Secondary to Uremic Encephalopathy‚ Hypertensive Nephrosclerosis vs. Gouty Neuropathy Attending Physician: Dr. Valdez‚ Dr. Manzon‚ Dr. Ocampo‚ Dr. Concepcion I. CHIEF COMPLAINT - General body weakness - Drowsiness - Pain on knees II. NURSING HISTORY The patient‚ MNM‚ has hypertension for 21 years‚ he’s not taking any medications until year 2008 when he was prescribed Nifedipine and Carvedilol. He also has gouty attacks for 14 years now and he is taking Allopurinol. Four days PTC
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causes various kinds of metabolic problems. The response to low levels of cortisol is increased production of corticotropin (ACTH). Lack of mineralocorticoids‚ primarily aldosterone (steroid hormone)‚ causes sodium and water imbalance which‚ in some cases‚ can be fatal. The various forms of CAH represent defects in the different stages of corticosteroid synthesis‚ usually hydroxylation reactions at certain positions on the original CAH is a family of inherited disorders affecting the adrenal glands
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Chronic obstructive pulmonary disease (COPD) has become one of the major leading causes of mortality worldwide and the prevalence has increased in the last decades (Konstantikaki et al.‚ 2011‚p. 275; Macedo & Usmani 2009‚p. 39). A report compiled by WHO described COPD will be the third leading of mortality rate in the world by 2020 ( Jain‚ Rohan‚ Sharma & Thakkar 2011‚p.258; Macedo & Usmani 2009. p. 39.It has become a serious economic and social burden in individual‚ family and society/ ( Konstantikaki
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Obstructive Pulmonary Disease Abstract #1 Copd is at the apex of causes for mortality worldwide‚ with a greater incidence rate than ten years prior; systemic infections are the mainstay of the disease process. Periodontal disease has been vividly studied and the absolute foundation of the multifactorial process restrictive airways. The infection leads to inflammatory responses that perpetuates the diseased state via inflammatory mediators‚ and thus mediating copd. Counter arguments for obesity-related
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DOI: 2/2/2016. Patient is a 59-year-old female certified nursing assistant who sustained injury to her low back and right knee while transferring a patient. Per OMNI entry‚ she was initially diagnosed with right knee contusion/strain and lumbar sprain. She is status post right knee arthroscopic medial meniscectomy‚ medial condyle abrasion arthroplasty major synovectomy/3 compartments and lateral release on 07/31/16. Per the PT note dated 10/17/16‚ patient is doing well with the exercises. However
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Case Study: COPD Exacerbation Jeffrey Sherman Due Date: January 16‚ 2012 Wayland Baptist University Adult Health II COPD Exacerbation The purpose of this paper is to discuss an exacerbation of Chronic Obstructive Pulmonary Disease (COPD) and its effect on my patient‚ Mr. HS‚ a 78 year old male. In this paper we will look at the various facets in the disease process including its incidence‚ pathophysiology‚ presenting complaints‚ analysis of his clinical presentation‚ and discuss treatment
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What is COPD? Chronic Obstructive Pulmonary Disease is a progressive disease that constricts airways and dramatically hinders a person’s ability to breathe. It affects around 13% of Australians aged 40 or over. It causes mucus or blood-filled coughing‚ chest tightness and severe shortness of breath. The disease is comprised of Chronic Bronchitis‚ Asthma and Emphysema‚ with the seriousness of it being judged by four levels‚ each level increasing in severity. To this day‚ there is no known cure
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throughout this process in order to understand potential risks of having a surgical procedure and what should be done if complications occur. That being said‚ I don’t feel like I would really enjoy this type of nursing because a lot of skills were not used. The main skill was a thorough nursing assessment. I enjoyed being in the OR and acutally seeing the surgery but I did not like being in a standing position for a long period of time. I would rather be running around a unit checking multiple patinets
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Chronic obstructive pulmonary disease or COPD is a slow and progressive obstruction of the airways. There are two categories of COPD. These are emphysema‚ a condition where there is abnormal and permanent destruction and enlargement of the alveoli. Chronic bronchitis is a productive cough and inflammation of the bronchi and other lung changes. Smoking and second hand smoke exposure are the main contributors to this disease. Other contributing factors can be environmental air pollution and genetics
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neighborhood‚ now disabled‚ and under SSI. Although‚ his two siblings ages 40 and 43 are healthy‚ alive‚ and well‚ but both parents are hypertensive and diabetics ages 68 and 72. Unfortunately‚ Mr. J.P. is suffering from other multimorbidities such as; COPD‚ asthma‚ osteoarthritis‚ and
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