6 A patient is admitted with respiratory failure and a larg.pdf
•
0 likes•2 views
6. A patient is admitted with respiratory failure and a large iatrogenic pneumothorax three days following outpatient thoracentesis for malignant pleural effusion. 7. A patient is treated in an observation unit for 16 hours with an exacerbation of COPD, then admitted as an inpatient for treatment of a pulmonary embolism discovered on chest CT. 8. Patient is admitted following TURP as an outpatient for post- operative bleeding uncontrolled in the PACU. 9. Patient is being observed for 24 hours following lumbar kyphoplasty develops rapid atrial fibrillation requiring admission. 10. A patient is admitted with fever, cough and treated with antibiotics and steroids. The diagnostic statement is COPD exacerbation and pneumonia.In each of the following cases, report the appropriate diagnosis code(s) and identify the principal diagnosis code..
Report
Share
Report
Share
Download to read offline
Recommended
In each of the following cases report the appropriate diagn.pdf
In each of the following cases, report the appropriate diagnosis code(s) and identify the principal
diagnosis code. 1. An 80 y/o male patient is admitted with congestive heart failure and pneumonia.
Patient is given IV Lasix and IV antibiotics. 2. Patient presents with syncope. Syncope is due to
arrhythmia. 3. Viral gastroenteritis with fever, abdominal pain, nausea, vomiting, diarrhea. 4. A
patient with cholecystitis was admitted to the hospital for a cholecystectomy. Prior to surgery, the
patient fell and sustained a left femur fracture. The surgery was canceled and a hip pinning was
carried out on the second day of the hospital stay. 5. A patient was discharged two days following
a hysterectomy. On the second day at home, she strained lifting a small child. She was readmitted
with wound dehiscence. 6. A patient is admitted with respiratory failure and a large iatrogenic
pneumothorax three days following outpatient thoracentesis for malignant pleural effusion. 7. A
patient is treated in an observation unit for 16 hours with an exacerbation of COPD, then admitted
as an inpatient for treatment of a pulmonary embolism discovered on chest CT. 8. Patient is
admitted following TURP as an outpatient for post- operative bleeding uncontrolled in the PACU.
9. Patient is being observed for 24 hours following lumbar kyphoplasty develops rapid atrial
fibrillation requiring admission. 10. A patient is admitted with fever, cough and treated with
antibiotics and steroids. The diagnostic statement is COPD exacerbation and pneumonia..
BRONCHO PLEURAL FISTULA
A 15-year-old male presented with a bronchopleural fistula (BPF) following a chest injury. He underwent thoracotomy for a pneumonectomy due to an unrepairable transected right main bronchus. Anesthesia management focused on limiting ventilation to prevent worsening the BPF while maintaining oxygenation. Post-operatively, the patient required re-intubation due to a displaced double lumen tube causing a leak, then was successfully extubated on postoperative day three. Conservative management can also be considered for small BPFs using strategies like one-lung ventilation or high frequency jet ventilation to rest the lung and promote healing.
PERIOPERATIVE MANAGEMENT OF COVID 19 SUSPECT/ CONFIRMED PATIENT
These recommendations are based on recent guidelines and protocols followed in major hospitals in India and also from recent articles published online. This cannot be taken as final. Guidelines will be updated from time to time.
Watch this presentation in laptop/ pc as slideshow for beautiful animations.
Empyema as a complication of lung abscess drainage
This document describes the case of a 66-year-old male admitted for management of a cavitary lung lesion. He underwent CT-guided drainage of a lung abscess, but subsequently developed an empyema, likely due to contamination during drainage. He required a VATS procedure with debridement and decortication. Key learning points included that lung abscesses usually resolve with antibiotics, but drainage or resection may be needed for complicated cases, and percutaneous drainage carries risks of empyema or fistula formation from contamination.
Chest radiology of covid 19
The document summarizes key information about chest radiology findings for COVID-19:
- Chest CT scans are more sensitive than X-rays in detecting COVID-19, with CT finding abnormalities in over 90% of cases after 4 days, while X-rays may be normal in initial stages. Common CT findings include ground glass opacities that can progress to consolidation.
- CT can help diagnose COVID-19, determine the severity and progression of the disease, and rule out other conditions. Typical features are bilateral and peripheral ground glass opacities and "crazy paving" patterns that begin after symptom onset and develop over time.
- While PCR testing is the definitive diagnostic test, CT provides faster results
Airways lecture final 2017
A 30-year-old previously healthy man presented with worsening shortness of breath over two days. He had been working in a corn silo filled with nitrous oxide the day before and inhaled some of the gas. Laboratory results showed elevated white blood cells. Imaging showed diffuse lung inflammation and injury consistent with acute hypersensitivity pneumonitis from inhaling the gas. He required ventilator support but was successfully treated with steroids and diuretics and showed improvement over the next few days.
Bronchoscopy (ADULTS)
Bronchoscopy is a procedure that uses a thin, lighted tube called a bronchoscope to examine the inside of the lungs and airways. There are two main types - flexible and rigid bronchoscopes. Flexible bronchoscopy is most commonly used to diagnose issues like lung cancer, infections, or blockages and to take biopsies or remove objects. Rigid bronchoscopy may be needed if there is severe bleeding or a large object. Nurses prepare the patient, monitor them during the procedure, and watch for complications like bleeding or low oxygen levels afterwards.
Sepsis in Post Transplant Patients
A 47-year-old man who had received a renal transplant 6 months prior presented with fever, cough, shortness of breath, confusion, fatigue, and weight loss for two weeks. Tests revealed pneumonia caused by Pneumocystis jirovecii. He was treated with antibiotics, but later developed a CMV infection in his brain. In transplant patients, infections are a major risk and can be difficult to identify due to immunosuppression blunting the inflammatory response. Careful treatment is needed to balance preventing rejection and modifying immune suppression.
Recommended
In each of the following cases report the appropriate diagn.pdf
In each of the following cases, report the appropriate diagnosis code(s) and identify the principal
diagnosis code. 1. An 80 y/o male patient is admitted with congestive heart failure and pneumonia.
Patient is given IV Lasix and IV antibiotics. 2. Patient presents with syncope. Syncope is due to
arrhythmia. 3. Viral gastroenteritis with fever, abdominal pain, nausea, vomiting, diarrhea. 4. A
patient with cholecystitis was admitted to the hospital for a cholecystectomy. Prior to surgery, the
patient fell and sustained a left femur fracture. The surgery was canceled and a hip pinning was
carried out on the second day of the hospital stay. 5. A patient was discharged two days following
a hysterectomy. On the second day at home, she strained lifting a small child. She was readmitted
with wound dehiscence. 6. A patient is admitted with respiratory failure and a large iatrogenic
pneumothorax three days following outpatient thoracentesis for malignant pleural effusion. 7. A
patient is treated in an observation unit for 16 hours with an exacerbation of COPD, then admitted
as an inpatient for treatment of a pulmonary embolism discovered on chest CT. 8. Patient is
admitted following TURP as an outpatient for post- operative bleeding uncontrolled in the PACU.
9. Patient is being observed for 24 hours following lumbar kyphoplasty develops rapid atrial
fibrillation requiring admission. 10. A patient is admitted with fever, cough and treated with
antibiotics and steroids. The diagnostic statement is COPD exacerbation and pneumonia..
BRONCHO PLEURAL FISTULA
A 15-year-old male presented with a bronchopleural fistula (BPF) following a chest injury. He underwent thoracotomy for a pneumonectomy due to an unrepairable transected right main bronchus. Anesthesia management focused on limiting ventilation to prevent worsening the BPF while maintaining oxygenation. Post-operatively, the patient required re-intubation due to a displaced double lumen tube causing a leak, then was successfully extubated on postoperative day three. Conservative management can also be considered for small BPFs using strategies like one-lung ventilation or high frequency jet ventilation to rest the lung and promote healing.
PERIOPERATIVE MANAGEMENT OF COVID 19 SUSPECT/ CONFIRMED PATIENT
These recommendations are based on recent guidelines and protocols followed in major hospitals in India and also from recent articles published online. This cannot be taken as final. Guidelines will be updated from time to time.
Watch this presentation in laptop/ pc as slideshow for beautiful animations.
Empyema as a complication of lung abscess drainage
This document describes the case of a 66-year-old male admitted for management of a cavitary lung lesion. He underwent CT-guided drainage of a lung abscess, but subsequently developed an empyema, likely due to contamination during drainage. He required a VATS procedure with debridement and decortication. Key learning points included that lung abscesses usually resolve with antibiotics, but drainage or resection may be needed for complicated cases, and percutaneous drainage carries risks of empyema or fistula formation from contamination.
Chest radiology of covid 19
The document summarizes key information about chest radiology findings for COVID-19:
- Chest CT scans are more sensitive than X-rays in detecting COVID-19, with CT finding abnormalities in over 90% of cases after 4 days, while X-rays may be normal in initial stages. Common CT findings include ground glass opacities that can progress to consolidation.
- CT can help diagnose COVID-19, determine the severity and progression of the disease, and rule out other conditions. Typical features are bilateral and peripheral ground glass opacities and "crazy paving" patterns that begin after symptom onset and develop over time.
- While PCR testing is the definitive diagnostic test, CT provides faster results
Airways lecture final 2017
A 30-year-old previously healthy man presented with worsening shortness of breath over two days. He had been working in a corn silo filled with nitrous oxide the day before and inhaled some of the gas. Laboratory results showed elevated white blood cells. Imaging showed diffuse lung inflammation and injury consistent with acute hypersensitivity pneumonitis from inhaling the gas. He required ventilator support but was successfully treated with steroids and diuretics and showed improvement over the next few days.
Bronchoscopy (ADULTS)
Bronchoscopy is a procedure that uses a thin, lighted tube called a bronchoscope to examine the inside of the lungs and airways. There are two main types - flexible and rigid bronchoscopes. Flexible bronchoscopy is most commonly used to diagnose issues like lung cancer, infections, or blockages and to take biopsies or remove objects. Rigid bronchoscopy may be needed if there is severe bleeding or a large object. Nurses prepare the patient, monitor them during the procedure, and watch for complications like bleeding or low oxygen levels afterwards.
Sepsis in Post Transplant Patients
A 47-year-old man who had received a renal transplant 6 months prior presented with fever, cough, shortness of breath, confusion, fatigue, and weight loss for two weeks. Tests revealed pneumonia caused by Pneumocystis jirovecii. He was treated with antibiotics, but later developed a CMV infection in his brain. In transplant patients, infections are a major risk and can be difficult to identify due to immunosuppression blunting the inflammatory response. Careful treatment is needed to balance preventing rejection and modifying immune suppression.
Lung Transplant Surgeon in Gurgaon and Delhi.pdf
Lung Transplant In Delhi and Gurgaon, India
A lung transplant is a surgical procedure to replace a diseased or failing lung with a healthy lung, usually from a deceased donor. A lung transplant is reserved for people who have tried medications or other treatments, but their conditions haven't sufficiently improved.
Depending on the medical condition, a lung transplant may involve replacing one of your lungs or both of them. In some situations, the lungs may be transplanted along with a donor heart.
While a lung transplant is a major operation that can involve many complications, it can greatly improve your health and quality of life.
Discover Clavien-Dindo Classification
The document describes the Clavien-Dindo classification system for surgical complications. It consists of 5 grades (I-V) based on the therapeutic interventions required to treat complications. Grade I involves no treatment beyond standard medication, while grade V results in the patient's death. Several examples are provided to demonstrate how complications from various surgeries would be classified. The system will be used as the primary outcome measure for complications in the DISCOVER audit to provide quality assurance in data collection and reporting of surgical outcomes.
Jbp
This document summarizes a case study of a 14-year-old female patient with severe hypoxemia due to lung infection who was successfully treated with extracorporeal membrane oxygenation (ECMO). Prior to ECMO, the patient had a PaO2/FiO2 ratio of 40 despite maximum ventilation support. ECMO was initiated through femoral and jugular cannulation. Over six days of ECMO support, the patient's lung function and oxygenation improved. Daily trials reducing ECMO support were successful. ECMO was discontinued on day six and ventilation support was gradually reduced. The patient survived with ECMO providing a "lung rest" period until recovery from infection and lung injury.
Congenital lobar emphysema
The patient, a 14 day old male, presented with shortness of breath two days after birth. He was diagnosed with pneumothorax secondary to pneumonia and intubated. His condition did not improve, so he was referred to another hospital. There, imaging suggested congenital lobar emphysema of the left upper lobe. He underwent surgery where the affected lobe was excised. His post-op recovery was smooth and he was discharged on the fifth post-op day.
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery July Cases
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including: Retropharyngeal abscess, Metapneumovirus pneumonia requiring ECMO, Heart failure, Several cases of lobar pneumonia, Left mainstem placement of Dobhoff tube with pneumothorax, Mystery case from Tanzania!
Thrombophylia and COVID-19. A case report of young man 53 years old whith acu...
A 57-year-old male was admitted to our Hospital on March 2020
for SARS-Cov2 related interstitial pneumonia. Chest x-ray showed
a bilateral interstitial-alveolar pneumonia and Blood gas analysis
(BGA) in room air highlighted a severe respiratory failure (pO2 46
mmHg, pH 7.41). Due to clinical and biohumoral worsening (stable CRP at 24 mg/dL), tocilizumab (800mg) was performed after
acquiring patient’s informed consensus. In the evening, after 96
hours of hospitalization, the patient presented a clear hyposthenia
/ hemiparesis of the right hemisome whit hyperreflexia, confusion
and slowed speech
Post covid recovery
1. The document discusses post-Covid respiratory complications and their management from a pulmonary perspective.
2. Common post-Covid respiratory symptoms include cough, breathlessness, and chest pain which can be caused by conditions like post-viral bronchitis, pulmonary fibrosis, or secondary infections.
3. High-risk groups for developing post-Covid complications include the elderly, those with comorbidities, and those who required oxygen or ventilation during their Covid infection.
4. Management involves treating underlying conditions, respiratory therapies, pulmonary rehab, oxygen supplementation if needed, and monitoring for complications like thrombosis.
Bronchoscopy indication preparation consent
Bronchoscopy is used for investigating symptoms, assessing lung infiltrates and masses, staging lung cancer, obtaining samples for diagnosis, and treating conditions like infections, tumors and collapsed airways. It involves inserting a flexible tube with a camera through the mouth or nose into the lungs. Risks include low oxygen, bleeding, collapsed lung, heart problems and death. Patients are prepared with scans, tests and fasting beforehand. Sedation is usually used and monitoring during and after the procedure is important. Informed consent discusses the patient's condition, procedure details, risks and alternatives.
Health care associated infection (HAI)
HAI
are infections caused by a wide variety of common and unusual bacteria, fungi and viruses during the course of receiving medical care.
HAI not present at time of admission
HAI can be diagnosed 48-72 hours after admission
Causative Infectious Agents:
Exogenous Agents
Endogenous Agents
Organ transplantation ppt
This document provides an overview of organ transplantation. It discusses the history of organ transplantation, including the first successful kidney transplant in 1954. It also outlines the types of organ transplantation, including lung, heart, kidney and more. Requirements for both donors and recipients are explained. Lung transplantation in particular is then discussed in more detail, including qualifying conditions, procedures, post-operative care and risks of infection. The conclusion emphasizes the need for more organ donors to help the thousands of people in need of transplants every year.
Pcp
Pneumocystis jirovecii is a fungus that causes pneumonia in immunocompromised patients. It is diagnosed through microscopic visualization of the organism in samples obtained through induced sputum or bronchoscopy with bronchoalveolar lavage. Real-time PCR assays have increased sensitivity over conventional staining but may produce false positives. Risk factors include HIV/AIDS with CD4 count <200 cells/uL, use of immunosuppressive drugs, hematologic malignancies, and organ transplantation. Presentation involves fever, cough, and dyspnea. Treatment involves trimethoprim-sulfamethoxazole.
Surgery for pulmonary tuberculosis
Despite modern anti-tuberculous chemotherapy, approximately 2% of all cases of pulmonary mycobacterial infection require surgical treatment.Therefore, surgical treatment of pulmonary mycobacterial disease is rarely necessary.Types of surgical procedures for PTB include: Collapse therapy, pulmonary resection, lung decortication, drainage procedures such as closed tube thoracostomy, rib resection and open window thoracotomy beside pulmonary resection+ collapse therapy (thoracoplasty). The decreasing morbidity and mortality of pulmonary resection for PTB is due to careful patient selection ( failure of chemotherapy, massive haemoptysis, BPF), improved anaesthetic techniques, stapling devices and better chemotherapy.The prognosis after successful resection is excellent ( 90% survive and remain disease free).
Clinics pos tx
This case report describes a 20-year-old female patient who underwent bilateral lung transplantation for cystic fibrosis and subsequently developed severe primary graft dysfunction (PGD). On post-operative day three, she developed respiratory failure and refractory hypoxemia. Extracorporeal membrane oxygenation (ECMO) was initiated as a rescue treatment. With ECMO support, her oxygenation and hemodynamics improved. She was successfully weaned from ECMO after 168 hours and mechanical ventilation after five days. The case report discusses ECMO as an effective rescue therapy for severe hypoxemia after lung transplantation.
POST CARDIAC SURGICAL CARE
The document discusses the post-cardiac surgical management of patients in the intensive care unit (ICU). It outlines the types of patients admitted to the ICU, including those recovering from open or closed heart surgery. It describes the preparations made for receiving patients, including cleaning beds, preparing monitors, ventilators, and emergency equipment. It also outlines the various procedures and care provided in the ICU, such as monitoring, laboratory tests, medication administration, positioning, fluid balance maintenance, and discharge criteria when patients are stable and ready to be transferred from the ICU.
Pneumothorax
1. The document discusses spontaneous pneumothorax, focusing on diagnosis and management.
2. Key points covered include risk factors for primary and secondary spontaneous pneumothorax, clinical evaluation, imaging studies, and criteria for determining appropriate treatment including observation, needle aspiration, chest tube insertion, or referral to cardiothoracic surgery.
3. Management decisions are based on whether the pneumothorax is primary or secondary, the patient's symptoms, and the size of the pneumothorax.
Bronchiectasis (Respiratory Medicine).....By Shapi.pdf
The document discusses bronchiectasis, a chronic lung condition characterized by permanent dilatation of the bronchi. It causes include congenital disorders, past infections, and idiopathic cases. Common symptoms are persistent cough, copious sputum, and intermittent coughing of blood. Investigations include sputum culture, chest x-ray, and high-resolution CT scan of the chest. Management involves airway clearance techniques, antibiotics, bronchodilators, and sometimes surgery for severe cases.
Post operative care General chhabi
The document discusses post-operative care provided in the post-anesthesia care unit (PACU) and surgical intensive care unit (SICU). It outlines the purposes of post-op care which are to enable successful recovery, reduce mortality and length of stay, and provide quality services. Common post-op complications involving respiratory, cardiovascular, renal, and gastrointestinal systems are described along with nursing interventions. Phases of care in the PACU including monitoring, pain management, prevention of complications are covered. Criteria for discharge from the PACU including stable vitals and Aldrete score are also summarized.
Case Study University Hospital Discharge Summary Medical Record -# 12-.pdf
Case Study University Hospital Discharge Summary Medical Record \# 12-34-56 Patient Names
Willam Edison Admitted: 11/1/19 Discharged: 11/12/19 Chief Complaintt This 66 y.o. male was
admitted for nausea, vomiting and anorexia of three days duration. The patient also complained
of recent RUQ pain and pyrosis after heavy meals. This is the second hospital admission for this
66 y.0. male patient with a known history of chronic kidney disease, hypertension, osteoarthritis,
asthma, gastroesophogeal reflux disease, PUD (with prior hemorrhage), and bilateral total knee
replacement. Prior to admission, the patient had been drinking heavily as he had in the past and
he had tremors prior to admission. He sleeps on two pillows and has dyspnea after climbing one
flight of stairs. He denied recent colds, upper respiratory infections, hematemesis or diarrhea.
The patient complained of some urinary frequency and urgency. There was a rash noted on the
forearms, which the patient had been treating with Benadryl cream. Physical Examination: The
patient was in some distress on examination. Examination of the head revealed pupils and eye
movements to be within normal limits. The chest was clear and the heart rate was normal. The
blood pressure was elevated at 200/120 . Temperature was slightly elevated at 100.6. Pulse was
72 and respirations vere 16. Examination of the abdomen revealed some distention with pain in
the RUQ. The rectal examination revealed an enlarged prostate of two to three times the normal
size. Occult blood was negative. The rest of the exam was within normal limits. Laboratory
Studies: Admission blood tests revealed an elevated white blood cell count as well as an elevated
serum bilirubin. Urinalysis showed albuminuria, the presence of bacteria, TNTC white cells and
pus. Sonography and HIDA scan revealed cholelithiasis. PSA was 19.8. Impression:
Cholelithiasis/cholecystitis. Enlarged prostate with elevated PSA, possible BPH, rule out tumor.
Consider EGD due to history of GERD and PUD. Hospital Courser The patient was diagnosed
with cholelithiasis/cholecystitis. The patient underwent laparoscopic cholecystectomy under
general endotracheal anesthesia. Pathology revealed chronic cholecystitis and cholelithiasis. The
patient tolerated the procedure well. On postop day 22 the patient developed nausea and
vomiting which was likely due to a postoperative paralytic ileus. The patient was treated
conservatively with a nasogastric tube to low concomitant suction. During the hospitalization,
the patient also underwent transrectal vitrasound of the prostate with biopsy. Operative report
revealed that the seminal vesicles were not dilated and the prostatic capsule was intact. Biopsy
results were positive for adenocarcinoma of the prostate. Patient to be scheduled for TURP on
another admission. The patient was treated with IV Levaquin for UT. The patient's ilens resolved
and he was discharged on postop day 35 with plans for outpatient follow-up. The patient.
Acute pancreatitis case discussion
This document discusses three case studies of patients presenting with acute pancreatitis and its complications:
Case 1 involves a 56-year-old man with severe acute pancreatitis, respiratory failure, and multiple organ dysfunction. CT reveals pancreatic necrosis. Intensive care support is needed.
Case 2 involves a 61-year-old man whose acute pancreatitis is complicated by infection of pancreatic necrosis from bile duct stones. Surgery is eventually needed to debride necrotic tissue.
Case 3 involves a 45-year-old man whose acute pancreatitis is complicated by a pancreatic rupture and collection. Percutaneous drainage is initially done but surgery is later needed to drain solid necrotic debris from the collection. He develops a
COVID-19-associated pneumothorax
The document describes 4 cases of COVID-19-associated pneumothorax reported at a hospital in Brazil. Pneumothorax is a rare complication of COVID-19 that can occur when patients are asymptomatic or have improving symptoms. The cases included patients ranging from 22 to 84 years old, with pneumothoraces detected on imaging during or after recovery from COVID-19. COVID-19 can cause lung damage that leads to air leaks and pneumothorax. Physicians need to be aware of this potential complication in COVID-19 patients.
6 Add records to the database a This query will add a new.pdf
6. Add records to the database a . This query will add a new author: INSERT INTO Author
(FirstName, LastName) VALUES (John', 'Steinbeck') b . Note: The Author ID isn't included here as
it is an auto -increment value. . Your turn: i.Add The Grapes of Wrath by John Steinbeck. Don't
forget to look up the publication year. I ii.Add a new Author but specify the Author ID. What
happens if you use an Author ID that has already been.
6 As you travel along the drainage route of this system yo.pdf
6. As you travel along the drainage route of this system, you encounter something called Walter F
George Reservoir. It looks as though water has flooded the landscape, yet very abruptly, all of that
water re-concentrates into a single stream channel. Explain what type of engineering feature this
is, why we build features like this, and list some environmental hazards associated with this
feature..
More Related Content
Similar to 6 A patient is admitted with respiratory failure and a larg.pdf
Lung Transplant Surgeon in Gurgaon and Delhi.pdf
Lung Transplant In Delhi and Gurgaon, India
A lung transplant is a surgical procedure to replace a diseased or failing lung with a healthy lung, usually from a deceased donor. A lung transplant is reserved for people who have tried medications or other treatments, but their conditions haven't sufficiently improved.
Depending on the medical condition, a lung transplant may involve replacing one of your lungs or both of them. In some situations, the lungs may be transplanted along with a donor heart.
While a lung transplant is a major operation that can involve many complications, it can greatly improve your health and quality of life.
Discover Clavien-Dindo Classification
The document describes the Clavien-Dindo classification system for surgical complications. It consists of 5 grades (I-V) based on the therapeutic interventions required to treat complications. Grade I involves no treatment beyond standard medication, while grade V results in the patient's death. Several examples are provided to demonstrate how complications from various surgeries would be classified. The system will be used as the primary outcome measure for complications in the DISCOVER audit to provide quality assurance in data collection and reporting of surgical outcomes.
Jbp
This document summarizes a case study of a 14-year-old female patient with severe hypoxemia due to lung infection who was successfully treated with extracorporeal membrane oxygenation (ECMO). Prior to ECMO, the patient had a PaO2/FiO2 ratio of 40 despite maximum ventilation support. ECMO was initiated through femoral and jugular cannulation. Over six days of ECMO support, the patient's lung function and oxygenation improved. Daily trials reducing ECMO support were successful. ECMO was discontinued on day six and ventilation support was gradually reduced. The patient survived with ECMO providing a "lung rest" period until recovery from infection and lung injury.
Congenital lobar emphysema
The patient, a 14 day old male, presented with shortness of breath two days after birth. He was diagnosed with pneumothorax secondary to pneumonia and intubated. His condition did not improve, so he was referred to another hospital. There, imaging suggested congenital lobar emphysema of the left upper lobe. He underwent surgery where the affected lobe was excised. His post-op recovery was smooth and he was discharged on the fifth post-op day.
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery July Cases
Drs. Potter and Richardson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Dr. Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology Topics including: Retropharyngeal abscess, Metapneumovirus pneumonia requiring ECMO, Heart failure, Several cases of lobar pneumonia, Left mainstem placement of Dobhoff tube with pneumothorax, Mystery case from Tanzania!
Thrombophylia and COVID-19. A case report of young man 53 years old whith acu...
A 57-year-old male was admitted to our Hospital on March 2020
for SARS-Cov2 related interstitial pneumonia. Chest x-ray showed
a bilateral interstitial-alveolar pneumonia and Blood gas analysis
(BGA) in room air highlighted a severe respiratory failure (pO2 46
mmHg, pH 7.41). Due to clinical and biohumoral worsening (stable CRP at 24 mg/dL), tocilizumab (800mg) was performed after
acquiring patient’s informed consensus. In the evening, after 96
hours of hospitalization, the patient presented a clear hyposthenia
/ hemiparesis of the right hemisome whit hyperreflexia, confusion
and slowed speech
Post covid recovery
1. The document discusses post-Covid respiratory complications and their management from a pulmonary perspective.
2. Common post-Covid respiratory symptoms include cough, breathlessness, and chest pain which can be caused by conditions like post-viral bronchitis, pulmonary fibrosis, or secondary infections.
3. High-risk groups for developing post-Covid complications include the elderly, those with comorbidities, and those who required oxygen or ventilation during their Covid infection.
4. Management involves treating underlying conditions, respiratory therapies, pulmonary rehab, oxygen supplementation if needed, and monitoring for complications like thrombosis.
Bronchoscopy indication preparation consent
Bronchoscopy is used for investigating symptoms, assessing lung infiltrates and masses, staging lung cancer, obtaining samples for diagnosis, and treating conditions like infections, tumors and collapsed airways. It involves inserting a flexible tube with a camera through the mouth or nose into the lungs. Risks include low oxygen, bleeding, collapsed lung, heart problems and death. Patients are prepared with scans, tests and fasting beforehand. Sedation is usually used and monitoring during and after the procedure is important. Informed consent discusses the patient's condition, procedure details, risks and alternatives.
Health care associated infection (HAI)
HAI
are infections caused by a wide variety of common and unusual bacteria, fungi and viruses during the course of receiving medical care.
HAI not present at time of admission
HAI can be diagnosed 48-72 hours after admission
Causative Infectious Agents:
Exogenous Agents
Endogenous Agents
Organ transplantation ppt
This document provides an overview of organ transplantation. It discusses the history of organ transplantation, including the first successful kidney transplant in 1954. It also outlines the types of organ transplantation, including lung, heart, kidney and more. Requirements for both donors and recipients are explained. Lung transplantation in particular is then discussed in more detail, including qualifying conditions, procedures, post-operative care and risks of infection. The conclusion emphasizes the need for more organ donors to help the thousands of people in need of transplants every year.
Pcp
Pneumocystis jirovecii is a fungus that causes pneumonia in immunocompromised patients. It is diagnosed through microscopic visualization of the organism in samples obtained through induced sputum or bronchoscopy with bronchoalveolar lavage. Real-time PCR assays have increased sensitivity over conventional staining but may produce false positives. Risk factors include HIV/AIDS with CD4 count <200 cells/uL, use of immunosuppressive drugs, hematologic malignancies, and organ transplantation. Presentation involves fever, cough, and dyspnea. Treatment involves trimethoprim-sulfamethoxazole.
Surgery for pulmonary tuberculosis
Despite modern anti-tuberculous chemotherapy, approximately 2% of all cases of pulmonary mycobacterial infection require surgical treatment.Therefore, surgical treatment of pulmonary mycobacterial disease is rarely necessary.Types of surgical procedures for PTB include: Collapse therapy, pulmonary resection, lung decortication, drainage procedures such as closed tube thoracostomy, rib resection and open window thoracotomy beside pulmonary resection+ collapse therapy (thoracoplasty). The decreasing morbidity and mortality of pulmonary resection for PTB is due to careful patient selection ( failure of chemotherapy, massive haemoptysis, BPF), improved anaesthetic techniques, stapling devices and better chemotherapy.The prognosis after successful resection is excellent ( 90% survive and remain disease free).
Clinics pos tx
This case report describes a 20-year-old female patient who underwent bilateral lung transplantation for cystic fibrosis and subsequently developed severe primary graft dysfunction (PGD). On post-operative day three, she developed respiratory failure and refractory hypoxemia. Extracorporeal membrane oxygenation (ECMO) was initiated as a rescue treatment. With ECMO support, her oxygenation and hemodynamics improved. She was successfully weaned from ECMO after 168 hours and mechanical ventilation after five days. The case report discusses ECMO as an effective rescue therapy for severe hypoxemia after lung transplantation.
POST CARDIAC SURGICAL CARE
The document discusses the post-cardiac surgical management of patients in the intensive care unit (ICU). It outlines the types of patients admitted to the ICU, including those recovering from open or closed heart surgery. It describes the preparations made for receiving patients, including cleaning beds, preparing monitors, ventilators, and emergency equipment. It also outlines the various procedures and care provided in the ICU, such as monitoring, laboratory tests, medication administration, positioning, fluid balance maintenance, and discharge criteria when patients are stable and ready to be transferred from the ICU.
Pneumothorax
1. The document discusses spontaneous pneumothorax, focusing on diagnosis and management.
2. Key points covered include risk factors for primary and secondary spontaneous pneumothorax, clinical evaluation, imaging studies, and criteria for determining appropriate treatment including observation, needle aspiration, chest tube insertion, or referral to cardiothoracic surgery.
3. Management decisions are based on whether the pneumothorax is primary or secondary, the patient's symptoms, and the size of the pneumothorax.
Bronchiectasis (Respiratory Medicine).....By Shapi.pdf
The document discusses bronchiectasis, a chronic lung condition characterized by permanent dilatation of the bronchi. It causes include congenital disorders, past infections, and idiopathic cases. Common symptoms are persistent cough, copious sputum, and intermittent coughing of blood. Investigations include sputum culture, chest x-ray, and high-resolution CT scan of the chest. Management involves airway clearance techniques, antibiotics, bronchodilators, and sometimes surgery for severe cases.
Post operative care General chhabi
The document discusses post-operative care provided in the post-anesthesia care unit (PACU) and surgical intensive care unit (SICU). It outlines the purposes of post-op care which are to enable successful recovery, reduce mortality and length of stay, and provide quality services. Common post-op complications involving respiratory, cardiovascular, renal, and gastrointestinal systems are described along with nursing interventions. Phases of care in the PACU including monitoring, pain management, prevention of complications are covered. Criteria for discharge from the PACU including stable vitals and Aldrete score are also summarized.
Case Study University Hospital Discharge Summary Medical Record -# 12-.pdf
Case Study University Hospital Discharge Summary Medical Record \# 12-34-56 Patient Names
Willam Edison Admitted: 11/1/19 Discharged: 11/12/19 Chief Complaintt This 66 y.o. male was
admitted for nausea, vomiting and anorexia of three days duration. The patient also complained
of recent RUQ pain and pyrosis after heavy meals. This is the second hospital admission for this
66 y.0. male patient with a known history of chronic kidney disease, hypertension, osteoarthritis,
asthma, gastroesophogeal reflux disease, PUD (with prior hemorrhage), and bilateral total knee
replacement. Prior to admission, the patient had been drinking heavily as he had in the past and
he had tremors prior to admission. He sleeps on two pillows and has dyspnea after climbing one
flight of stairs. He denied recent colds, upper respiratory infections, hematemesis or diarrhea.
The patient complained of some urinary frequency and urgency. There was a rash noted on the
forearms, which the patient had been treating with Benadryl cream. Physical Examination: The
patient was in some distress on examination. Examination of the head revealed pupils and eye
movements to be within normal limits. The chest was clear and the heart rate was normal. The
blood pressure was elevated at 200/120 . Temperature was slightly elevated at 100.6. Pulse was
72 and respirations vere 16. Examination of the abdomen revealed some distention with pain in
the RUQ. The rectal examination revealed an enlarged prostate of two to three times the normal
size. Occult blood was negative. The rest of the exam was within normal limits. Laboratory
Studies: Admission blood tests revealed an elevated white blood cell count as well as an elevated
serum bilirubin. Urinalysis showed albuminuria, the presence of bacteria, TNTC white cells and
pus. Sonography and HIDA scan revealed cholelithiasis. PSA was 19.8. Impression:
Cholelithiasis/cholecystitis. Enlarged prostate with elevated PSA, possible BPH, rule out tumor.
Consider EGD due to history of GERD and PUD. Hospital Courser The patient was diagnosed
with cholelithiasis/cholecystitis. The patient underwent laparoscopic cholecystectomy under
general endotracheal anesthesia. Pathology revealed chronic cholecystitis and cholelithiasis. The
patient tolerated the procedure well. On postop day 22 the patient developed nausea and
vomiting which was likely due to a postoperative paralytic ileus. The patient was treated
conservatively with a nasogastric tube to low concomitant suction. During the hospitalization,
the patient also underwent transrectal vitrasound of the prostate with biopsy. Operative report
revealed that the seminal vesicles were not dilated and the prostatic capsule was intact. Biopsy
results were positive for adenocarcinoma of the prostate. Patient to be scheduled for TURP on
another admission. The patient was treated with IV Levaquin for UT. The patient's ilens resolved
and he was discharged on postop day 35 with plans for outpatient follow-up. The patient.
Acute pancreatitis case discussion
This document discusses three case studies of patients presenting with acute pancreatitis and its complications:
Case 1 involves a 56-year-old man with severe acute pancreatitis, respiratory failure, and multiple organ dysfunction. CT reveals pancreatic necrosis. Intensive care support is needed.
Case 2 involves a 61-year-old man whose acute pancreatitis is complicated by infection of pancreatic necrosis from bile duct stones. Surgery is eventually needed to debride necrotic tissue.
Case 3 involves a 45-year-old man whose acute pancreatitis is complicated by a pancreatic rupture and collection. Percutaneous drainage is initially done but surgery is later needed to drain solid necrotic debris from the collection. He develops a
COVID-19-associated pneumothorax
The document describes 4 cases of COVID-19-associated pneumothorax reported at a hospital in Brazil. Pneumothorax is a rare complication of COVID-19 that can occur when patients are asymptomatic or have improving symptoms. The cases included patients ranging from 22 to 84 years old, with pneumothoraces detected on imaging during or after recovery from COVID-19. COVID-19 can cause lung damage that leads to air leaks and pneumothorax. Physicians need to be aware of this potential complication in COVID-19 patients.
Similar to 6 A patient is admitted with respiratory failure and a larg.pdf (20)
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery July Cases
Drs. Potter and Richardson's CMC Pediatric X-Ray Mastery July Cases
Thrombophylia and COVID-19. A case report of young man 53 years old whith acu...
Thrombophylia and COVID-19. A case report of young man 53 years old whith acu...
Bronchiectasis (Respiratory Medicine).....By Shapi.pdf
Bronchiectasis (Respiratory Medicine).....By Shapi.pdf
Case Study University Hospital Discharge Summary Medical Record -# 12-.pdf
Case Study University Hospital Discharge Summary Medical Record -# 12-.pdf
More from ruckfulesnishu
6 Add records to the database a This query will add a new.pdf
6. Add records to the database a . This query will add a new author: INSERT INTO Author
(FirstName, LastName) VALUES (John', 'Steinbeck') b . Note: The Author ID isn't included here as
it is an auto -increment value. . Your turn: i.Add The Grapes of Wrath by John Steinbeck. Don't
forget to look up the publication year. I ii.Add a new Author but specify the Author ID. What
happens if you use an Author ID that has already been.
6 As you travel along the drainage route of this system yo.pdf
6. As you travel along the drainage route of this system, you encounter something called Walter F
George Reservoir. It looks as though water has flooded the landscape, yet very abruptly, all of that
water re-concentrates into a single stream channel. Explain what type of engineering feature this
is, why we build features like this, and list some environmental hazards associated with this
feature..
6 10 points Find a Huffman code when a Symbols abcd.pdf
6. (10 points) Find a Huffman code when (a) Symbols {a,b,c,d,e} have probabilities {21,41,81161,
161,} (b) The symbols {a,b,c,d,e,f} have probabilities {0.14,0.11,0.12,0.06,0.24,0.33. (c) Compute
the efficiency of each code. For each part, clearly show the Huffman tree..
53 Qu tipo de enfermedad es una enfermedad transmisible q.pdf
53. Qu tipo de enfermedad es una enfermedad transmisible que se puede transmitir fcilmente de
persona a persona? A. contagiosa
B. iatrognico
C aguda
D. nosocomial
54. Cul de los siguientes es el criterio esencial para definir un "estado portador"?
A. Presencia del agente de la enfermedad en el cuerpo
B. Ausencia de sntomas y signos reconocibles de la enfermedad
C. Desprendimiento del agente patgeno en las descargas de secreciones
Todo lo anterior
55. Cul de los siguientes se aplica a la hialuronidasa?
R. Acta como factor de dispersin.
B. Promueve la coagulacin de la sangre.
C. Es un ejemplo de adhesina. D. Lo producen las clulas inmunitarias para atacar a los patgenos..
6 Aviden makes at most I mintines in The fictisaicy elat a .pdf
The document discusses the probability that a modern maker produces a certain number of mistakes in minting coins. It asks which of three options are complementary probabilities: making more than 7 mistakes, making 2 or more mistakes, or making at most 1 mistake.
6 Aadakilerden hangisi M1 para arznn bir paras DELDR Dep.pdf
6. Aadakilerden hangisi M1 para arznn bir paras DELDR?
Depozito talep et
Para birimi
tasarruf mevduat
Dier kontrol edilebilir mevduatlar
7. Para piyasas modelinde, Merkez Bankas para arzn artrrsa faiz oran ne olur?
Faiz oran artar
Faiz oran der
Faiz oran deimez
8. Aadakilerden hangisi bir bankann ykmlldr?
Mevduat
Krediler
rezervler
menkul kymetler.
6 Agar itself is an indigestible carbohydrate polymer so i.pdf
6. Agar itself is an indigestible carbohydrate polymer, so it alone does not provide nutrients for
growth. Nutrient broth is added to agar to make nutrient agar. The peptones (chains of amino
acids) in the nutrient broth supply energy and raw materials for bacterial growth. If agar itself does
not supply nutrients for microbial growth, why is it added to a medium? A. it is a source of vitamins
B. it solidifies a medium so that separated colonies can form on its surface C. bacteria cannot
grow in a nutrient broth or in trypticase soy broth.
6 7 Recall our study of Forecasting If Brandon Edward .pdf
6 7
Recall our study of Forecasting. If Brandon Edward were working to develop a forecast using a
moving averages approach, but he noticed a detectable trend in the historical data, he should: use
a simple moving average use weights to minimize the importance of the trend use weights to place
more emphasis on recent data change to a qualitative approachIn Chapter 1, Operations and
Productivity, we found that reasons to study operations management include: studying how people
organize themselves for productive enterprise knowing how goods and services are consumed
understanding what human resource managers do learning about a costly part of the enterprise A
and D.
520 The pair XY has joint cdf given by FXYxy11.pdf
5.20. The pair (X,Y) has joint cdf given by: FX,Y(x,y)={(11/x2)(11/y2)0forx>1,y>1elsewhere. (a)
Find the marginal cdf of X and of Y. (b) Find the probability of the following events: {X<3,Y5},{X>4,
Y>3}..
6 33 123 Error Mixing operators between numbers and strings.pdf
6 33 123 Error. Mixing operators between numbers and strings are not supported Question 14 (4
points) What is the output of the following code? P,q,r=10,20,30print(p,q,r) 1020 102030 Error:
invalid syntax.
5 Situations in which auditors provide additional copies of.pdf
Auditors sometimes provide additional copies of a previously issued report or grant permission to use a previously issued report in a document containing financial statements after its original date. These situations are known as subsequent use reports, which allow the continued use of a previously issued auditor's report in certain circumstances after the original issuance date.
6 4 points Counting Different Heaps a How many possib.pdf
6. (4 points) (Counting Different Heaps) (a) How many possible different min-heaps are there
when the set of keys is {1,2,3} ? (b) Let Nk denote the number of possible min-heaps when the set
of keys is {1,2,3,2k1} (i.e. the heap tree is a complete binary tree with 2k1 nodes). Derive a
recurrence for Nk..
5 Tracy Depot Incs financial statements are presented bel.pdf
5. Tracy Depot Inc.'s financial statements are presented below. John Doe prepares the proforma
statements for FY2023 using the Percent of Sales method. He completes the pro-forma income
statement but needs assistance with the balance sheet. a. Fill the missing items in the balance
sheet. State the assumptions and formula's for estimating the missing values. Complete only the
FIRST pass. You are not required to balance the balance sheet. b. Compute the Net New
Financing. Is this a deficit or surplus? List the managerial choices to fund (distribute) the deficit
(surplus)..
5Aadakilerden hangisi insanlarn hayatlarndaki riskleri ne .pdf
5.Aadakilerden hangisi, insanlarn hayatlarndaki riskleri ne lde tolere edebildiklerini ifade eder?
A) belirsizlikten kanma
B) uzun vadeli ve ksa vadeli oryantasyon
C) g mesafesi
d) bireycilik
6. Belirsizlikten kanma, dk riskli i ortamlarn gsterir.
Doru
YANLI
7.________, belirli bir toplumun insanlarn karakterize eden deerler, inanlar, gelenekler, sanatlar ve
insan dncesinin ve almasnn dier rnlerini ifade eder.
Etnisite
B) Miras
C) Kltr
D) Yar.
5pt Suppose YY1Y2T has a bivariate normal distribution.pdf
(5pt) Suppose Y=(Y1,Y2)T has a bivariate normal distribution with mean (1,2) and covariance
matrix =(12121222). Find cY(u1,u2), the density of the copula corresponding to Y.
59 John and Jane are both carriers for Cystic Fibrosis CF.pdf
5-9. John and Jane are both carriers for Cystic Fibrosis (CF), a rare recessive genetic disease. 5.
What is the likelihood that their first child will be affected by CF? a. 1/16 b. 1/4 c. 1/2 d. 3/4 e. 9/16
6. They plan to have five children. What is the likelihood that none of the children will be affected?
a. 1/4 b. 27/1024 c. 243/1024 d. 270/1024 e. 3/4 7. If they have five children, what is the likelihood
that exactly two of their children will be affected? a. 1/4 b. 27/1024 c. 243/1024 d. 270/1024 e. 3/4
8. Their first unaffected son Johnny marries Dolly, who has a brother affected by another rare
recessive genetic disease, PKU. CF and PKU are unlinked. What is the likelihood that Jimmy and
Dolly's first child will have PKU? The marriage is not consanguineous and PKU is rare in the
population. a. 0 b. 1/16 c. 1/4 d. 1/2 e. 2/3 9. What is the likelihood that Johnny and Dolly's son will
be a carrier for PKU? a. 0 b. 1/4 c. 1/2 d. 1/3 e. 2/3.
5 What part of the nephron does the cup represent at this s.pdf
5. What part of the nephron does the cup represent at this stage? (i.e. what part of the nepriri does
the filtrate pass into?) - The materials trapped on top of the mesh remain in the blood. Transfer the
beads that stay on top of the mesh into the cup labeled "Renal Vein." (Note: some of the small
beads may remain on top of the screen. This is OK. In fact, this actually occurs in the kidney.
Most, but not all, of the substances leave the blood.) 6. Write the names of the three blood
components that are kept in the blood because they are too LARGE to pass through the pores of
the glomerulus. 7. The substances that pass through the screen and into the nephron form a fluid
called the filtrate. What FIVE substances form the filtrate? 8. Which of the substances in the filtrate
does your body need?.
5 What is most true about the resource based view in B2B m.pdf
5. What is most true about the resource based view in B2B marketing strategy making? a. It
focuses on key internal resources of the firm as the source of enduring competitive advantage b. It
proposes that good strategy results from a systematic, planned approach to strategy development
c. It explains that diversification is better than cost leadership d. All the above.
56 1 point Ethernet is the trade name for what is technic.pdf
56. (1 point) Ethernet is the trade name for what is technically known as:
a. CSMA-CD protocol
b. CSMA-SA protocol
c. LAN connectivity
d. WAN connectivity
57. (1 point) The amount of time it takes for a packet to get from one end of the network to the
other is
called:
a. TCP/IP
b. Network jitter
c. Network propagation delay
d. Collision-avoidance delay
58. (1 point) The Bandwidth of channel is the range of frequencies that are passed by the channel
with a large
amount of attenuation (True/False).
59. (1 point) Its common for the CPU to be switched from one program to another and execute a
few
instructions of each program using a clock-timed interrupt method. This is called:
a. Threading
b. Time-slicing
c. Multiprogramming
d. Non-preemptive switching
60. (1 point) What systems tools are available within Windows in the control-alt-delete menu?
61. (1 point) What do we mean when we call and operating system event-driven?
62. (1 Point) Which function among the OS functions handles plug-and-play devices?
a. Memory Management
b. The File Mgmt System
c. The I/O control function
d. Network Management
63. (1 point) Operating systems that sometimes have applications which handle I/O devises, and
which must
respond within a short specific timeframe are called
a. Mobile
b. Real time
c. Distributed
d. Single user.
52 Paristen Moskovaya Avrupadaki yurtdnda yaz eitimi p.pdf
5.2
Paris'ten Moskova'ya. Avrupa'daki yurtdnda yaz eitimi programnzda, Paris'ten Moskova'ya
seyahat etmek iin fazladan iki hafta kalrsnz. Kemerinizde 2 virgl 200 euro (euro veya euro) ile
Paris'ten ayrlyorsunuz. Tm bunlar Rus rublesi (R veya RUB) ile deitirmek istediinizde, aadaki
teklifleri alrsnz:
Spot oran
USDeit=1,00EUR (veya $/euro ) 1,1187
Spot kur RUBequals=1,00 USD (veya R/$) 61,96
A. Rus Rublesi ile Euro apraz kuru nedir?
B. Avrolarnz iin ka Rus rublesi alacaksnz?.
More from ruckfulesnishu (20)
6 Add records to the database a This query will add a new.pdf
6 Add records to the database a This query will add a new.pdf
6 As you travel along the drainage route of this system yo.pdf
6 As you travel along the drainage route of this system yo.pdf
6 10 points Find a Huffman code when a Symbols abcd.pdf
6 10 points Find a Huffman code when a Symbols abcd.pdf
53 Qu tipo de enfermedad es una enfermedad transmisible q.pdf
53 Qu tipo de enfermedad es una enfermedad transmisible q.pdf
6 Aviden makes at most I mintines in The fictisaicy elat a .pdf
6 Aviden makes at most I mintines in The fictisaicy elat a .pdf
6 Aadakilerden hangisi M1 para arznn bir paras DELDR Dep.pdf
6 Aadakilerden hangisi M1 para arznn bir paras DELDR Dep.pdf
6 Agar itself is an indigestible carbohydrate polymer so i.pdf
6 Agar itself is an indigestible carbohydrate polymer so i.pdf
6 7 Recall our study of Forecasting If Brandon Edward .pdf
6 7 Recall our study of Forecasting If Brandon Edward .pdf
520 The pair XY has joint cdf given by FXYxy11.pdf
520 The pair XY has joint cdf given by FXYxy11.pdf
6 33 123 Error Mixing operators between numbers and strings.pdf
6 33 123 Error Mixing operators between numbers and strings.pdf
5 Situations in which auditors provide additional copies of.pdf
5 Situations in which auditors provide additional copies of.pdf
6 4 points Counting Different Heaps a How many possib.pdf
6 4 points Counting Different Heaps a How many possib.pdf
5 Tracy Depot Incs financial statements are presented bel.pdf
5 Tracy Depot Incs financial statements are presented bel.pdf
5Aadakilerden hangisi insanlarn hayatlarndaki riskleri ne .pdf
5Aadakilerden hangisi insanlarn hayatlarndaki riskleri ne .pdf
5pt Suppose YY1Y2T has a bivariate normal distribution.pdf
5pt Suppose YY1Y2T has a bivariate normal distribution.pdf
59 John and Jane are both carriers for Cystic Fibrosis CF.pdf
59 John and Jane are both carriers for Cystic Fibrosis CF.pdf
5 What part of the nephron does the cup represent at this s.pdf
5 What part of the nephron does the cup represent at this s.pdf
5 What is most true about the resource based view in B2B m.pdf
5 What is most true about the resource based view in B2B m.pdf
56 1 point Ethernet is the trade name for what is technic.pdf
56 1 point Ethernet is the trade name for what is technic.pdf
52 Paristen Moskovaya Avrupadaki yurtdnda yaz eitimi p.pdf
52 Paristen Moskovaya Avrupadaki yurtdnda yaz eitimi p.pdf
Recently uploaded
Constructing Your Course Container for Effective Communication
Communicating effectively and consistently with students can help them feel at ease during their learning experience and provide the instructor with a communication trail to track the course's progress. This workshop will take you through constructing an engaging course container to facilitate effective communication.
ANATOMY AND BIOMECHANICS OF HIP JOINT.pdf
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh
Solutons Maths Escape Room Spatial .pptx
Solutions of Puzzles of Mathematics Escape Room Game in Spatial.io
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Advanced Java[Extra Concepts, Not Difficult].docx
This is part 2 of my Java Learning Journey. This contains Hashing, ArrayList, LinkedList, Date and Time Classes, Calendar Class and more.
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...Nguyen Thanh Tu Collection
https://app.box.com/s/tacvl9ekroe9hqupdnjruiypvm9rdaneWalmart Business+ and Spark Good for Nonprofits.pdf
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Temple of Asclepius in Thrace. Excavation results
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
Hindi varnamala | hindi alphabet PPT.pdf
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
Mule event processing models | MuleSoft Mysore Meetup #47
Mule event processing models | MuleSoft Mysore Meetup #47
Event Link:- https://meetups.mulesoft.com/events/details/mulesoft-mysore-presents-mule-event-processing-models/
Agenda
● What is event processing in MuleSoft?
● Types of event processing models in Mule 4
● Distinction between the reactive, parallel, blocking & non-blocking processing
For Upcoming Meetups Join Mysore Meetup Group - https://meetups.mulesoft.com/mysore/YouTube:- youtube.com/@mulesoftmysore
Mysore WhatsApp group:- https://chat.whatsapp.com/EhqtHtCC75vCAX7gaO842N
Speaker:-
Shivani Yasaswi - https://www.linkedin.com/in/shivaniyasaswi/
Organizers:-
Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Giridhar Meka - https://www.linkedin.com/in/giridharmeka
Priya Shaw - https://www.linkedin.com/in/priya-shaw
How to deliver Powerpoint Presentations.pptx
"How to make and deliver dynamic presentations by making it more interactive to captivate your audience attention"
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...Nguyen Thanh Tu Collection
https://app.box.com/s/y977uz6bpd3af4qsebv7r9b7s21935vdRecently uploaded (20)
Constructing Your Course Container for Effective Communication
Constructing Your Course Container for Effective Communication
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Pengantar Penggunaan Flutter - Dart programming language1.pptx
Pengantar Penggunaan Flutter - Dart programming language1.pptx
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Chapter wise All Notes of First year Basic Civil Engineering.pptx
Mule event processing models | MuleSoft Mysore Meetup #47
Mule event processing models | MuleSoft Mysore Meetup #47
IGCSE Biology Chapter 14- Reproduction in Plants.pdf
IGCSE Biology Chapter 14- Reproduction in Plants.pdf
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
BÀI TẬP BỔ TRỢ TIẾNG ANH 8 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2023-2024 (CÓ FI...
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
spot a liar (Haiqa 146).pptx Technical writhing and presentation skills
Film vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movie
6 A patient is admitted with respiratory failure and a larg.pdf
- 1. 6. A patient is admitted with respiratory failure and a large iatrogenic pneumothorax three days following outpatient thoracentesis for malignant pleural effusion. 7. A patient is treated in an observation unit for 16 hours with an exacerbation of COPD, then admitted as an inpatient for treatment of a pulmonary embolism discovered on chest CT. 8. Patient is admitted following TURP as an outpatient for post- operative bleeding uncontrolled in the PACU. 9. Patient is being observed for 24 hours following lumbar kyphoplasty develops rapid atrial fibrillation requiring admission. 10. A patient is admitted with fever, cough and treated with antibiotics and steroids. The diagnostic statement is COPD exacerbation and pneumonia.In each of the following cases, report the appropriate diagnosis code(s) and identify the principal diagnosis code.