Case 679 ________________________________________ CLINICAL HISTORY The patient is a 10 year old female, who underwent liver transplantation at the age of 2 for Alagille syndrome-related end-stage liver disease. Prior to transplantation, she received 36 mg of thymoglobulin followed by 24 mg post transplant, and tacrolimus 2 mg twice daily. Her immediate post transplant course was complicated by a pulmonary thromboembolism and acute cellular rejection which were treated with corticosteroids and antibiotics. Approximately one year after transplant, the patient presented with flu-like symptoms that included fever, rhinorrhea, body aches and an EBV titer of 30 million copies/ml. She was admitted for ganciclovir and CytoGam administration with EBV surveillance.
She start complaining to her mom about pain in her hip, next day took her to the hospital where they said she had symptom of a virus but days after the pain spread and the fever got worse. Addie been diagnosis with spread of MRSA, a staph bacteria that cause infections resistant to many antibiotics. Second case, David Ricci, 19 years old American face another threat in India. David been run over by a train and dragged underneath it. Lucky to be alive, he was rush to the hospital, where they cut of his leg.
Scenario The wife of C.W., a 70-year-old man, brought him to the emergency department (ED) at 0430 this morning. She told the ED triage nurse that he had had dysentery for the past 3 days and last night he had a lot of “dark red” diarrhea. When he became very dizzy, disoriented, and weak this morning, she decided to bring him to the hospital. C.W.’s vital signs (VS) were 70/- (systolic blood pressure [BP] 70 mm Hg, diastolic BP inaudible), 110, 20. A 16-gauge IV catheter was inserted, and a lactated Ringer’s (LR) infusion was started.
1. Darlene broke a drinking glass in her hand. She was pretty certain she got all the glass out and cleaned the wound well, but two days later, her hand was still hurting. She went to Dr. Mahoney, who removed several tiny shards of glass left in the wound. The range of codes that would be used for Darlene would be Codes 680-709 because Darlene had an infection of her skin due to shards of glass still left in her wound.
Wit is the story of Vivian Bearing (Emma Thompson), a doctor of English literature, who has recently been diagnosed with stage four, metastatic ovarian cancer. She is encouraged to participate in an experimental, eight month chemotherapy treatment by her Oncologist, Dr. Harvey Kalekian (Christopher Lloyd). Dr. Kalekian speaks to her in medical jargon, not fully explaining exactly what the treatment will entail, but states that if she is "tough" and relies on her inner strength, she should do well. Dr. Bearing, being a hard-nosed, uncompromising type, agrees to the treatment.
My step-mom was diagnosed with breast cancer in September 2013. There are 2 different forms of breast cancer, lobular carcinoma and the most common form, ductal carcinoma. My step-mom had ductal carcinoma. Ductal carcinoma is when cancer forms in the breast tissue and begins in the lining of the milk ducts, thin tubes that carry milk from the lobules of the breast to the nipple. Her cancer was also invasive which means the cancer spread from where it started in the breast ducts or lobules in to the normal tissue.
The link between the baby’s present condition and the three-year-old sisters is that, the three year old might have transferred the virus to the six month old through touch, coughing or sneezing. As it is with shingles the virus was dormant for four month till the time that their mother noted the blister like lesions on the babies back (page17). 4.The baby did not have symptomatic illness when his sister was experiencing it because at the time, the baby was being breast fed by the mother. This means the baby was getting natural antibiotics from his mother through the breast milk. Two moths after the cessation of breast-feeding, the baby did not have that protection anymore.
Leukemia Amee Conine COM/156 January 20, 2013 Dr. Lonelle Rathje Leukemia It had been a long year battling Breast Cancer, all the doctor appointments, chemotherapy and then the radiation therapy, Grannie was exhausted. She just wanted to sleep all day, she was worn out. The family was told that she would bounce back after a month or so, the radiation therapy would wear off, then she would be back to herself in no time, but that never happened. She had told us that she was going to the doctor that afternoon; he had called to ask her to come in. That is never a good thing.
According to the Canadian Medical Association only 1 out of 100 women under the age of 40 learns she has breast cancer (Heisey, Ruth, McCready, David). But over the course of her lifetime 1 in 8 women will contract the disease. As women we have learned to fear the worst. Breast cancer touches many of our lives but every lump doesn’t mean a death sentence. There may be benign reasons for breast lumps such as hormonal changes, the breast tissue itself, and cysts.
She is a very lonely 19 year-old woman. She seems to have no interests in life except taking care of her long, red hair and reading. She has been diagnosed as having metastatic ovarian cancer that is not curable. This cancer sometimes responds very well to chemotherapy. If it does not respond to chemotherapy almost immediately, it is fatal and the patient dies within months.