SKIN: Warm, dry and intact. No open lesions to the bilateral lower extremities. No erythema, ecchymosis or rashes present. NEUROLOGICAL: Cranial nerves II through XII are grossly intact. No obvious motor or sensory deficits.
Circumference of head is 20.5 inches. PERRLA with zero complaints of vision problems or eye pain. Ears show no signs of inflammation, redness, or discharge. Patient denies any pain or tenderness of the ears. Nares are symmetrical, with no signs of discharge or inflammation.
No encounter on 1/9/05 - no vitals B. No encounter on 1/9/05 - no chief complaint C. No encounter on 1/9/05 - no diagnosis 7. A. DT immunization received on 1/16/05 B. No immunization on 7/31/07 C. Medication filled: Glucophage XR 500 mgi po qam #30 rf xprn 8. A.
n [ C2H4 + C2H4 ] ( n [ -CH2-CH2- ] These long chain saturated molecules are very stable and unreactive. The only reaction that some of them do is combustion. Bacteria in the soil find it very difficult to decompose them because of their long straight chains. Nothing eats them as there are no enzymes to digest them in nature. In other words, they do not biodegrade.
a. Oil hypothesis = Oil has little ability to contaminate ground water. b. Vinegar hypothesis = Vinegar has little ability to contaminate ground water. c. Laundry detergent hypothesis = Laundry detergent has a great ability to contaminate ground water. 2.
No swelling, mass or deformity. Equal ROM (range of motion). Shoulders are lowered, but no deformity, swelling, mass or contour; equal ROM. Weakness and tenderness in left elbow from recent fall, hence limited motion. Right elbow has full range of motion without swelling, mass or deformities.
There is no specific known cause. Unlike other abdominal wall defects such as omphalocele, gastroschisis is typically not associated with chromosomal anomalies or other structural malformations with the exception of intestinal atresia (blockage), which occurs in only about 10 percent of cases. Prenatal diagnosis of gastroschisis allows parents to discuss and plan postnatal management options with the obstetrician and pediatric surgeon. There are different methods to help manage the approach specifically designed to optimize pre and postnatal care of
Hippocrates was born on the island of Cos, Greece in 460 B.C. he studied under his father, a physician. In the 1950’s, a study at John Hopkins University in Baltimore, Maryland. They realized the diagnosis helped fewer than fifty percent, 50%, of all lupus patients lived 4 years longer, after diagnosis. When people speak of Lupus they are generally referring to the systematic Lupus Erythematosus, even though there are several other types of Lupus.
Identifying information: 76 y/o Caucasian male Source and reliability: Friend to a family member, seems reliable Chief Compliant: Left leg pain and swelling x 3days History of present illness: He first felt some pain on the left leg from the groin down to the feet three days ago, onset sudden. Reports pain felt intense and sharp-like, localized to the left leg; rated as a 9 on a numeric scale of 1-10. Pain is worse with movement, standing and bending of knee especially calf. Reports no relief with OTC Tylenol ES. Denies any change in exercises, prolonged standing/sitting, or bed rest.
LABORATORY DATA: His white blood cell count is 4.6, hemoglobin 14.2, hematocrit 42, and platelets 207,000. Assessment and Plan: This is a 72-year-old gentleman with chronic lymphocytic leukemia and is on chronic steroids for autoimmune hemolytic anemia. His blood counts are relatively stable at 5 mg of prednisone every other day. He should be put back on the Valtrex and decreasing his steroids to 1 mg daily. INDICATION: This 56-year-old male presents to surgical office with history of bilateral axillary masses.