidemia(26.72%), diabetes mellitus(16.19%), alcohol consumption(20.64%). Antiplatelet drugs(25.75%) are the highest number of drugs given in patients 71.27% in males
Signs and symptoms: Haematuria, microscopic and macroscopic, is the earliest sign and is almost universal.In case of microscopic the disease may remain unnoticed for decades. Hypertension is also very common. Proteinuria can also occur but is usually a later feature. In many cases, there is slowly progressive loss of renal function leading to end stage renal disease. Clinical presentations are protean and vary with age. A particular hallmark of IgA nephropathy in young adults is the occurrence of
“The usual clinical manifestation of heart failure is left ventricular dysfunction that occurs after some index event, such as myocardial infarction” (Chapa et al., 2014, p. 16). With the aging adults, like S.P., we have to be concern when they have presenting signs of heart failure, especially if they have not been diagnosed with one. Questions I may have to ask S.P. are what time of the day her fatigue and swollen ankles are worse. This is to determine if her fatigue and edema are cardiac related
INTERVENTION PLAN FOR HYPERTENSIVE PATIENTS Hypertension is considered a major public health challenge all over the world because of its high prevalence and its high risk of complications (Whelton et al, 1997). It is also recognised to be a universal risk factor for mortality and morbidity, and the most significant modifiable risk factor for renal failures, cardiovascular and cerebrovascular diseases, and premature deaths (Ezzati et al, 2002). In the U.K, Hypertension is one of the most common conditions