REASON PROCEDURE: Endoscopy. INDICATIONS For refractory epigastric abdominal spasm and possible heartburn symptoms despite omeprazole and ranitidine therapy. Prior history of peptic ulcer and a "large" hiatal hernia performed elsewhere. DESCRIPTION OF PROCEDURE Time-out was called. Consent signed. IV sedation performed. The forward-viewing endoscope was passed into the mouth of the esophagus‚ stomach‚ then to the second portion of the duodenal without difficulty. Upon withdrawal‚ the following
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JA’s Weight Bearing Intervention Session by Jeanese Murdock‚ OTAS Care Team Home Health-Keely Peel‚ COTA Overview of Patients Occupational Profile JA is a 14 year old male with severe spastic Cerebral palsy and scoliosis. JA is on a trach and requires 24 hour assistance. He is seen two times a week by OT and the treatment sessions are mainly focused on range of motion and taylor sitting to decrease the contractures. When starting a session he is very tight‚ by the end on a thirty minute session you
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The patients name today is Jane Smith‚ as seen in figure 1. Jane is a 36-year-old waitress who currently has both anemia and asthma. Patient has a sister and a brother who suffer from PTSD and Asthma respectively. Jane has come in after waiting out her symptoms for two weeks‚ due to her mother’s funeral and a busy work schedule. Symptoms include; excessive sweating‚ hallucinations‚ insomnia‚ and tremors‚ which are all affecting her working ability. Her mother’s family has medical history of Fatal
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The following paper will examine the etiology‚ mechanisms‚ and manifestations of spinal cord injuries‚ as well as how they relate to the case study. Given A.D.’s status‚ spinal shock can be suspected. Spinal shock is defined as “a sudden and complete transection of the spinal cord that results in complete loss of motor‚ sensory‚ reflex‚ and autonomic function below the level of injury‚” and is often the immediate response to an acute spinal cord injury (Hung‚ 2009). After A.D. was ejected from his
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Hypertrophic Cardiomyopathy Hypertrophic Cardiomyopathy is a disease which causes an increase in the thickness of the heart muscle. This disease is caused by a gene mutation. In most cases‚ people with hypertrophic cardiomyopathy live a normal lifestyle. Some symptoms become severe and may become limited by shortness of breath and chest pain. A small number of people with hypertrophic cardiomyopathy have suddenly died due to their condition. The muscular wall of the main pumping chamber of
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Primary diagnosis: Schizophrenic‚ paranoid and other functional psychotic disorders. Secondary diagnosis: None established. The claimant was a 47-year-old woman. Alleged disability: schizoaffective-bipolar‚ joint and back problems that cause severe pain‚ congestive heart failure (CHF) and renal failure in 2007. She reported that she spent four hours daily at an adult day care center. She used a roller walker when she felt weak‚ secondary to (CHF) and renal failure (2007). She had difficulty
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Congestive Heart Failure in Pets and Companion Animals Pets can suffer from both acute and chronic heart disease just like their human companions can. Heart disease can lead to congestive heart failure‚ a weakening of the heart that makes it impossible for it pump enough blood into the rest of the body. A surplus of fluid will then back up into a pet’s lungs and ultimately cause death. Congestive heart failure in dogs and cats has many causes and many symptoms. It can come on quickly in some cases
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Fibrodysplasia Ossificans Progressiva Fibrodysplasia ossificans progressiva also known as F.O.P is a rare disorder that becomes noticeable in early childhood. This disorder includes the muscle and connective tissues like the tendons and ligaments. Those tissues are gradually replaced by bone‚ which in turn constrains movement. F.O.P occurs approx. one in two million people only a several hundred cases have been reported. Fibrodysplasia ossifican progressiva is a deadly disease that affects more
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The hospital that I work in uses principles from The Studer Group‚ which works with hospitals to obtain improved clinical outcomes‚ to obtain a high reliability organization (Studer Group‚ 2017). Quarterly‚ we focus on different safety topics such as support the team‚ ask questions and focus on the task. Employees complete a computer based lesson each quarter and leaders are to make rounds on staff for validation of practice. We also have Safety Coaches for each department. Their role is to be the
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Emphysema‚ also referred to as pulmonary emphysema‚ is a degenerative‚ nonreversible disease. It is characterized by an enlargement of the airways beyond the terminal bronchioles. This airway enlargement can be due to a myriad of causes. Emphysema is commonly referred to as COPD; however‚ emphysema is only one type of COPD. Chronic bronchitis is the other. In cases of COPD‚ emphysema and chronic bronchitis typically accompany one another‚ but emphysema can also occur by itself. There are two types
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