The case that was chosen to be discussed in this paper was Case 1. The patient in case 1 presents with the following vital signs findings: Pulse 105 beats per minute, BP 90/60 mmHg, and Respiratory Rate 22 cycles per minute. The discussion that was made in this paper was based on the theory that blood pressure, and pulse and respiratory rate can significantly contribute to the overall process of confirming the validity of an initial diagnosis or even creating an initial diagnosis.
In order to determine what is an abnormal vital sign finding from what is not, one ...
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Diagnosis on the basis of Vitals
The case study selected for this assignment is case number 3.
QUESTION 1:
The three possible differential diagnosis for this case are:
Essential hypertension
Thyrotoxicosis
Post exercise state
QUESTION 2:
The most likely diagnosis for this patient is hypertension. According to Bickley, Szilagyi and Bates (2009), normal pulse rate for healthy young adult is 60-100. This patient has a pulse rate corresponding to upper normal limit. According to Madhur et al. (2014), a blood pressure of 150/120 mmHg, as in this case, is classified as ...
Introduction
Modern day health care systems focus on offering holistic care that is patient-centric, safe, effective, efficient and timely. To this end, medical practitioners must have a diverse set of skills and knowledge from pharmacology to human anatomy and physiology. Of this, a sound understanding of anatomy and physiology are critical in provision of care for long term care. Physiology is the study of function in living systems while anatomy is the study of structure in living things. These two disciplines have been central in the delivery of health services since Ancient Greece where philosophers such as Aristotle explained the relationship between ...
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 ( ...
Health abnormlities of several kind require a thorough assessment in terms of management. With the technical advancements, medical field had evolved to simplify the complex assesssment tasks. For instance, medical imaging has come up to make feasible the analyis of body parts through the production of images. There is a need to know much about this particualr area. In such context, the present description deals with a topic Magentic Resonance Angiography (MRA) of the remal artery with a special emphasis on the 3D gradient echo sequencing in MRI.
Briefly, magnetic resoannce angiography constitutes a kind of MRI (magnetic resonance ...
The vital signs depicted, that is, Pulse 100; BP 150/120; Resp 18; are fit to describe several diagnoses. In this case, the likely diagnoses that may be represented include Myocardial infarction, Ischemic heart disease and Cardiac Tamponade. Among the three possible diagnoses, myocardial infarction is the most likely diagnosis whose pathophysiology is characterized by the development of a clotting cascade which is usually triggered by a significant disruption of the atherosclerotic plaque. This could lead to a partial or total occlusion of an epicardial coronary artery (Chou, 2015). Atherosclerosis occurs due to a gradual but fast build up of ...
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 ...
Application of Neural Networks in Medicine
Artificial Neural Networks are extremely parallel, distributed processing systems that using new computational technology founded on the analogy of human information processing system. Artificial neural networks exhibit the propensity to save previous knowledge and after learning it make it available for use for future computations. Artificial Neural Networks have been defined as extraordinarily connected network of simple processing elements known as neurons. ANN has been applied in a number of fields including pattern recognition, classification, function approximation and testing (G. Schaefer).Predicting drug-target interactions using restricted Boltzmann machines
In silico prediction of drug target interaction is an important study ...
- Drowsy with warm, turgor and dry skin and mucous membrane: The skin also has to be checked in order to detect the presence of sweat as well as the degree of elasticity. With dehydration, the skin loses water and becomes less elastic.
- High pulse rate: A person admitting dehydration has an increased pulse rate and the blood pressure drops due to fluid depletion.
- Abnormality in degrees of electrolytes: The admitting chemistries indicate abnormality in the electrolytes such as sodium, potassium and chloride. The blood tests are also carried out in order to assess the ...
Abstract
This paper answers four questions. In addition, through a case study, the paper illustrates considerations made in order to prioritize care given to hospitalized patients. A case study is given of six patients with various complications and care needs. The paper points out that those with airway problems are usually considered first for care delivery before other patients with other conditions. This is because airway problems pose more acute danger than other conditions. In this case, the paper gives a case study of patients with various complications and how the complications are managed. In addition, the paper, through another case study, ...
1. There are four essential components of a physical exam: inspection, palpation, percussion, and auscultation. These parts of the physical exam should take place regardless of what organ system are being evaluated. Inspection involves looking at the patient and diagnosing any non-normal physical findings. A good example of this is bruising seen on the abdomen during an abdominal exam. The next part of the examination is palpation. Here the physician will feel for any abnormal findings, such as masses or abscesses. Following palpation is percussion. During this step, the physician uses their hands to produce a sound and can ...
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 ...
- Question: Identify the muscles in the anterior compartment of the leg
The leg is divided into three compartments by tough fasciae to hold the muscles and proper functioning of these muscles during their contraction. These compartments also contain nerves and vessels.The three main compartments are anterior (extensor), lateral (fibular) and posterior (flexor). The anterior compartment (Extensor compartment) contains muscles which are used for extension (dorsiflexion) of the foot as these muscles have origin in the leg and are inserted in the bones of foot crossing the ankle joint anteriorly. “When acting from below they pull the body ...
Introduction
Sally Thomas is a twenty three years old mother and is comprehensively covered in this clinical scenario. The scenario covers aspects of her family history which are of essence to any medical decisions associated with any clinical procedure. The aspect of her past pregnancies will be comprehensively articulated in the case study. Her medical history will be analyzed and clinical solutions proposed for her problems. It is pertinent to note that the scenario will be comprehensive and will articulate each stage of the pregnancy. The scenario will be broken down into multiple sub section which includes the ante partum, fetal ...
Community Health Nurse
Hypothyroidism is a clinical syndrome in which there is either deficiency or absence of thyroid hormone in the body. This manifests as a decrease in the metabolic rate in the body, which is seen as a slowing in physical and mental activity in the body. (Orlander, 2013)
Thyroid function is controlled by two other organs, the hypothalamus and the pituitary gland. A defect in function of any of these two organs can lead to hypothyroidism. Moreover, localized disease of the thyroid gland itself can also lead to hypothyroidism. Hypothyroidism is usually a primary pathology in which there is inability of the thyroid ...
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 ...