depending upon fluid resuscitation Compromised nutrient blood flow to organs; decreased organ oxygen extraction ● PATHOPHYSIOLOGYCont. Pulmonary & Renal ● ● ● ● ● ● ● Hyperventilation with respiratory alkalosis Pulmonary hypertension and edema Hypoxemia (arterial pO2 < 50 mmHg) Reduced pulmonary compliance; increased work Respiratory muscle failure Renal hypoperfusion; oliguria Acute tubular necrosis and renal failure PATHOPHYSIOLOGYCont. Other ● ● Disseminated intravascular coagulation
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the wheelchair daily for 30 minutes. Mr. R.C. was admitted to the hospital with many complications since 02/23/2012 for long-term care with diagnoses of obesity‚ unspecified‚ hyperlipidemia unspecified‚ ventral hernia without obstruction or gangrene edema‚ unspecified‚ types 2 diabetes mellitus without complication‚ otitis media‚ unspecified on
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Pericarditis The patient who is complaining of retrosternal chest pain which is sharp and relieved by sitting up or leaning forward‚ gets worse when lying down‚ breathing‚ coughing and radiates to the both arms will tell us that it might be acute pericarditis. In this case physical examination will show decrease in apex pulse‚ by percussion the heart would be slightly enlarged and a slight friction rub by auscultation on lower left sternal border. And then we will do diagnostic tests including
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The name of the disease is Elephantiasis. The enlargement of the limbs and other areas of the bodies are caused by obstruction of lymph flow and possibly blood circulation. The blockage can be due to recurrent attacks of a bacterial infection which causes inflammation of the lymphatic vessels. This continues and causes swelling‚ then without medical help the problem gets worse and becomes extremely enlarged. The death of surrounding tissues may also occur from an obstructed blood supply. Elephantiasis
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The characteristics of this phase is diffused alveolar damage and lung endothelial injury. The increased capillary permeability of the epithelial barrier leads to an influx and accumulation of fluid in the alveolar and interstitial space. Alveolar edema leads to atelectasis and poor aeration. The reduction of lung compliance causes intrapulmonary shunting and hypoxemia. 2). The proliferative phase lasts 7 to 21 days‚ patients often make rapid recovery. This phase is characterized by reorganizing of
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water retention) can predispose to infection. Skin integrity can be injured by direct trauma‚ heat‚ and moisture or persistent water in the ear canal. Such damage is thought to be necessary for initiation of the inflammatory process. Subsequently‚ edema may result‚ followed by bacterial inoculation and overgrowth. In Otitis Externa‚ the infection is caused by bacteria or fungi. Scratching‚ inserting objects into the ear canal‚ or moisture (from swimming‚ for example)‚ can make the ear canal vulnerable
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THE CHEST EXAMINATION Physical examination of the chest The chest indicates the region that lies under the neck and above the abdomen. Chest wall is composed of sternum‚ ribs‚ and vertebras. The anterior part is a little shorter than the posterior part. Chest examination includes many components: chest shape‚ chest wall‚ breasts‚ vessels‚ mediastinum‚ bronchus‚ lung‚ pleura‚ heart‚ and lymph nodes‚ etc. In addition to general physical examination‚ the following check methods have been
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Are your feet still cold? Is your skin is very dry? Do you have cracks in the toenails? Check out what it means and what you can do about it. If your ankles swollen‚ you may have edema. It is the excessive accumulation of fluid in the joints. - Edem and general swelling in the legs usually subsides by itself‚ for example. at the end of the day when you put your feet and relax. But if this situation has been going on for some time‚ you should see a doctor. You’ll probably get compression stockings
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Diabetes mellitus is a serious condition that should be managed properly to prevent complications. These complications from diabetes mellitus can lead to health problems and even death if not managed. The problems occur because of changed in large blood vessels‚ also known as macrovascular‚ as well as small blood vessels know as‚ microvascular‚ in tissues and organs. Microvascular complications can lead to nephropathy‚ neuropathy‚ and retinopathy. The main cause of microvascular complications is
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Proofreader # 1 HISTORY AND PHYSICAL EXAMINATION Patient Name: Patrick Platt Hospital No.: 771033 Room No.: 560 Date of Admission: 08/30/2008 Admitting Physician: William Payne‚ MD Admitting Diagnosis: Possible fracture of left arm. CHIEF COMPLAINT: Pain and swelling‚ left upper arm. HISTORY OF PRESENT ILLNESS: The patient is an elderly mail who fell 4 days prior to admission. He noted immediate pain and swelling in the area just below his left elbow. He was presented
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