Epistaxis

According to Miller (2010), wafarin is a drug that needs to be carefully considered for a patient in terms of interactions. A second issue entails issues pertaining to his signs of bleeding and indication of slow clotting. The patient is having epistaxis, ecchymosis, and an increased international normalized ratio (INR). The normal INR range of warfarin is 2.0-3.0. According to Barta, Nutescu, and Johnson (2015), the patient needs to remain in the accepted range for as long as possible which indicates

Nystagmus Nystagmus may occur in patients with suprasellar tumors 8. See-saw nystagmus is an uncommon form of nystagmus that is thought to occur from involvement of the interstitial nucleus of Cajal or adjacent structures in the brainstem. The nystagmus is an alternating elevation and intorsion of one eye along with depression and excyclotorsionof the other eye. Optic nerve head Optic disc pallor develops, primarily involving the papillomacular bundle and nasal retinal fibers, in a band (bow

Extended Care Paramedic An extended care paramedic are experienced clinical practitioners that specialise in patient assessment and a deliverance of quality care. Extended care paramedics treat mainly low to medium acute patients in a variety of community and clinical settings. ("Department of Health | Boosting Productivity", 2017. Their role is primarily to treat those in low need of care to take the strain off high running facilities such as hospitals and first responders. Extended care paramedics

CC: Follow up chronic obstructive pulmonary disease. History of Present Illness: Mr. Dillon is a very pleasant 72-year-old gentleman, who was previously seen in this office by William Pease, DO for the diagnosis of COPD and OSA. He was last seen in January 2015. Since that time, he states that he has felt well. His dyspnea on exertion has been stable. He is currently on Spiriva and Combivent p.r.n. He does state that a couple of months ago he was admitted for atrial fibrillation with RVR

CC Shea is an 8-year-old female here today with complaints of scabbing on her nose. HPI Dad reports that she first had what looked like a pimple about seven or 10 days ago on her nose. Since then, without really fussing with it, she has developed these scabbed areas that they thought she should have looked at. They do not seem to be getting better. Dad has noticed since he first started, that they perhaps seem a little bit redder. Mom has been putting some Neosporin on it, but it does seem to

Assess Adherence 2. Assess response to treatment (changes in symptoms and behaviour) 3. Assess any side-effects of medications (weight gain, hyperglycaemia, sedation, anxiety, appetite changes, depression, malaise, arthralgia, oedema, hypertension, epistaxis, sleep disorder, toothache, urinary disorder, respiratory disorder) 4. Monitor (if possible under PC team): a. Weight (weekly for the first 6 weeks → at 12 weeks → at 1 year →

Chordomas are considered rare neoplasms with an incidence of 0.08/100 000.(1) chordomas arise from remnant notochord cells found mainly within the clivus and sacrococcygeal regions . But also, can be found at any site along the vertebral column (2). The presentation of clival chordomas tend to be late, associated neurological impairment due to involvement of the lower cranial nerves (3). Clival chordomas are also challenging to treat due to their site , anterior to the brainstem, and their aggressive

Sunitinib, a multikinase inhibitor, inhibits angiogenesis and cell proliferation, which may explain its anti-tumor activity. Sunitinib is first line recommendation due to its success in studies along with a tolerable side effect profile. Some of these adverse effects include mucositis, stomatitis, altered taste, anorexia, dyspepsia, nausea, vomiting, diarrhea, constipation, hypertension, asthenia, fatigue, fever, peripheral edema, rash, hand-foot syndrome, skin discoloration, dry skin, hair color

Results A total of 1,013 patients with ENT FBs were examined and managed at the ENT Department of a tertiary referral hospital during the period of July 2014 to June 2016. Foreign bodies represented a large category among ENT emergencies (30% of all ENT emergencies). A total of 572 cases involved males (56.47%) and 441 involved females (43.53%).The age of the patients ranged from 1 to78 years, with a mean age of 12.5 years (mean � standard deviation [SD] ¼ 12.5 � 14.2). The major proportion of FB

ABSTRACT: Obstructive sleep apnea (OSA) is an ever-increasing problem affecting millions of people in the United States. The prevalence of OSA has risen drastically over the past few decades concurrently with the increasing prevalence of obesity. Subsequently, there has been an ever-increasing rise in the use of CPAP. While there are many adverse effects to the use of CPAP, the majority are described as being relatively benign. Here we discuss a case of significant sudden sensorineural hearing