Essays on Jugular

Abstract

Heart failure (2.6% prevalent worldwide) is a complex clinical syndrome, resulting from a structural or functional cardiac disorder and impairing ventricular filling or ejection capability. The current case of a 59-year-old male patient admitted on August 18, 2016 due to worsening shortness of breath and bilateral left extremity edema (one week) involved an existing diabetes mellitus type 2 (DM2). Physical and clinical profiles indicate a comorbidity between heart failure (HF) and DM2. Laboratory and imaging findings were not indicated, while diagnosis was based on the NYHA Classification guidelines. A review of literature revealed three crucial weaknesses in the diagnosis. ...

Abstract

Medical personnel working in the emergency department encounter many cases of patients suffering from life threatening conditions. It is important, therefore, that the healthcare provider determines the exact extent of the injuries before the patient is committed to specialized treatment. In this case, a patient presents to the emergency department with a life threatening condition, renal failure. Assessing the vital signs of the patient is critical in ensuring survival, in addition to reducing or mitigating the extent of the injuries. The assessment was achieved via a primary survey of the patient, which involved assessing the airway patency, breathing and ...

The ultrasound-guided peripheral intravenous catheters are used at the emergency department as alternative to traditional intravenous access due to optimal outcomes (Stone et al., 2013). This new type of technique of vascular access has been chosen for an emergency department patient due to its benefits it has come with especially to patient-centered characteristics that include obesity and past history of intravenous drug abuse. The rates of obesity are currently on the rise in the U.S. and therefore, the subset of emergency department patients are in need for alternative methods of intravenous access are increasing (Stone et al., 2013). Additionally, ...