Diagnosis Case Studies Samples For Students

Clinical Diagnosis and Rationale for the Diagnosis

Randle McMurphy is the protagonist in the movie “One Flew over the Cuckoo's Nest”. Although he does not overtly show any mental disorder, he seems to be suffering from narcissistic personality disorder (Zaentz & Forma, 1975). Randle McMurphy suffers from Narcissistic Personality Disorders (in Axis 1), which, as he manifests, is proven by several symptoms. The patient employs humiliation and shame to win over others, exploits the situation to gratify himself and becomes jealous easily. He is also confident, arrogant and contemptuous, living in unrealistic fantasies, beauty, power, intelligence and romance, and appearing less emotional (American Psychiatric Association, 2014).
...

The case of K

Problem experienced by K
The problem being faced by K is generalized as a mental health challenge. However, this problem can be broken down further into constituent problems. K has been presented as experiencing challenges that include inability to sleep, intense stress and worry, difficulty leaving his house, and intrusive thoughts. K’s general definition of his own problem is presented as worrying about everything and lacking the ability to relax. According to K, the challenges he is facing have caused him to experience weight loss. His problem extends far from the boundaries of his personal life to his ...

[Author Name(s), First M. Last, Omit Titles and Degrees]
[Institutional Affiliation(s)]
[Include any grant/funding information and a complete correspondence address.]
Breast cancer is one of the deadliest cancer prevalent in the modern world. According to the Journal of national Comprehensive Cancer Network, the author Therese B. Bevers, (2009) clearly states that Women in the United States have an increased risk of breast cancer. The incidents and the mortality due to breast cancer has also drastically increased in past decade. Thus considering all above statistics, it is very clear that breast cancer is a grave disease. However, ...

THROAT DISORDERS

Introduction
The case provided in this paper involves a middle-aged female who was presented to the emergency unit complaining of strep throat (Wilson & Nadol, 2012). Upon assessment, she reported having a history of strep throat, and her condition had started the day before. At night, she felt childish and feverish. During examination, the head, eyes, ears, nose and throat were found to be positive of tonsillar swelling without exudates. Her vital signs revealed; - temperature of 101F, heart rate of 112, respiratory rate of 22, and blood pressure of 96/94 hg/mm (Buttaro et al., 2013). Hence, the focus of this ...

Ms fielding that has erratic behavioral patterns that precede her losing her job and the demise of her father. She has a brief psychotherapy due to living away from her family as she concedes of experiencing stress since she lost her job three months ago. She attributes her job loss to a sluggish economy while she denies having mood disturbance as she answers no to psychotic symptoms. It is possible that Fielding could be suffering from a brief psychotic disorder. The diagnostic criteria include (1) delusions, hallucinations that have eventual full return to premorbid level of functioning. (3) A depressive or bipolar ...

[Institution Title]

Patient Initials: Not Applicable Age: 52 yrs. old Sex: Male
Subjective Data:
HPI (History of Present Illness): The patient revealed during the interview that he had been suffering from severe and excruciating chest pain that gradually radiates to his neck. He had been experiencing the symptoms for four days prior to medical consultation. Patient feared that despite the stent placement, he was still experiencing angina symptoms. Patient revealed that the symptoms had appeared six months ago.
PMH (Past Medical History—include current medications, any known allergies, any history of surgery or hospitalizations): ...

Cause of Ms. S’s Diabetic Ketosis Acidosis (DKA)

Ms. S’s Diabetic Ketosis Acidosis (DKA state is one of the most extremes of diabetic decompensation since it is associated with high mortality rate. The incidence of Ms. S’s DKA, usually, occurs at 4.6-8.0 per 1000 persons-year among the patients with diabetes. The pathogenesis of the condition occurs as a result of the abnormalities associated from the combination of relative or absolute insulin deficiency (Health & Medicine Week, 2014). When the level of insulin is deficient, the increased levels of glucagon cortisol and catecholamins will automatically stimulate hepatic glucose production through enhanced gloconeogenesis and increased glycogenolysis. The combined level ...

with numbness in both feet.

With numbness in both feet.

Normal aging process symptoms
Numbness of both feet in an obese 75 year old male could be attributed to several causes inclusive of the normal aging process. Some are peripheral neuropathy; monnueropathy; diabetic neuropathy; spinal stenosis; slipped disk and peripheral vascular disease. With regards to aging and unassociated with any other disease process numbness in both legs at age 75 accompanied by obesity could signal nerve damage linked to poor circulation in the extremities (Digiovanna, 2000).
Blood vessels and heart muscles tend to age with age. This means that valves, nerves responsible ...

REPORT FORMName: _________________________________ Condition:Histology

The inner ear consists of a membranous “labyrinth” encased in an occeous labyrinth. The vestibule and semicircular canal are concerned with vestibular function (balance); cochlea is concerned with hearing. The cochlea is a coiled tube. The cochlea coils up from its base. It is coiled around the modiolus. The Reissner’s membrane and the basilar membrane divide the cochlea longitudinally into three scalae. If you cut the cochlear tube cross sectionally, you’d see Scala vestibuli on top, scala tympani on the bottom. Scala media is a triangular duct in the middle. The side of the duct where the nerve fibres exit ...

Comment

The Spiegel article on The Dictionary of Disorder partly discusses the major developments that took place from the moment the earliest version of Robert Spitzer’s Diagnostic and Statistical Manual of Mental Disorders (DSM). He brings forth the major development that DSM has had since its inception. He also talks about the revolution that Spitzer created in the field of psychological disorders but does it mean that Spitzer has exhausted everything that needs to be known in this field. Are his findings final?

Question 1

I do believe that the DSM, more so the early versions did not contain much that ...

Question: - 1 Identify the likely disease process responsible for the patient’s manifestations. Explain the evidence to support your interpretation.
The likely disease process for this responsible for this patient’s manifestation is acquired immune deficiency syndrome (AIDS). Supporting evidence from case study includes a HIV ELISA positive accompanied by a 5-day fever history, dyspnea, productive cough, and right sided pleuritic chest pain. Even though she does not admit to experiencing any chills, vomiting, headache or rashes there she experienced two pneumonia episodes within the past three years According to her reported history these pneumonias were not associated with ...

J.K has acute kidney failure with Rhabdomyolysis. Acute kidney failure happens when the kidneys are suddenly not able to sift waste products from the blood. This results to accumulation of waste and affects the chemical balance of the blood. Rhabdomylosis is caused by skeletal muscles injury (Grau, Poch, &Bosch, 2009). The injury of the skeletal muscles results to the production of different intracellular muscle ingredients. In this case, J.K had an acute renal failure with Rhabdomyolysis because of cocaine and heroin use. Cocaine and heroin cause damage to myocyte. Damage to the myocyte leads to an entry of sodium ...

- Based on what the clinician has learned during the intake, what are some of the symptoms a clinician should look for, or ask about, when working with this client during the initial sessions? Explain each symptom.
Some of the symptoms that the clinician should ask about from the client are: depression, anxiety, and panic . This would be of great importance so as the clinician can come to a conclusion on what disorder Meredith faces.
- What other historical information might a counselor want to ask about?
One may ask the client whether there is any member of their ...

Jane is a thirty seven year old woman working as a Nurse. Jane has been working in a fast paced technical department of a hospital for over 15 years in a role that requires a very high degree of repetitive hand finger manipulation, and fine manual dexterity. Her roles include application of digital pressure to prevent blood hemorrhage, and complex canulation procedures (RBI, para 5).
Jane has no underlying medical conditions. A general practitioner has already diagnosed Jane with Carpal Tunnel Syndrome and the line manager has referred Jane to the occupational safety department to modify her work procedures as a treatment option (RBI, para ...

Describe how Kropf progressed through the four stages of the strategic planning process.

Strategic planning process includes a set of procedures and mechanisms that help companies to develop and implement their vision for the future. It can be subdivided into 4 stages: diagnosis, planning, implementation and maintenance. The diagnosis step includes a thorough evaluation that considers the goals, environment and internal resources and capabilities of the organization. The combination of these factors allows companies to understand the main challenges on the way to achieving their objectives and helps to design strategies for the future. Kropf Fruit Company’s diagnosis is based on the analysis of the market dynamics and shows that the current environment ...

Mental and psychiatric illnesses have are on a rise especially with the dynamism in social, economic and even political changes. These factors have made people liable to mental conditions. This paper will review the diagnosis using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) classification and justify the diagnosis. The paper will also outline a case formulation.

PART 1-DIAGNOSIS BASED ON DSM-IV-TR

Robert Jones clearly shows a clinical mental disorder and other clinical conditions that require further medical attention. On the basis of the multiaxial assessment of the mental illness, Robert is an alcoholic who clearly depends on alcohol. Alcohol as a drug ...

1a.DSM-IV refers to the 4th edition of Diagnostic and Statistical Manual of mental Disorders. It is authored by the American Psychological Association and provides several psychiatric diagnoses for mental disorders. It shows all the medical disorders encountered by children and adults and gives relevant statistics in terms of gender and age. DSM-IV also provides details of various studies conducted on providing optimal treatment to patients. The manual includes 297 disorders, grouped into 15 categories. DSM-IV uses multiaxial approach to provide an assessment. There are five axes with each providing a different angle regarding mental disorders. This is designed to give a ...

Hospital ER overcrowding

Overcrowding is an aspect that is characteristic of a majority of emergency departments (ED) around the world. The factors that contribute to this problem, the potential solutions to the same and the means of evaluating the success of emergency department congestion reducing programs as per the Mckinskey article by Carrus, Corbett & Khandelwal (n.d.) will be described below.

Body

The etiology of overcrowding in the emergency department cannot be attributed to the physicians working in the department alone; it results from the interplay of a host of factors. Unavailability of free inpatient beds, lengthy and often complex admission processes, hurdles in getting timely ...

1. To what extent could Phoenix’s liability have been avoided had it documented Wilson’s alleged inability to perform required tasks on the new computer system? In your opinion, is Phoenix required to wait until Wilson makes a costly mistake before concluding that he cannot perform the functions of the job? Are there alternatives short of waiting for a mistake?
James Wilson has been employed by Phoenix Specialty Manufacturing Company a family business that manufactures specialty washers used in aircrafts. However, the company asserts that Wilson’s employment was terminated due two reasons. The first reason was that Wilson had ...

Introduction

Stroke which is also known as “brain attack” or “cerebral vascular accident” is a situation whereby the brain cells are being deprived of oxygen. It could either be hemorrhagic or ischemic. Hemorrhagic type occur when there are bleeding from damage brain blood vessels while ischemic occur from shortage of blood flow to the brain. Since it is the blood that carries the oxygen, any shortage of the required amount of blood leads to shortage of oxygen (Cruz-Flores). The effects of these problems with the blood supply are dependent on the affected side. The part of the brain that is deprived ...

Introduction

A pituitary tumor is one of the common types of tumor that could grow on humans. It is the abnormal growth of tissue in the pituitary gland (ADAM, 2009). The pituitary gland is simply the organ responsible for regulating the body’s balance and it is also an endocrine organ since it’s also responsible for regulating hormones.
The pituitary gland is a part of the brain and it is quite obvious that any abnormal growth of tissue on that area could result into death if not treated. Compression of brain structures could also occur since there is a very ...

Assignment Two – Clinical Pathway

When a patient with HIV/AIDS needs to be dealt with in the context of health care organizations, a clinical pathway must be addressed. This particular client is in the early stages, meaning there is significant action that can be taken in order to improve his quality of life. This assessment guide and plan of care will summarize the patient’s history, health condition, and current situation in order to determine the best way to handle the diagnosis of HIV/AIDS.
The patient is a 26-year-old Caucasian man, middle-to-high income, who has recently been diagnosed in the past four months with HIV. He ...

Introduction

Pulmonary edema (PE) is characterized by the accumulation of fluid in the parenchyma and air spaces of the lungs. Most often PE is associated with respiratory failure and impaired gas exchange. Globally, PE is known to be characterized by two major factors, the first is associated with the injury of the lung parenchyma which is termed as non-cardiogenic pulmonary edema. The second is associated with the failure of the left ventricle of the heart to release blood from the pulmonary circulation within the system and is termed as cardiogenic pulmonary edema (Glaus, Schellenberg , and Lang. 2010). The major cause ...

Meadowbank TAFE

HLTAP501A/B/C Analyze Health Information
HLTCOM510B Provide Services to Clients with Chronic Disease or Conditions
PATHOLOGY ASSIGNMENT
–ASTHMA–
Abstract
Asthma is a chronic problem that influences lung function. Clinically asthma is identified by the variation in expiratory airflow and abnormal respiratory symptoms such as wheezing, chest congestion, cough, and shortness of breath. The aetiology of asthma is linked to a mixture of genetic and environmental factors, though; heredity or atopy also plays a role in asthma. Asthma is categorized into two types: extrinsic (allergic) and intrinsic (nonallergic). Allergic asthma is an outcome of the reaction of an antibody ...

The Pertinent Positives and Negatives on Examination related to his Presenting Problem

A pertinent positive is a symptom or sign that contributes to the identification of a patient’s medical problem. Pertinent negative refers to the absence of a symptom that can help in substantiating the medical condition from which a patient could be suffering. Pertinent positives and negatives are usually captured during the physical examination and after taking the medical history of a patient. The pertinent positives and negatives contribute towards the differential diagnosis of a patient.
In the case study given, the pertinent positives include; Dyspnea, hematemesis, dark stool, epigastric pains, dyspepsia, duodenal ulcer, moderate epigastric tendering, and stool guaiac. On the other hand, ...

KU Version March 2011

At the end of the case study, the scholar will be able to:
Identify the steps of the investigation of an outbreak;
Describe the characteristics of an outbreak in terms of time, place and person;
Use descriptive epidemiological data to generate hypotheses;
Use analytical epidemiological data to test hypotheses;
Formulate recommendations for the control of an outbreak.
Part A cluster of acute hepatitis in Provo, Utah
Provo is a large municipality located in the North of Utah, close from the border with Wyoming and Idaho. The population of Provo was 6,185 in ...

Step1: Patient situation:

The first step in clinical reasoning is to describe the patient in the context of the clinical situation. Ms. Melody King, a 36-year-old female was presented for an emergency laparoscopic surgery for a ruptured appendix. She has a medical history of asthma and depression. Her medication list includes Ventolin, Seretide, Sertraline. Postoperatively, Melody developed peritonitis and was treated with antibiotics and analgesic. The biopsy results of Melody’s sample revealed the presence of adenocarcinoma. Melody will need to undergo a few most test, and till then continue her stay at the hospital. The diagnostic tests: CT scan of chest, ...

Clinical Case Study

The evidence based clinical literature reveals the difficulties in diagnosing Myocardial Infarction (MI) concomitantly with pre-existing left bundle branch block (LBBB) with the application of 12 lead ECG in the pre-hospital environment (Surawicz and Knilans, 2008). Indeed, the T waves and baseline ST segments incongruently displaced in negative direction in cases of LBBB as evident through the ECG findings. These abnormal variations in ECG findings tend to override the actual ECG results in relation to MI manifestations, thereby challenging the confirmation of MI with the ECG intervention. However, the moving ST segments revealed through the serial ECGs during ischemic ...

Presentation: 52 year old male presents with complaint of wet cough and intermittent fevers for one week. Symptoms have progressively worsened with onset of back pain over the last two days.
Previous Medical History: No health insurance and has not seen provider for five years. History of Hypertension, Chronic Obstructive Pulmonary Disease, and Diabetes Mellitus-2 controlled with diet.

Allergies: Penicillin and Erthyromycin
History of Present Illness: Onset/duration: one week. Pattern: cough worse at night. Associated Symptoms: fever and back pain worsens with coughing. Relieving factors: sitting up and drinking fluids. Aggravating factors: smoking and lying down. Effect ...

Monomorphic Ventricular Tachycardia

Cardiac arrhythmias often require immediate medical care that may include resuscitation (Ray, 2004). The diagnosis of cardiac arrhythmias can be challenging particularly in situations whereby the patient is asymptomatic and ECG findings are normal between symptomatic episodes (Cruickshank, 2008). Distinguishing between supraventricular and ventricular tachycardia is also a challenge (Australian Resuscitation Council, 2008). Cardiac arrhythmia should be suspected in patients with a history of syncope, near syncope, palpitations, and/or chest pain (Cruickshank, 2008). This paper will justify why monomophic ventricular tachycardia is the most likely diagnosis of a male patient who collapsed abruptly and has hypotension (BP 63/38), tachycardia ( ...

Abstract

In the movie Still Alice, Alice, a successful woman, after being diagnosed with early onset Alzheimer's Disease (AD) loses almost all she had. Alice’s case doesn’t typically fall under the traditional age bracket for the onset of Alzheimer’s because she is only 50. However, the symptoms she displays clearly fall under the earlier DSM-IV criteria of diagnosis. Under the new DSM-5 criteria, she would still be a fit case for Alzheimer’s because she has been experiencing a gradual decline in her autonomy. She loses control over her speech, mobility and motor functions until she becomes completely dependent on ...

Asthma is a chronic airway disease that is difficult to manage because of numerous risk factors and complicated by poor self-management. This is a case study of acute severe asthma triggered by viral respiratory infection and exercise in an Aboriginal female with chronic asthma. The discussion will include the diagnostic tests, patient assessment, care and interventions, medications, and nursing care performed or should have been performed. The expected outcomes will also be described.

An arterial blood gas (ABG) analysis was performed showing respiratory acidosis and mild hypoxaemia. Above normal PaCO2 and below normal pH meant the lungs could not eliminate carbon ...

Pediatric Case Study

Part I. Cultural and Family Assessment

Culture and family are oftentimes neglected during patient assessment, especially when the person is viewed only in terms of disease, causes and treatment. However, providing holistic care that encompasses all aspects of the patient’s life has the potential to improve patient outcomes. In nursing theory, Callista Roy and Madeleine Leininger refer to culture as a belief system, a worldview through which the patient perceives health, care, nursing and the world in general (George, 2011). It is transmitted from one generation to the next through interaction in social institutions such as the family, school and ...

Nursing Older People: Dementia

The International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) defines dementia as (1) a syndrome that is caused by a chronic or progressive disease of the brain, that (2) causes multiple disturbances of higher cortical functions, and (3) is characterized by impairment in memory without impairment in consciousness. Dementia affects all areas of the brain and can occur at any age but is more common in people over 65 years of age, affecting 20% of those aged over 80 (Gulland, 2012).
A clinical diagnosis of dementia is made when a patient develops cognitive impairment severe enough to ...

Objective: Patient appears well-groomed and devoid of nervousness or anxiety. Vital signs are within normal limits (WNL), except for mild fever. Abdomen: Normal bowel sounds, no rebound or guarding, no masses, presence of mild epigastric tenderness on palpation.

Gastritis
Gastroesophageal Reflux Disease (GERD)
Irritable Bowel Syndrome (IBS)
The primary diagnosis for this case is gastritis. Based on the subjective assessment findings, it is apparent that the symptoms described by the patient are consistent with gastritis. Additionally, the patient has a history of gastritis, hence making it a primary diagnosis. GERD may be excluded as a primary diagnosis since GERD-related ...

Key information from the case study

Often, an anxiety disorder precedes an eating disorder, which might be Anita’s case. At this point, her eating-related behaviors are moderately problematic (distorted body-image, emotional eating, a sense of lack of control during eating). Nonetheless, if not appropriately addressed, there is high likelihood that these early signs will develop into a full-blown eating disorder (bulimia nervosa / anorexia nervosa).

Possibly co-occurring: Body Dysmorphic Disorder and (mild) Substance Use Disorder (DSM-5, APA, 2013).

Primary Diagnosis
Generalized Anxiety Disorder
There is a strong possibility that Anita suffers from GAD.
Individuals with GAD experience perpetual, chronic and most frequently unfounded worry. In some cases it disrupts work, studies, social activities. Physical symptoms include gastrointestinal ...

[Institution Title]

Patient Initials: Patient H Age: 65 yrs old Gender: Male
SUBJECTIVE DATA:
Chief Complaint (CC): Patient H reports cough associated with with shortness of breath, and fever, as verbalized, “I do (have cough). And it's getting worsehad chills and sweats and it took forever to get to sleep”
History of Present Illness (HPI): Patient H is a 65 yrs old Caucasian, male who presents self in the outpatient ward with productive cough that was, according to the patient “getting worse”, accompanied by shortness of breath and fever with chills and sweats. He has difficulty bringing ...

Question 1

Alzheimer is a disease that mainly affects the elderly. Individuals who suffer from this ailment usually experience irreversible and progressive brain function impairment. This leads to reduced intellectual ability.
Several signs and symptoms may occur in an individual, and these may lead to a probable diagnosis of Alzheimer’s disease. The most common of these include changes in behavior, mood and memory loss. Apart from there are several other occurrences that may lead to a probable diagnosis. Most of the are cognitive disturbances and include things such as failure to identify and recognize common objects, disturbances in planning, sequencing, organizing and ...

Delirium Case Study

Acute confusional states also known as delirium are medical emergencies associated with substantial morbidity, mortality, and healthcare burden (Bassetti, 2007). The core characteristics of delirium are acute cognitive dysfunction and inattention. Delirium can result in permanent sequelea or become chronic (Fong, Tulebaev, and Inouye, 2009). This paper will examine the case of a 64-year old lady who presents with acute confusion, disorientation, and agitation. It will identify the key information provided and other essential information that needs to be identified. It will also examine the differential diagnoses and the most probably diagnosis for the patient. It will explore the ...

Question one: What is the etiology of JIA?

Juvenile Idiopathic Arthritis (JIA) is a common type of arthritis affecting children below the age of 17. The condition relates more to malfunctioning of the immune system that targets the lining of the synovial membrane found in the joints causing an inflammation and later damages the joints. Medical professionals and disease experts are yet to establish the etiology of JIA; however, the condition is highly linked to genes transfer. JIA is not a hereditary disease because it rarely affects more than one person in the family. Multiple genes play a significant role in the onset and manifestations of JIA. ...

In this case, the diagnosis process was totally wring due to the general assumption made by the care provider and the primary care doctor that the patient being an athlete could not in any way have such a serious problem as a clot. The diagnosis was made from an assumption-based view and there was no effort whatsoever to link the illness presented or the symptoms to the patient’s history to order any forms of diagnostic tests. In most cases, care providers do assume that athletes such as this patient regarded as an avid runner are less likely to ...

I. UNDERSTANDING THE DISEASE AND PATHOPHYSIOLOGY
1. How is acid produced and controlled within the gastrointestinal tract?
The production of acid occurs in the stomach by cells that are therein. The cells found in the stomach produce intrinsic factors and hydrochloric acid. There are chemical messengers that help during the activity. They are histamine, gastrin and acetylcholine. Gastrin helps in stimulating the cells to produce secretions when food enters the stomach. An enzyme somatostatin inhibits the secretions when needed. The digestion takes place in three phases; the cephalic phase, gastric phase and the intestinal phase. It is in the ...

John, a 50-year old man, visits a convenient care clinic complaining of fatigue, increased hunger, increased thirst, and frequent urination over the last two months. He also reports increased episodes of itching. Clinical examination reveals the presence of dark patches on his skin in the neck and armpit areas. Physical examination reveals a weight loss of 5kg over the last one month. Laboratory test show the following results: A1C= 7.1%, FPG= 127mg/dL and OGTT= 202mg/dL. John is single and currently stays alone. He has one sister whom he last met two years ago. He is also not employed currently.
...

Presenting complaint:

59 years old woman presented in the ER with complain of:

Breathlessness-1 month

History of presenting complaint:
According to the patient, she was in her usual state of health one month back when she experienced severe bouts of cough with sputum, white and non-foul smelling and difficulty in breathing. She had difficulty in climbing stairs. She experienced frequent episodes of wheezing. She has already been on albuterol inhaler for months and on and off antibiotic use. Her cough and difficulty in breathing has increased over the past one month despite these medications.

Past history:

She had several attacks of cough with sputum ...

Introduction

The purpose of this paper is to develop a comprehensive nursing care plan in relation to a case study. The nursing care plan is a structural framework that is developed by a health care provider for the purpose of ensuring harmonized communication that will eventually result to secure and valuable care for the patient (Doenges, M. E., Moorhouse, M. F., & Murr, A. C., 2005). Maternal health care is a sensitive area of health care provision as it involves handling two lives at once; that of the mother and the unborn child. In this case, developing a maternal care plan requires adequate familiarization with the psychological, ...

Section One:

Background Information
Bipolar disorder, which is also known as the Manic-depressive illness. It is a disorder in the brain that triggers unusual changes in mood, activity levels, energy. It as well hinders the ability for a person to go about with their daily tasks. Bipolar has very severe side effects if it was not discovered in time. It may lead to poor relationships with other people, poor work relations with colleagues, poor performance in the workplace or at school and can lead to the victim committing suicide. The bipolar disorder can, however, be treated, and the people with the disease ...

Clinical case formulation

Annie described her childhood as being chaotic. Her description included night terrors that commenced when she was approximately aged four-years, reoccurring again at ages eight and twelve.
Annie stated she began having panic attacks when she was about fifteen years old. She said it was “ about the time her hormones started kicking in” She began self-analyzing he abuse and familial discord in her life and began seeing a psychiatrist. Her initial feelings were those of relief. Her counselors began a course of treatment that included private counseling, family counseling and medication. She followed a course of medication for approximately six or ...

Where are the normal pacemaker and the backup pacemaker of the heart located?

Answer: The normal pacemaker of the heart is known as Sino- atrial (SA node) which is located in the right atrium of the heart, whereas, the backup pacemaker of the heart is known as Atrio- ventricular and it is situated in the centre of the heart along the right atrim (AV node) (Rhodes, 2008).

Why does this patient have a bradycardia?

Answer: The patient has bradycardia as a result of occlusion in the right coronary artery (Serrano Jr et al., 1999). Infarction in the right coronary artery is known to give rise to bradycardia.

What parts of the heart have the fastest and slowest conduction velocities?

Answer: The Purkinje fibres have the fastest conduction velocities whereas the AV ...

Psychological assessment is essential to analysis client’s strength. The developed strength allows the counseling process to commence and the creation of hope. Therapeutic needs of the customer's concern diagnosis and close examination. According to Snyder, he suggests the use of (CPR) clinical prediction rule where the best medical signs shown by the patient are combined. Further, it aids in the medical prediction on the probability of survival (Flanagan, 2014, p. 329). The hope rule suggests the way John pathways can be defined. By accessing his goals and ambitions, a better counseling perspective can be obtained.
Similarly, using the ...

I. General pathology information

A. Other Names

1. Urinary tract infection
2. Inflammatory disease of the kidney

B. Causes

1. Vesicoureteral reflux
2. Altered bladder function
3. Congenital urinary tract anomalies
4. Renal calculi
C. Incidence rates
1. In females, annual rates for outpatient treatment are 12-13 cases per 10,000.
2. In females, annual rates for inpatient treatments are 3-4 cases per 10,000.
3. Among males, outpatient annual rates are 2-3 cases per 10,000.
4. Among males, inpatient annual rates are 1-2 cases per 10,000.
5. Incidences are highest among young women, followed by infants and the
elderly.
D. Signs ...

What are three major causes of chronic bronchitis?

The three major causes of chronic bronchitis are cigarette smoking, long time exposure to air pollutants (such as industrial or chemical fumes), and inhalation of toxic gasses (Madell, 2016).

What are the major pathologic airway changes are associated with chronic bronchitis?

Chronic bronchitis is the condition affecting human beings that cause a continuous irritation and inflammation of the lining of the bronchial tube. Bronchial tubes are airways that carry air to and from the lungs. Exposure to cigarette smoke, air pollutants, or toxic chemicals causes a persistent cough that leads to the formation of excessive amounts of sticky mucus in the airways that result in inflammation and fibrosis. The mucus blocks ...

[Institution Title]

Introduction to gender identity disorder

Mental health is the absence of the mental disorder or the level of the psychological wellbeing. Therefore, it is the ability of a person to create an equilibrium between life activities and to enjoy life. It includes the mental, emotional and social being and therefore, it affects how we feel, think and act as we cope with life. Mental fitness determines how we make choices, handle stress, and relate to others and handling stress. Mental disorders affect our thinking, behavior, and mood. Mental disorders are caused by a family history of mental illness, genes and the life ...

Subjective Data:

Patient’s demographic and social information
Jnr. is a 10 year old African American Male patient brought into clinic by his mother who reports that Jnr. was recently discharged from hospital for acute asthma exacerbation. The boy presented with cough and difficulty in breathing combined with a running nose and elevated temperature which has now been resolved with over the counter Tylenol. The mother also says that her son has a history of multiple admissions to the hospital for acute asthma exacerbation. His mother reports child repeatedly loses inhalers. She also states that she does not check for inhaler ...

Hyperlipidemia

Hyperlipidemia

Introduction

Patients diagnosed with hyperlipidemia have inherited or developed elevated fat or lipid levels in their blood. The condition increases the patient’s risk of blood vessel disease leading to stroke as well as heart disease. Patient Lori is a 44-year-old Caucasian female and during her well-woman-exam voiced no medical complaints. Lori is a telephone operator for a busy law firm. Her Vital signs: BP 128/84; wt; 133 lbs; Ht 64 inches; eyes have yellow-orange raised lesions on eyelids; remainder of exam is unremarkable.

Literature Review

According to Rosenson (2015), Nelson (2012), Chanoine (2008), Jones et al (2013), Bays et al ( ...

Diagnosis and Treatment Planning

This is a case study of Joseph. Joseph is a twenty five year old American male. There are more than 25 million people who are affected by schizophrenia. There is suspicion and uncertainty with regards to the causal attributes of schizophrenia. Schizophrenia is a mental disorder that has multiple manifestations. It is hard enough to try to understand the cognitive processes of as healthful person, let alone understand the cognitive processes someone who is manifesting symptoms of schizophrenia. Imagine looking at a person who is sitting on a park bench pretending to argue with someone while sitting on the park bench by themselves. The ...

RTE 1503

Abstract:
Hypertensive pulmonary edema is a frightening disease that occurs occasionally with acute hypertension. This case study analyzes a middle aged woman and her visit to the hospital emergency department when she collapses and has difficulty breathing. It is shown by the x-ray technician that she is suffering from hypertensive pulmonary edema and after proper medical management she quickly gets better. It is important to distinguish this disease from cardiogenic pulmonary edema, which is chronic in nature and has a very different clinical picture.
A 47-year-old woman with a history of hypertension recovering from a recent bout of the flu suddenly fell ...

Question 1 – Critically discuss the initial history taking and assessment of Mr. Markantonakis

In every medical procedure, regardless of the type of medical practitioner (e.g. Nurse, Physician, Physiatrist, Physical Therapist, Paramedics), it is standard, at least in most medical centers that an initial history taking, assessment, and evaluation is performed. Aside from helping the practitioner paint a bigger picture of the patient’s condition and diagnose, and do medical procedures based on this document, medical documents such as this serve as protection for the patients (or in this case, the patient’s family), and the practitioner, should an unexpected death of exacerbation of the patient’s condition that would lead to a lawsuit occur. ...

ADHD is a behavioral disorder that exhibits a severe long-term effect on victims. The condition poses, even more, grave consequences on the health of females than males. Therefore, given that it can progress unnoticed during childhood, there is the need to conduct a thorough assessment to enable accurate diagnosis. Diagnosis is usually made using the Statistical Manual of Mental Disorders-Fourth Edition-Text Revision (DSM-IV-TR) criteria. An in-depth exploration of all the possible treatment recommendations begins after the diagnosis.
In the treatment of DHD detected in the patient in the case study, various approaches can be considered. Usually, the treatment of ...

The case is based on acute right quadrant abdominal pain of Mrs. DC who comes to the emergency department. She states that the pain occurred after dinner and has steadily increased. She complains that the pain has increased substantially which has moved towards her back. She also reports to feel bloated and gassy (Yarmish, et al. 2014).
The cause of upper right quadrant pain can be due to varied reasons which is based on the general conditions, age, and sex of the patient (Mazzei, et al. 2013). The medical history and physical examination of the patient would help in ...

Vanishing Twin Syndrome

Vanishing Twin Syndrome
In 1945, Walter Stoeckel proposed that the general population of conceptions were higher for multiple fetuses that supposed, suggesting that a twin or multiple fetuses may die in utero and subsequently be reabsorbed without clinical evidence by the surviving fetus/es, mother, or placenta (Stoeckel, 1945, cited in Levi, 1976). Named the “vanishing twin syndrome”, the cause is generally not known. If abnormalities are determined, they appear related to early development and are chromosomal; improper implantation of the cord may also play a role.
This paper presents a brief overview of the etiology, demographics, consequences, and tests ...