Two speakers told the audience that they suffer from liver cancer due to alcoholism. Cancer from alcohol abuse is a major risk of drinking alcohol and is more common than people realize. A recent study has shown that alcohol consumption in the United States resulted in approximately 18,200 to 21,300 cancer deaths (three to four percent) of all cancer deaths in the United States in 2013 (Nelson et al., 2013). Alcohol has been found to increase the risk of cancer in moderate to heavy drinkers. Specifically, daily consumption 1.5 alcoholic drinks or more accounted for 26% to 35% of alcohol-attributable cancer deaths (Nelson et al., 2013). One alcoholic beverage equals one ounce of liquor, 12 ounces of beer, or four ounces of wine (Hart & Ksir,…
SOCIAL HISTORY: Patient admits to alcohol ingestion nightly and on weekends. Denies tobacco use. Denies illicit drug use. He is married.…
On 10/10/17, Room 370 who is a 65-year-old male was admitted into the hospital because his suprapubic catheter came out. He was admitted in the emergency department to have his catheter replaced. His brother says he checks on him often, and he has been doing good for the last few months. According to his brother, there has been no change to his medical condition. However, labs were done, which revealed Hypernatremia and an increased in blood urea nitrogen (BUN). Based on these results, Room 370 is dehydrated. His brother said he has not had any diarrhea or excessive sweating. Room 370 cannot communicate anything beyond an occasional yes or no. Room 370 finished a course of Levaquin for what appears to be a urinary tract infection (UTI). The plan is to start him on Zosyn as soon as possible. The order for Zosyn will be effective until the culture is negative.…
Ethanol, cotinine, lidocaine, altropine, cocaine, ethylbenzoylecgonine, benzoylecgonin, ecgonine methyl ester, metroprolol, and caffeine were found in the blood. Nicotine, cotinine, cocaine, ethylbenzoylecgonine, benzoylecgonin, ecgonine methyl ester, metroprolol, and caffeine were found in the urine. The mix of cocaine and alcohol can cause ethylbenzoylecgonine, which is damaging to the heart. The patient history could be reported falsely and the…
Mr. E., age 53, has a history of alcoholism and came to his physician because of recent anorexia, nausea, and diarrhea, as well as heart palpitations and fatigue. He has been taking his diuretic tablet, but not his vitamin and mineral supplement. An ECG and blood tests indicate hypokalemia.…
PERSONAL/SOCIAL HISTORY: The patient is a widower who lives alone. He is a heavy drinker and smoker who recently quit. He is retired military and is brought here today by his daughter.…
For patients with a history of alcohol abuse or excess and evidence of liver disease, the CNS should order laboratory tests to exclude other etiologies and confirm the diagnosis of ALD. The CNS should discuss/recommend abstinence in patients with evidence of ALD because continued alcohol use is associated with disease progression. The CNS should be able to calculate a MELD score to ensure that referral to a transplant center is not delayed, as early treatment with abstinence has been shown to improve the outcome and histological features of hepatic injury, to reduce portal pressure and decrease progression to cirrhosis, and to improve survival at all stages in patients with ALD. There are few reliable predictors of relapse in alcoholic patients, whether or not they undergo liver transplantation. As stated throughout this paper, most transplant programs require patients with ALD to demonstrate a long-term commitment to alcohol abstinence prior to consideration for liver transplantation, typically for six months or…
The patient has had no prior history of drug overdose. The patient did, however, have a brother that recently committed suicide and was recently released from jail. The patient does drink alcohol and takes multiple street medications and methadone for pain.…
Provide the correct description for code 070.43 from the tabular list. Hepatic coma with Hepatitis E_…
Alcoholic cirrhosis is charactered by the replacement of the destroyed liver cells with the scar tissue (Farrell & Dempsey, 2009, p.1167). The increased liver scar tissue result in the failure of liver function to synthesis protein, clotting factors, the substances and manifestation of portal hypertension (Farrell & Dempsey, 2009, p.1168). In liver cirrhosis, the live tend to be large and its cells loaded with fat, that it causes the liver become firm and sharp edge noticeable on palpation (Farrell & Dempsey, 2009, p.1168). Moreover, as the rapid enlargement of the liver, the tension on the fibrous covering of the live is produced and may causes the abdominal pain (Farrell & Dempsey, 2009, p.1167). The late manifestation are due partly to chronic failure of liver function is the obstruction of the portal circulation as the blood cannot passage through the liver and back up into the spleen and Gastrointestinal (GI) tract (Farrell & Dempsey, 2009, p.1168). Therefore, the GI tract cannot function properly which result into the decreasing ability of indigestion and altered bowel function (Farrell & Dempsey, 2009, p.1168). Fluid rich in protein may be moved from the vascular system to the peritoneal cavity and…
Room 101 is an imaginary place where people have the opportunity to deposit their hates and despair. When I was first told that I could have the opportunity to get rid of absolutely anything in I would like from this world, I immediately thought of school, but then I remembered all the great things that happened here. In this oral or presentation I intend to tell you all about my dislikes and hates, and tell you my reasons for putting these things for a lifetime in room 101.…
The consumption of alcoholic beverages dates back to approximately 10,000 years ago when viticulture' (the selective cultivation of grape vines for making wine) is said to have originated in the mountains between the Black and Caspian Seas. (1) It is one of the most commonly used psychoactive drugs in the world. Alcohol interacts with gamma amino bultyric acid (GABA) receptors in the brain, this is the main inhibitory neurotransmitter in humans and is synthesized from glutamic acid. (1a)…
Language is a verbal and nonverbal method of communication that can be spoken, written, or expressed. Within the Party, the authority was able to control, prohibit, and alter specific information from being evident to the entire population. The conformity and restrictions of their society was created to prevent intelligence and eradicate the minority. With the restrictions on language it leads to restrictions of creativity and ideas. In the novel, Nineteen Eighty-Four by George Orwell, the Party was able to control the language through restraints on their society because of their use of language, psychologically, and physically.…
Don’t you just despise TOWIE? Whenever I happen to watch a short clip or episode of this damned TV show I’m absolutely amazed and stunned at people’s stupidity. I mean, really?…
When I was thinking about what I would banish to room 101 if given the choice millions of my pet peeves came to my head. But instead of going on an infinite rant about everything I hate about, I chose the four things which I would voluntarily go in Room 101 myself rather than having to put up with them any longer…