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 evidence of masses. RESPIRATORY: Respiratory rate regular, even, and unlabored. No signs and symptoms of distress. No cough or wheeze present. SKIN: Warm, dry and intact.
Heart is slightly tachycardic, with no murmurs or gallop. Lungs are clear. Abdominal exam finds no abnormalities. He has some mild edema of his hands and feet with some red-purple discoloration of the palms and soles wrapping partially around the dorsum with a sharp demarcation at the wrists and ankles. He has a generalized deeply erythematous rash which is flat with irregularly shaped pink-red lesions ranging from 1 to 7 cm in diameter, with some areas coalescing.
At this time, we are asked to evaluate him for further causes and treatment for his anemia. He denies any constitutional complaints except for fatigue, malaise, and some dyspnea. He has no adenopathy that he reports. No fevers, night sweats, bone pain, rash, arthralgias, or
| Clyde Hunter, a 72-year-old African-American male, is a resident of a long-term care facility. He has been unable to control the urge to void since experiencing a stroke, formerly called cerebrovascular accident (CVA), one month ago. The National Stroke Association now uses the term brain attack to describe a stroke. | | | Glossary Urinary Patterns Jean Flick, RN, MS ------------------------------------------------- Top of Form Urinary PatternsPrior to his stroke, Clyde often awakened five or six times during the night to void, but was able to control the urge long enough to make it to the bathroom.1. How should the nurse describe the pre-stroke urinary pattern?A) Dysuria.
Cardiac specific. CK-MB CRP Chest X-ray (as time allows – shows cardiac and aortic arch silhouette, pulmonary edema) Echocardiogram (as time allows – will show movement abnormalities and ejection fraction) From a brief history, the nurse learns that Mr Walters is a 52 year old engineer who began experiencing chest discomfort about an hour ago. He would not allow his wife to call 911, but allowed her to drive him to the hospital. He has not taken any medication for his chest discomfort. He has a history of hypertension, hyperlipidemia, and non-insulin dependent diabetes but is
A good overview of pulmonary edema can be found in The Clinical Manifestations and Assessment of Respiratory Disease by Terry Des Jardins. It’s information is current and up to date but lacks depth. The Jardin’s book is very straight to forward and does not elaborate on the diseases. However, the format is the same throughout making for better undertanding. In Hemodynamic Monitoring, by Rebecca K. Hodges, Kitty M. Garrett, Cynthia Chernecky, and Lori Schumacher, the hemodynamic findings of certain lung diseases are easily accessible but it lacks information on the specifics of pulmonary edema.
Pros and Cons of Pulse Oximeter The pulse oximetry, or pulse ox, is a frequently used, noninvasive monitoring device which is used to assess arterial blood oxygenation. More specifically the pulse ox is used to provide estimates of arterial blood oxyhemoglobin levels, which is abbreviated as SpO2 so it is not confused with SaO2 which is obtained by hemoximetry. “Physicians, registered nurses, and respiratory therapist are responsible for being able to provide an accurate interpretation of the pulse oximeter data as part of the evaluation and management of acutely or critically ill patients” (Attin, M). The medical professionals who make use of this device are vase. This is the only device in recent history that health care has taken to so quickly.
Crohn’s disease is an inflammatory disease that effects any part of the gastrointestinal tract from mouth to anus, causing abdominal pain and diarrhea. The first symptom for gastrointestinal is abdominal pain which usually is accompanied by diarrhea. The presents of the diarrhea in Crohn's disease depends on the part of the small intestine or colon that is infected. Visible bleeding in the feces is less common in Crohn's disease than in ulcerative colitis, but may be seen in the setting of Crohn's colitis, which makes up around 20% of all cases involving Crohn’s disease. • Ileocolic Cr Ulcerative colitis (UC) • Crohn's disease (CD) The Crohn's Disease and other inflammatory bowel diseases have different causes.
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.