Procedures Performed: Laparoscopic appendectomy‚ with placemat of right lower quadrant drain 11/14/2012 Complications: None Discharge Diagnosis: Acute suppurative appendicitis‚ perforated. DIAGNOSTIC LAB/IMAGING: Lab results at the time of admission showed a WBC count of 13. CT scan done in the ED revealed an acute appendicitis with phlegmon. HOSPITAL COURSE: This 46 year old Caucasian gentleman presented to the ED with a 3 day history of abdominal pain; however‚ over the past 24 hours
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Chapter 6 – Case Study 1 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. Discussion Questions 1. Discuss the possible factors contributing to his electrolyte imbalance and the rationale for his signs and symptoms. 2. What are the signs of hypokalemia and
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Admission: 11/15 Date of Procedure: 11/15 Admitting Physician: Bernard Caster‚ MD Surgeon: Bernard Caster‚ MD Assistant: Jason Wagner‚ PAC Circulating Nurse: Jimmy Dale Jet‚ RN Preoperative Diagnosis: Acute Appendicitis Postoperative Diagnosis: Perforated Appendicitis Operative Procedure: Laparoscopic Appendectomy Placement of right lower quadrant drain Anesthesia: General Endotracheal tube anesthesia Specimen Removed: One lacrotic appendix IV Fluids: 1700 ml Chrystaloid
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Strategies Communication- Therapeutic communication Teaching & Learning- Patient educator January 16‚ Friday January 23‚ Friday January 19 no school January 26‚ Monday Inflammation- Appendicitis (perioperative care) Inflammation- Appendicitis (perioperative care) Martin Luther King‚ JR Holiday Inflammation- Appendicitis (perioperative care) January 30‚ Friday February 2‚ Monday February 6‚ Friday February 9‚ Monday February 13‚ Friday February 16‚ Monday February 20‚ Friday February 23‚ Monday February
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treated before they grow. Another type of tumors‚ mucinous cystadenocarcinoma tumors produce a jelly like substance called mucin that causes abdominal pain. Colonic-type adenocarcinoma tumors often go unnoticed until they are found during surgery for appendicitis. These types of tumors are very rare and much more difficult to treat than others. Paraganglioms tumors develop in a collection of cells that come from nerve tissues. This not very serious tumor can be often successfully treated because it can
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Consultations: Procedures Performed: Laparoscopic Appendectomy with placement of RLQ drain 11/14/2013 Complications: None Discharge Diagnosis: Acute Superative Appendicitis; perforated Diagnostic Lab/Imaging: Lab results at the time of admission showed a WBC count of 13. CT scan done in the ED revealed an acute appendicitis with phlegmon. Hospital Course: This 46-year-old Caucasian gentleman presented to the ED with a three day history of abdominal pain. However over the past 24 hours
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11/14/ Date of Discharge: 11/17/ Admitting Physician: Bernard Kester‚ MD Discharge Diagnosis: acute superative appendicitis perforated Surgical Procedures: Laparoscopic appendectomy with placement of RLQ drain on 14 November. Complications: none. DIAGNOSTIC LAB/IMAGING: Lab results at time of admission showed a WBC count of 13. CT scan done in the ED revealed acute appendicitis with a phlegmon. HOSPITAL COURSE: This 46-year old Caucasian gentleman presented ED with a three day history
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Human body is not perfect‚ there are many imperfection in almost every organ system but that is what makes us and other living beings unique as well as interesting . Today we will be discussing one of such imperfections ‚ "The Referred pain" which I have called a Glitch in the Nervous system and you will know why as you read this post.And we will also be discussing its Medical implications. What is a Referred Pain? A pain which is felt at the distant site from the organ diseased but not felt at
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Chapter 14 Female Genitalia • Anatomy o Mons pubis-hair-covered fat pad overlying the symphysis pubis o Labia majora-rounded folds of adipose tissue o Labia minora-thinner pinkish-red folds that extend anteriorly to form the prepuce and the clitoris o Vestibule-boat shaped fossa between the labia minora o Introitus-posterior portion lies the vaginal opening which in virgins may be hidden by the hymen o Perineum-tissue between the introitus and the anus o Urethral meatus opens into the vesituble
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HISTORY AND PHYSICAL EXAMINATION Patents Name: Benjamin Engelhart Patients ID: 112592 DOB: 10/05/---- Age: 46 Sex: M Date of admission: 11/14/---- Emergency Room Physician: Alex McClure‚ MD. Admitting Diagnosis: Acute appendicitis HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips‚ secondary to arthritis. Present to the emergency room after having had three days of abdominal pain. It initially
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