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.
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: August C...Sean M. Fox
Dr. Kelsey Lena is an Emergency Medicine Resident and Drs. Michael Avery and Joshua Davis are Surgery Residents at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides. This month’s topics include:
• Splenic Rupture
• Obstructive jaundice
• Ovarian Torsion
A fatal case of complicated HELLP Syndrome and Antepartum Eclamptic Fit with ...Apollo Hospitals
Subcapsular hematoma and hepatic rupture are very unusual catastrophic complication of preeclampsia/eclampsia and HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome. The reported incidence of this condition varies from 1 in 40,000 to 1 in 2,50,000 deliveries.There is no agreement on the best approach to treat this severe complication of pregnancy and optimal management is still evolving.
Introduction: Endoscopic RetrogradeCholangiopancreatography (ERCP) has been advocated as a less invasive therapeutic
intervention for the diagnosis and management of various pancreaticobiliary diseases in the aging population. However, the procedure is not without risk. Published literatures have shown different adverse outcomes with the oldest patient documented to be at 97-years-old. This case report of a 99 years and 107 days old male is probably one of the oldest to be recorded to undergo ERCP worldwide, hence is a vital addition to current practice.
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: May CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
Subcutaneous air
Osteopenia
Bronchiolitis
Constipation
Asthma exacerbation
Alveolar Rhabdomyosarcoma
Aspirated Foreign Bodies
Small Bowel Obstruction
Kyphoscoliosis
Pneumatocele
Cecal Volvulus
Drs. Lena, Avery, and Davis’s CMC Abdominal Imaging Mastery Project: August C...Sean M. Fox
Dr. Kelsey Lena is an Emergency Medicine Resident and Drs. Michael Avery and Joshua Davis are Surgery Residents at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides. This month’s topics include:
• Splenic Rupture
• Obstructive jaundice
• Ovarian Torsion
A fatal case of complicated HELLP Syndrome and Antepartum Eclamptic Fit with ...Apollo Hospitals
Subcapsular hematoma and hepatic rupture are very unusual catastrophic complication of preeclampsia/eclampsia and HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome. The reported incidence of this condition varies from 1 in 40,000 to 1 in 2,50,000 deliveries.There is no agreement on the best approach to treat this severe complication of pregnancy and optimal management is still evolving.
Introduction: Endoscopic RetrogradeCholangiopancreatography (ERCP) has been advocated as a less invasive therapeutic
intervention for the diagnosis and management of various pancreaticobiliary diseases in the aging population. However, the procedure is not without risk. Published literatures have shown different adverse outcomes with the oldest patient documented to be at 97-years-old. This case report of a 99 years and 107 days old male is probably one of the oldest to be recorded to undergo ERCP worldwide, hence is a vital addition to current practice.
Drs. Olson’s and Jackson’s CMC Pediatric X-Ray Mastery: May CasesSean M. Fox
Drs. Olson and Jackson are interested in education and Pediatric Emergency Medicine. Follow along with the EMGuideWire.com team and Drs. Nikki Richardson, Mary Grady, and Michael Gibbs as they post these educational, self-guided radiology slides on Pediatric Emergency Medicine Radiology. This month’s topics include:
Subcutaneous air
Osteopenia
Bronchiolitis
Constipation
Asthma exacerbation
Alveolar Rhabdomyosarcoma
Aspirated Foreign Bodies
Small Bowel Obstruction
Kyphoscoliosis
Pneumatocele
Cecal Volvulus
Abdominal Imaging Case Studies #27.pptxSean M. Fox
Drs. Kylee Brooks and Parker Hambright are Emergency Medicine Residents and Drs. Alexis Holland and William Lorenz are Surgery Residents at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham, Brent Matthews, and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides. This month’s cases include:
• Iatrogenic Esophageal Perforation
• Emphysematous Cystitis
• Meckel’s Diverticulum
• Paraesophageal Hernia
Name Add name hereHIM 2214 Module 6 Medical Record Abstractin.docxgilpinleeanna
Name: Add name here
HIM 2214 Module 6: Medical Record Abstracting
Instructions: In this medical record abstracting assignment you will first need to download and the records (history & physical, surgery consultation, operative report, pathology report and discharge summary) for a patient with digestive system problems. (Recommend reading them in the order listed).
Save your answers to the following related questions in this document and submit them for this module's assignment.
1. Define the terms diverticulosis and diverticulitis.
2. What is the pathophysiology of diverticulitis?
3. What is a hiatal hernia?
4. Describe some of the signs or symptoms a person with a hiatal hernia might have.
5. What is a pulmonary embolus?
6. What was the etiology (cause) of the pulmonary embolus for this patient?
7. What is gastritis?
8. Which problem is likely a contributor to the patient’s Type II diabetes mellitus?
9. What was the purpose of the barium enema?
10. What does the abbreviation HEENT stand for?
11. What is thrombophlebitis?
12. What is a surgical resection?
13. Define anastomosis.
14. What is ferrous gluconate and what is it used to treat?
15. What condition is the drug Darvocet used to treat?
16. What are electrolytes?
17. What is exogenous obesity?
18. Where is the femoral pulse found/taken?
19. Where is the popliteal pulse found/taken?
20. What is hepatosplenomegaly?
21. Which condition(s) is/are the drug Humulin used to treat?
22. What is an adenocarcinoma?
23. Which condition(s) is/are the drug Lanoxin used to treat?
24. What is the purpose of ordering the blood test PTT?
25. What is a colon stricture?
26. What is/are the etiologies associated with colorectal cancer?
27. What is the medical term for gallstones?
28. Which condition(s) is the drug Zantac used to treat?
29. What does the pathology report indicate about the spread of the carcinoma in this patient?
30. What is the etiology of Type II diabetes mellitus?
· Academic arguments are designed to get someone to agree with the author, who may use pathos (emotion), logos (logic and facts) and ethos (authority and expertise) to persuade.
Academic arguments are not about ranting, screaming or otherwise increasing conflict, but in fact are the opposite: They attempt to help the other person understand what the author believes to be right (opinion) based on the evidence presented (authority, logic, facts).
For your topic for your final paper, what kinds of arguments can you develop for your claim (thesis, main idea)?
Health Record Face Sheet
Record Number:
005
Age:
67
Gender:
Male
Length of Stay:
3 days
Service:
Inpatient Hospital Admission
Disposition:
Home
Discharge Summary
Patient is a 67-year-old male. He saw the doctor recently with abdominal pain and constipation. A barium enema showed diverticulosis and perhaps a stricture near the sigmoid and rectal junction. He was scoped by the doctor, who saw a stricture at that point and sa ...
Bowel Perforation in COVID-19 Patient Treated With Dexamethasonesuppubs1pubs1
The treatment and management for COVID-19 continues to evolve as we have gained more experience with infected patients over the past year of this pandemic. The goal of the medical team is to optimize the care and balance the risk and benefits of each intervention and treatment. Currently, guidelines include starting dexamethasone therapy for patients requiring supplemental oxygen or mechanical ventilation. However, each treatment and intervention comes with risks. Here, we discuss the case of a 76-year old male who presented to the ED with dyspnea and cough after being diagnosed with COVID-19 three days prior.
Abstract
Hepatic angiosarcoma is a rare tumour that is often difficult to diagnose. Historically, most cases of hepatic angiosarcoma were seen in the setting of industrial epidemics caused by exposure of workers to toxins such as vinyl chloride. Cases associated with recognised exposure to carcinogens have fortunately been extremely rare for the last three or more decades. However, the tumour has by no means disappeared in the Australian community. In this case series, we describe three cases of hepatic angiosarcoma that were seen at our institution since 2002. The first case presented with cholestatic liver function tests and was found to have angiosarcoma on liver biopsy. In the second case, the patient was admitted for decompensated liver disease on a background of presumed hepatitis B cirrhosis. The diagnosis of hepatic angiosarcoma was made only at autopsy after the patient died from multi-organ failure. The third case presented with ascites and the diagnosis of disseminated angiosarcoma was again made at autopsy following a negative ante-mortem liver biopsy.
Appendicle abscess Siedah Telesford MDDr. Griffith Team .docxrossskuddershamus
Appendicle abscess
Siedah Telesford MD
Dr. Griffith Team
History
CC: H.M. age 42 M p/w vomiting and diarrhea for 3 days.
HPI: Pt p/w vomiting and diarrhea for 3 days.
Pt was diagnosed with gastroenteritis at Arima General after 1 day of vomiting and diarrhea.
Pt admitted to diffuse abdominal pain x 2 weeks. Initially 5/10, took antiemetics and panadol had some relief for 1 day.
1 day later, abdominal pain got progressively worse, 8/10, diffuse, took panadol but no relief
42 yo M came to the ED with vomiting and diarrhea x3days. 2 week h/o diffuse abd pain. Diagnosed as gastro 2 days before admission. Pt had pain relief with antiemetics and panadol initially. Physical
2
History
Exacerbated by movement and cough
Vomiting (3/7) 2 episodes/day of food bilious, nonbloody
Anorexia
Diarrhea
Subjective Fever
Tenesmus – he described wanting to pass stool but unable to
Denies urinary symptoms
No trauma
PMHx: Denies
Medications: Denies
PSx: Denies
Allergies: NKDA
ROS- Noncontributory
Tenesmus
3
Physical Exam
General appearance: Young male in mild painful distress
V/s: P- 96 O2- 98 T- 36.4 RR- 24 BP- 131/67
Abdomen: +BS, Nondistended, firm
Tenderness in lower abd; ++RLQ , +rebound, +guarding
+Rovsing sign, -Obturator sign,+iliopsoas sign, -DRE
Respiratory: CTAB
CVS: RRR, S1/S2 heard.
Labs and ED course
WBC- 16.9 Hb- 12 Plt- 290
RFT, LFT, amylase, lipase, UA- WNL
CXR and AXR-WNL
ED course: Pt received
4mg Buscopan
50mg Gravol
50mg zantac
1L IVF NS
Imaging
Appendix measuring 1.6cm
4.5mm appendicolith within its tip
Small amount of free fluid in RIF
Fat stranding around appendix
5.1cm x 4.2cm collection with enhancing walls at tip of appendix
Fat stranding around the sigmoid colon
Working diagnosis: Appendicitis with appendicular abscess
Procedure
General anesthesia. Open lap and appendectomy. 24 French was left.
7
Post op
POD # 1
V/S: WNL
Intake: 2L RL/24 hrs
Urine output: 600 ml/24 hrs
J-vac: 100 ml
WBC 14.82
- Abd: +BS, distended, tenderness at incision site.
Post op
WBC: 14.8—>13.7—>12.6
Remained NPO, IVF, pain meds
Antibiotic tx with Flagyl and Zinacef for 8 days and removal of the drain on POD #7
Management of appendicitis with abscess or mass
Management of appendicitis presenting with abscess
In acute appendicitis patients, the proportion of cases associated with an abscess or a tumor in the periappendix has been reported to be approximately 2% to 7%.
3 approaches:
Emergency surgery
Early conservative treatments followed by elective surgery
Conservative treatments and follow-up observation only
If surgery is performed under the condition that inflammation due to appendicitis has spread to adjacent areas, the inflammation may have spread over a wide area. In addition, because of edema and the vulnerability of the adjacent small intestine and large intestine, secondary fistulas, etc., may have developed. In our case, there was inflammation of the sigmoid and rectum. For.
Typical & atypical clinical presentations of COVID-19 in childrenMoosaAllawati1
A brief presentation about some typical symptoms in children diagnosed with COVID-19 in Oman along with atypical or unusual presentations of the disease in the same age group in the USA and Bahrain.
Cardiovascular drift as a result of dehydration caused by sweat loss d.pdfaonetelecompune
Cardiovascular drift as a result of dehydration caused by sweat loss during exercise describes.
A)An increase in heart rate and a reduction in stroke volume
B)An increase in heart rate and an increase in stroke volume
C)A reduction in heart rate and increase in stroke volume
D)A reduction in heart rate and a reduction in stroke volume.
Carbon cioxide ( CO2) is readily soluble in water- according to the eq.pdfaonetelecompune
Carbon cioxide ( CO 2 ) is readily soluble in water, according to the equation: CO 2 + H 2 O H 2
CO 3 . Carbonic acid ( H 2 CO ) is a weik acid. In a class experiment, a student bubbled CO 2
into a beaker centaining pure, freshly distilled water, and presented the following yraph in bisher
Resalts section of the laboratory report. Please provide a brief cribiqae to these resalis..
More Related Content
Similar to Case Study University Hospital Discharge Summary Medical Record -# 12-.pdf
Abdominal Imaging Case Studies #27.pptxSean M. Fox
Drs. Kylee Brooks and Parker Hambright are Emergency Medicine Residents and Drs. Alexis Holland and William Lorenz are Surgery Residents at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham, Brent Matthews, and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides. This month’s cases include:
• Iatrogenic Esophageal Perforation
• Emphysematous Cystitis
• Meckel’s Diverticulum
• Paraesophageal Hernia
Name Add name hereHIM 2214 Module 6 Medical Record Abstractin.docxgilpinleeanna
Name: Add name here
HIM 2214 Module 6: Medical Record Abstracting
Instructions: In this medical record abstracting assignment you will first need to download and the records (history & physical, surgery consultation, operative report, pathology report and discharge summary) for a patient with digestive system problems. (Recommend reading them in the order listed).
Save your answers to the following related questions in this document and submit them for this module's assignment.
1. Define the terms diverticulosis and diverticulitis.
2. What is the pathophysiology of diverticulitis?
3. What is a hiatal hernia?
4. Describe some of the signs or symptoms a person with a hiatal hernia might have.
5. What is a pulmonary embolus?
6. What was the etiology (cause) of the pulmonary embolus for this patient?
7. What is gastritis?
8. Which problem is likely a contributor to the patient’s Type II diabetes mellitus?
9. What was the purpose of the barium enema?
10. What does the abbreviation HEENT stand for?
11. What is thrombophlebitis?
12. What is a surgical resection?
13. Define anastomosis.
14. What is ferrous gluconate and what is it used to treat?
15. What condition is the drug Darvocet used to treat?
16. What are electrolytes?
17. What is exogenous obesity?
18. Where is the femoral pulse found/taken?
19. Where is the popliteal pulse found/taken?
20. What is hepatosplenomegaly?
21. Which condition(s) is/are the drug Humulin used to treat?
22. What is an adenocarcinoma?
23. Which condition(s) is/are the drug Lanoxin used to treat?
24. What is the purpose of ordering the blood test PTT?
25. What is a colon stricture?
26. What is/are the etiologies associated with colorectal cancer?
27. What is the medical term for gallstones?
28. Which condition(s) is the drug Zantac used to treat?
29. What does the pathology report indicate about the spread of the carcinoma in this patient?
30. What is the etiology of Type II diabetes mellitus?
· Academic arguments are designed to get someone to agree with the author, who may use pathos (emotion), logos (logic and facts) and ethos (authority and expertise) to persuade.
Academic arguments are not about ranting, screaming or otherwise increasing conflict, but in fact are the opposite: They attempt to help the other person understand what the author believes to be right (opinion) based on the evidence presented (authority, logic, facts).
For your topic for your final paper, what kinds of arguments can you develop for your claim (thesis, main idea)?
Health Record Face Sheet
Record Number:
005
Age:
67
Gender:
Male
Length of Stay:
3 days
Service:
Inpatient Hospital Admission
Disposition:
Home
Discharge Summary
Patient is a 67-year-old male. He saw the doctor recently with abdominal pain and constipation. A barium enema showed diverticulosis and perhaps a stricture near the sigmoid and rectal junction. He was scoped by the doctor, who saw a stricture at that point and sa ...
Bowel Perforation in COVID-19 Patient Treated With Dexamethasonesuppubs1pubs1
The treatment and management for COVID-19 continues to evolve as we have gained more experience with infected patients over the past year of this pandemic. The goal of the medical team is to optimize the care and balance the risk and benefits of each intervention and treatment. Currently, guidelines include starting dexamethasone therapy for patients requiring supplemental oxygen or mechanical ventilation. However, each treatment and intervention comes with risks. Here, we discuss the case of a 76-year old male who presented to the ED with dyspnea and cough after being diagnosed with COVID-19 three days prior.
Abstract
Hepatic angiosarcoma is a rare tumour that is often difficult to diagnose. Historically, most cases of hepatic angiosarcoma were seen in the setting of industrial epidemics caused by exposure of workers to toxins such as vinyl chloride. Cases associated with recognised exposure to carcinogens have fortunately been extremely rare for the last three or more decades. However, the tumour has by no means disappeared in the Australian community. In this case series, we describe three cases of hepatic angiosarcoma that were seen at our institution since 2002. The first case presented with cholestatic liver function tests and was found to have angiosarcoma on liver biopsy. In the second case, the patient was admitted for decompensated liver disease on a background of presumed hepatitis B cirrhosis. The diagnosis of hepatic angiosarcoma was made only at autopsy after the patient died from multi-organ failure. The third case presented with ascites and the diagnosis of disseminated angiosarcoma was again made at autopsy following a negative ante-mortem liver biopsy.
Appendicle abscess Siedah Telesford MDDr. Griffith Team .docxrossskuddershamus
Appendicle abscess
Siedah Telesford MD
Dr. Griffith Team
History
CC: H.M. age 42 M p/w vomiting and diarrhea for 3 days.
HPI: Pt p/w vomiting and diarrhea for 3 days.
Pt was diagnosed with gastroenteritis at Arima General after 1 day of vomiting and diarrhea.
Pt admitted to diffuse abdominal pain x 2 weeks. Initially 5/10, took antiemetics and panadol had some relief for 1 day.
1 day later, abdominal pain got progressively worse, 8/10, diffuse, took panadol but no relief
42 yo M came to the ED with vomiting and diarrhea x3days. 2 week h/o diffuse abd pain. Diagnosed as gastro 2 days before admission. Pt had pain relief with antiemetics and panadol initially. Physical
2
History
Exacerbated by movement and cough
Vomiting (3/7) 2 episodes/day of food bilious, nonbloody
Anorexia
Diarrhea
Subjective Fever
Tenesmus – he described wanting to pass stool but unable to
Denies urinary symptoms
No trauma
PMHx: Denies
Medications: Denies
PSx: Denies
Allergies: NKDA
ROS- Noncontributory
Tenesmus
3
Physical Exam
General appearance: Young male in mild painful distress
V/s: P- 96 O2- 98 T- 36.4 RR- 24 BP- 131/67
Abdomen: +BS, Nondistended, firm
Tenderness in lower abd; ++RLQ , +rebound, +guarding
+Rovsing sign, -Obturator sign,+iliopsoas sign, -DRE
Respiratory: CTAB
CVS: RRR, S1/S2 heard.
Labs and ED course
WBC- 16.9 Hb- 12 Plt- 290
RFT, LFT, amylase, lipase, UA- WNL
CXR and AXR-WNL
ED course: Pt received
4mg Buscopan
50mg Gravol
50mg zantac
1L IVF NS
Imaging
Appendix measuring 1.6cm
4.5mm appendicolith within its tip
Small amount of free fluid in RIF
Fat stranding around appendix
5.1cm x 4.2cm collection with enhancing walls at tip of appendix
Fat stranding around the sigmoid colon
Working diagnosis: Appendicitis with appendicular abscess
Procedure
General anesthesia. Open lap and appendectomy. 24 French was left.
7
Post op
POD # 1
V/S: WNL
Intake: 2L RL/24 hrs
Urine output: 600 ml/24 hrs
J-vac: 100 ml
WBC 14.82
- Abd: +BS, distended, tenderness at incision site.
Post op
WBC: 14.8—>13.7—>12.6
Remained NPO, IVF, pain meds
Antibiotic tx with Flagyl and Zinacef for 8 days and removal of the drain on POD #7
Management of appendicitis with abscess or mass
Management of appendicitis presenting with abscess
In acute appendicitis patients, the proportion of cases associated with an abscess or a tumor in the periappendix has been reported to be approximately 2% to 7%.
3 approaches:
Emergency surgery
Early conservative treatments followed by elective surgery
Conservative treatments and follow-up observation only
If surgery is performed under the condition that inflammation due to appendicitis has spread to adjacent areas, the inflammation may have spread over a wide area. In addition, because of edema and the vulnerability of the adjacent small intestine and large intestine, secondary fistulas, etc., may have developed. In our case, there was inflammation of the sigmoid and rectum. For.
Typical & atypical clinical presentations of COVID-19 in childrenMoosaAllawati1
A brief presentation about some typical symptoms in children diagnosed with COVID-19 in Oman along with atypical or unusual presentations of the disease in the same age group in the USA and Bahrain.
Similar to Case Study University Hospital Discharge Summary Medical Record -# 12-.pdf (20)
Cardiovascular drift as a result of dehydration caused by sweat loss d.pdfaonetelecompune
Cardiovascular drift as a result of dehydration caused by sweat loss during exercise describes.
A)An increase in heart rate and a reduction in stroke volume
B)An increase in heart rate and an increase in stroke volume
C)A reduction in heart rate and increase in stroke volume
D)A reduction in heart rate and a reduction in stroke volume.
Carbon cioxide ( CO2) is readily soluble in water- according to the eq.pdfaonetelecompune
Carbon cioxide ( CO 2 ) is readily soluble in water, according to the equation: CO 2 + H 2 O H 2
CO 3 . Carbonic acid ( H 2 CO ) is a weik acid. In a class experiment, a student bubbled CO 2
into a beaker centaining pure, freshly distilled water, and presented the following yraph in bisher
Resalts section of the laboratory report. Please provide a brief cribiqae to these resalis..
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public int Problem7(File file) throws FileNotFoundException {
int[] listInt;
try {
Scanner scanner = new Scanner(file);
while (scanner.hasNextLine()) {
String value = scanner.nextLine();
listInt.add(Integer.parseInt(value));
System.out.println(value);
}
scanner.close();
} catch (Exception ex) {
ex.printStackTrace();
}
Arrays.sort(listInt);
int middle = listInt.length/2;
int median = 0;
if (listInt.length%2 == 1)
median = listInt[middle];
else
median = (listInt[middle-1] + listInt[middle]) / 2;
return median;
}}.
Can you site your sources for the information given please Step 1- Res.pdfaonetelecompune
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Can you please provide a example of how these linux commands are used.pdfaonetelecompune
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man
ps
date
time
alias
|
>
>>
<
su
sudo
systemctl
grep
iptables
ipconfig
nc / netcat
nmap
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Capital Markets provide which of the following to a firm- (Select all.pdfaonetelecompune
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A means for investors to structure investments to meet their cash flow timing needs.
Answer is NOT all are correct.
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Can this be done with an Arduino Uno- if so can I get pictures of how.pdfaonetelecompune
Can this be done with an Arduino Uno? if so can I get pictures of how it wires up and the code
for it?
and function. Show the function shown in the table below relating the inputs to the outputs. Your
system should have two input switches (S1 and S2) and two outputs (LED 1 and LED 2)..
Can someone Please solve Question 1 part B - Thanks!.pdfaonetelecompune
Can someone Please solve Question 1 part B ? Thanks!
List of Accounts-
Accounts Receivable
Administration Expenses
Advertising Expense
Cash
Cost of Goods Sold
Deferred Revenue
Depreciation Expense
Distribution Expenses
Dividend Revenue
Engineering Expenses
Financing Expenses
Gain on Sale of Land
General and Administrative Expenses
Income Tax Expense
Insurance Expense
Interest Expense
Interest Revenue
Inventory
Investment Revenue
Loss from Flood Damage
No Entry
Offce Salaries Expense
Office Supplies Expense
Refund Liability
Rent Expense
Rent Revenue
Research and Development Expenses
Sales and Marketing Expenses
Sales Commissions
Sales Revenue
Selling Expenses
Selling and Administrative Expenses
Service Revenue
Subscription Revenue
Supplies Expense
Utilities Expense
Wages Expense
Warranty Expense
Warranty Liability
Current Attempt in Progress The following account balances are taken from Sunland L.td.s
adjusted trial balance at fune 30, 2024: Prepare a multi step statement of income for the vear
ended lune 30.2024 Here is the Single-Step Income Statement:
.
Canada's Quota on European Cheese- In 2021- Canada imposed a quota on.pdfaonetelecompune
Canada's Quota on European Cheese: In 2021, Canada imposed a quota on European
cheese imports, limiting the amount of cheese that could enter the country.
write short summary on it
write short summary on it.
Charles named several programs and philosophies that are integral to t.pdfaonetelecompune
Charles named several programs and philosophies that are integral to the past success of
Rosalie's restaurant. All of these factors go into forming the market orientation of Rosalie's.
What doesn't fall in the concept of marketing orientation?
A. location of competition
B. high-quality ingredients
C. supporting community programs
D. limited menu
E. higher price points.
Chapters 5 - 11 book is Human Resource Management in Health Care princ.pdfaonetelecompune
Chapters 5 - 11 book is Human Resource Management in Health Care principles and practice
. Q1: What is the principal difference between "exempt" and "nonexempt" employees?
Q2: How should managers react if representatives of an external regulatory organization arrive at
their departments to audit their activities?
Q3: (Performance Appraisals): How can past appraisals of performance influence the outcomes
of employment-related legal actions?.
Chapter Review Questions Labeling Itentifu she thene ratanovien of mur (1).pdfaonetelecompune
Chapter Review Questions Labeling Itentifu she thene ratanovien of murelo thous halmu
Multiple choice: Select the correct answes from the list provided. Tissue that is specialized for
contraction is 16. Aovons, dendrites, and a cell body are characteristic of cels a) epithelial tissue.
located in b) connective tissue. a) nervous tissue. c) muscle tissue. b) connective tiswue. d)
nervous tissue. c) muscle tissue. d) epithelial tisstue. The specialized intercellular junctions
found in cardiac muncle are I7 Specialired cell, extracellular protein fiber, and ground a)
hemidesarosomes. substance are characteristic of which type of tissue? b) intercalated discs. a)
muscle bisue c) desmosomes. b) epithellal tissue d) microvilli. c) nervous tissue d) connective
tissue 15 . Collections of specialized cells and cell ptoducts that perform a limited number of
functions are called 18. Which of the following epithelia most easly permits diffusion? al cellular
aggregates. a) stratifed squamous epitheliurn b) ergans. b) simple squamous epithelium c)
tissues. c) transitional epithelium d) organ systems. d) simple columnar epithelium.
Chapter 8 sample study questions What is the difference between a Lang.pdfaonetelecompune
Chapter 8 sample study questions What is the difference between a Langerhans cells (in the
immune system) and a dendritic cell? What changes occur to turn one into the other? Where do
APCs generally encounter their antigen? Where do they go to present that antigen to the T cell?
Describe the role macrophages play in antigen presentation to T cells. Describe four different
mechanisms of antigen processing in dendritic cells. What role does the CCR7 protein have in
dendritic cells? What does it bind to, and what cellular response occurs if that binding happens?
Describe the key cell surface proteins involved in T cell homing. What is meant by co-
stimulation during activation of T cells? Which molecules are essential for this costimulation?
Describe the role of CTL A 4 during T cell activation. What is the significance of T cells
expressing a receptor proteins for SIP (sphingosine-1-phosphate)? What are the three cell types
that can act as professional APCs for T cells? How do their roles differ? What is a T cell
(immunological) synapse? -when a T cell binds the peptide:, Region of contact and
communication between the two cells - protein-protein interactions in the area of contact
between a T cell and an antigen presenting cell The T cell synapse is divided into two general
regions: c-SMAC and p-SMAC. How do these regions differ in physiological roles and key
molecules found in each? - C: inner structure where T-cell receptors, co-receptors, CD28, CD2
and signaling molecules are concentrated -p: contains LFA-1, ICAM-1, talin, forming a tight seal
around the SMAC Why are tyrosine kinases important in T cell activation? What are the main
tyrosine kinases involved? Generally, describe the signal tnunsduction pathway in T cell
activation that results in changes of gene expression. Why is IL-2 important following T cell
activation? Why do some drugs seck to inhibit IL-2 function? What are adjuvants, and why are
they an important thing to consider when developing new vaccines? What are the signals needed
to differentiate a CD4 T cell into its specific type of effector?.
Chapter 6
Define virus, viroid, virion, prion, provirus, reverse transcriptase, bacteriophage, and plaque.
List four unique characteristics of viruses.
Describe the structure of a naked virus and an enveloped virus.
Describe three morphological groups of viruses.
Discuss viral replication and contrast replication in naked viruses, enveloped viruses, and
bacteriophage.
Distinguish between lytic and lysogenic (temperate) bacteriophage.
Describe two methods for the cultivation of animal viruses.
Define and give examples of viral cytopathic effects
Define oncogenic virus, latent viral infection, and lysogenic conversion..
Chapter 7 Discussion Key Handling This chapter discusses the importanc.pdfaonetelecompune
Chapter 7 Discussion Key Handling
This chapter discusses the importance of having keys properly handled. Discuss the procedures
and why it is important to have a proper process in place. What are some of the downsides of not
having proper procedures. Discuss in detail and cite your sources..
Can someone pls explain the table- FOr the labelled A to E- How do you.pdfaonetelecompune
Can someone pls explain the table.
FOr the labelled A to E: How do you identify whether the bands are linear or supercoiled,
whether the bands represents insert only, insert + vector, or vector only.? Could you also kindly
provide some explanation to assist my understanding. Thank you
12000.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Case Study University Hospital Discharge Summary Medical Record -# 12-.pdf
1. 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's
prognosis is favorable. Diecharne Difmneses Cholelithiasis/Cholecystitis Paralytic Ileus
Adenocarcinoma of the Prostate/Gleason's Grade 3 Chronic Kidncy Disease Osteoarthritis
GERD PUD Contact Dermatitis Status Post TKR I UTI Diecharne Medications: Zofian Zantac
Levaguin Tylenol :3 Dulcolax Flomax 12. What was the ronte of anproach for the prostate
ultrasound? 13. The patient developed a paralytic ileus. Describe this condition and list one
reason why it can occur following surgery. 14. The seminal vesides were noted to be "non-
dilated. What is the function of the seminal vesicles? 15. The patient was said to have possible
BPH. Describe this condition. 16. Define the patient's urinary complaints of frequency and
urrency. 17. What does the abbreviation for the patient's upcoming surgery, IURP mean? 18.
What is the medication Flomax used for?
