• Allergies: No known drug or food allergies
• Current Medication: No current medication
• Recommended Rx: None
Assessment and plan:
Will address
DOI: 7/17/2015. Patient is a 44-year-old male welder helper who sustained injury when he lost footing and his left foot got caught and he twisted his knee. Per OMNI entry, he was initially diagnosed with left knee internal derangement. He is status post left knee arthroscopic surgery with chondral debridement, partial mereial mebsisccetomy and resection of anterior plica on 04/29/16. Per the IME performed on 09/01/16, the patient underwent a second arthroscopic procedure as related to the left knee in 06/2016. The claimant subsequently underwent approximately 30 sessions of physical therapy. The combination of surgery and therapy was really of no benefit to him with continued difficulties noted as related to the left lower extremity.…
HISTORY OF PRESENT ILLNESS: This is a 53-year-old black individual a patient of Dr. Shelton, who has had diabetes for at least six months, but he thinks it has been longer than that. He says his last known blood sugar was in the 300’s. He presents in the ER today with a foot ulcer since January of this year. He stated that it started with blisters where he had soaked his feet too long in hot water. He has had no eye examination for two years. There has been no surveillance of chronic complications of diabetes.…
2) characterized by pain and a rash with watery blisters and a red area that itches…
A 6-month-old male is brought to the emergency department by his mother. She states that the child seems to be favoring his right lower leg and has not been moving it much for the past week. The mother also states that she has noticed swelling in the right thigh for about the same time period. Per the mother’s report, the child has been afebrile and has had no recent illnesses. On exam, the child is alert and appears unkempt, with dirty and malodorous clothing. The right thigh is swollen and tender. Gentle rotatin of the hip and knee while supporting the thigh is not painful. Distally, he moves the foot and toes when tickled and has a 2+ dorsalis pedis pulse. Examination of the back and thorax reveals multiple different colored ecchymoses.…
MEDICATIONS: Prednisone 7.5mg PO Daily; Estradiol 0.5mg PO qd; Mobic 7.5mg PO Daily, recently discontinued because of questionable allergic reaction; HCTZ 25mg PO qod; and Oral Calcium supplements.…
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).…
Often starts with a sore throat or skin infection and fever. The rash appears 12 - 48 hours after the fever. At first it is red blotches but turns into a pinkish and red rash that feels like sandpaper. The rash spreads to other areas, commonly ears, neck, chest, elbows, thighs and groin. The rash will turn white if you press a glass onto it.…
2.1Identify the signs and symptoms of common childhood illness2.1 The signs and symptoms of five childhood illnesses:Chickenpox • Feeling sick, aching and painful muscles, headache, generally feeling unwell and loss of appetite• Slight temperature, over 38ºc, before rash develops• Rash usually first appears on body, face and scalp, it then spreads to limbs• Rash begins as small, red, flat spots that develop into itchy, fluid filled blisters• Blisters are usually ¼“ wide and have a red base• After the blisters break, open sores will crust over to form dry, brown scabs• Usually lasts for about 10daysImpetigo • Clusters of red bumps or blisters surrounded by area of redness• There may be fluid oozing out of the blisters and they may develop a yellow (honey coloured) or grey crust• Sores usually appear around the mouth and nose, and on skin not covered with clothesConjunctivitis • Teary, red, itchy, painful eye(s)• Eyelid(s) may be swollen• Pus or thick discharge (yellow or yellowish-green colour) can make eyelids sticky, especially during sleep• High temperature, over 38ºc• Eye(s) may be sensitive to sunlight• A feeling of grit, or burning sensations in the eye(s)Tonsillitis • Sore throat• Red and swollen tonsils• Pain when swallowing• High temperature, over 38ºc• Coughing, headache, tiredness, or pain in ears or neck• White, pus filled spots on tonsils• Swollen lymph nodes in the neck• Loss of voice or changes to normal tone of voiceMeningitis • High temperature, over 38ºc, headache and stiff neck are common in children over 2years old• Infants may appear slow or inactive, be irritable, vomit or be eating poorly• A rapid breathing rate• A blotchy red rash that does not fade or change colour when a glass is placed against it. The rash is not always present• Other symptoms may include nausea, vomiting, discomfort looking into bright lights, confusion and sleepiness• Seizures may occur as illness progresses…
PAST HISTORY: Past illness includes whooping cough as a child. Tonsillectomoy in the past. No known allergies to medications.…
The case study (HCCC v Jarrett, NSWNMPSC, 2013) explains the enquiry made into the role and activities of registered nurse [RN] Janelle Jarrett in respect to the care of a patient during a night shift from 30th September 2011 to 1st October 2011. RN Jarrett was rostered as the Hospital in Charge [HIC] and Nurse in Charge [NIC] of a general ward. The patient first presented to Ballina District Hospital emergency department [ED] at 1428 hours on 30th September 2011 with increasing shortness of breath [SOB], muscular aches and pains and a history of chronic obstructive pulmonary disease [COPD]. The patient was triaged as category three and investigations into medical records detailed documentation that described the patient’s SOB as being secondary…
Honeymoon Destinations is a business that produces video footage that contains resort-specific and region-specific footage regarding the most popular honeymoon destination resorts including: Hawaiian Islands, Caribbean Islands, Mexico and Florida. The marketing of destinations serve to guide newlyweds by means of capturing videos –including rating each resort based on the most important characteristics such as view, cost and accommodations. These footages attempt to generate an attractive, fascinating and informative product on what the newlyweds can expect on their “once in a lifetime” expedition. (Parry, Mark, 1999)…
rash that spreads all over the body. The disease can be spread for up to half a week after the…
Findings: Ct scan of the chest was performed in 7 mm axial sections with no intrrveous contrast enhancement. Comparison is made to previous ct scans made during his admission last year. There is interval resolution of the previously noted cavitary lesions in both upper lobes. However, there is evidence of chronic residual infultrates or scarring in both upper lobes as well as in the mid- and lower-lung fields posteriorly. Heart again appears enlarged. There is evidence of mild bilateral pleural thickening. No interval pulmonary parynchimal or pleural based mass lesions. No mediastynal or hylar masses. No lymphadenopethy, no pleural effusions, and no significant lesions of the boney thorax.…
<center><b>By close reference to "More Than Just The Disease", show what feelings you have for Neil in the course of the story. What lessons do you suppose he has learned by the end of it?</b></center>…