Wesley Living Solutions is a home health care service institution that is located in Cordova, Tennessee. They have over 40 years of experience. Wesley Living Solutions offers senior housing, assisted living, and home services. They help clients with health issues and general physical welfare. Wesley Living Solutions provides compassionate assistance in a home-like environment. This home health care agency is a corporate partner of Communities of Quality.…
She became lethargic within one hour. She was immediately treated with “10mg activated charcoal, 3 h post ingestion”. The patient then went unconscious but did not need any tubes or extra ventilation. On arrival, her pulse was 110, blood pressure was 106/60, RR (melatonin level) was 20, body temperature 98.3, pOx 98 (RA). She had a disconjugated gaze. Her skin appeared dry, pink, and warm. Bowel sounds were decreasing. An ECG with 12-lead showed a sinus curve of 110. She was in stable condition with consistent vital signs and slowly awakened throughout a 24-hr period. On the second day, she slept for excessive periods at a time. She also suffered “truncal ataxia” while in the sitting position, which still existed during walking and standing up the next day. On the fourth day, she showed trouble with fine motor skills, but was discharged. The girl was monitored for seven days as symptoms receded and no abnormal condition resulted…
This patient was admitted for shortness of breath, fever and chills. He has a history of cystic fibrosis, with secondary diabetes.…
Painful Erythema, Oedema, Oral Ulcers are present. Patient only able to ingest liquids or may require IV hydration…
HISTORY AND PHYSICAL EXAMINATION OR EMERGANCY DEPARTMENT TREATMENT RECORD Patient Name : Benjamin Engelhart Patient ID : 112592 Date of Birth : 10/05/1958 Age : 46 Sex : Male Date of Admission : 11/14/2014 Emergency Room Physician : Alex McClure, MD…
The clinical manifestations Ms. G presents with are the round, yellow-red, 2 cm open wound on her left lower leg that has a moderate amount of thick yellow drainage; she has pain in the leg and is unable to bear weight on the leg. She has a fever and chills which are symptoms of an infection. First and foremost a history, physical and medicine reconciliation should be performed. It is important to know what medications the patient is on and has been taking, what risk factors she has, and what other medical conditions she may be battling. The labs show an elevated white blood cell…
Patient is 63 year old African American/Black male. Patient was brought in emergency department. The patient wife said he has been complaining of unusual stomach pains. According to the patients wife before bringing him in to the emergency room he was vomiting blood.…
underlying cause of the problem needs to be investigated. The platelet count is normal. The…
His vital signs are as follows: BP 172/100, heart rate 92, and a temp of 102.2 F. The results from the lab results are as followed: RBC 3.1 million, WBC 22,000, K+ 5.4 mEq/L, Ca 6.8 mg/dL, phosphate is 4.3 mEq/L, urea is 37 mg/dL, creatinine 2.0 mg/dL, albumin is 2.9 mg/dL, and pH is 7.29 after these abnormal labs a Chemistry Panel was drawn. Labe results of the Chemistry Panel are as followed: Protein 1.7 gm/24 hours, GFR of less than 30 ml/minute, and urine sediment showed presence of gram negative bacilli, presence of white blood cells, presence of red blood cells, and granular and waxy casts.…
This is a followup dermatology clinic visit. See Dr. Tara Stewart's dermatology consult from 05/13/2016. The patient has posterior hip herpetic neuralgia over his right neck continues to be troublesome for him. He says his other issues that were discussed in May are much improved. These consisted of apparently some scales and scaly macules and patches over his chest, arms, shoulders, neck, and ears that had some crusting. This he says is all improved and doing well. He is currently followed in the Pain Clinic for his post herpetic neuralgia. His cutaneous issues improved about one month after the dermatology clinic visit in 05/2016. He is now concerned about residual pain in his right scalp and neck and one itchy site on his right thigh that comes…
Raymond, a 50 yo pilot, was working a transatlantic flight when he noticed an uncommon stiffness and pain in his left leg. Upon rubbing the area he noticed it felt hot. He had played touch football the day before so he passed it off as soreness or a bruise. He also remembered that he had been stung by a bee during the match and that area was also red and swollen with a hard knot. As the flight progressed the pain became more and more intense and he noticed his foot swelling and there was a reddish to his skin. He also felt feverish as if he were coming down with the flu.…
The patient was discharged on 03/21/17 from the rehabilitation unit at Valley Children’s Hospital. It was instructed that the patient continue to use Neosporin ointment three times a day for the next thirty days for her abrasions. Furthermore, the mother was notified to return to the hospital or contact J.M.’s physician if she became febrile with a temperature of 101.0 ̊ F or more. In addition, she also was instructed to report vomiting and any sudden changes in mental status. Other signs and symptoms that J.M.’s mother was instructed to immediately report included persistent headaches that were unrelieved with acetaminophen, blood coming out from ears or nose, the onset of seizures, sudden changes in vision, slurred speech, loss of sensation,…
A rash appears in a day or two, first on the face, then on the body. The spots are flat (on light skin they're pale pink).…
His mucosa is noted to be dry. His skin is warm and dry with poor turgor.…
PHYSICAL EXAMINATION: The patient is a well-developed, well-nourished male who appears to be in moderate distress with pain and swelling in the upper left arm. VITAL SIGNS: Blood pressure 140/90, temperature 98.3 degrees Fahrenheit, pulse 97, respiration 18.HEENT: Head normal, no lesions. Eyes, arcus senilis, both eyes. Ears, impacted cerumen, left ear. Nose, clear. Mouth, dentures fit well, no lesions. NECK: Normal range of motion in all directs. INTEGUMENTARY: Psoriatic lesion, right thigh, approximately 1 mL in diameter. CHEST: Clear breath sounds bilaterally. No rales or rhonchi noted. HEART: Normal sinus rhythm. There is a holosystolic murmur. No friction rubs noted. ABDOMEN: Normal bowl sounds. Liver, kidneys, and spleen are normal to palpitation. GENITALIA: Tests normally descended bilaterally. RECTAL: Prostate 2+ and benign. EXTREMITIES: Pain and swelling noted above…