This is an old Case Study that I used in class to illustrate how our healthcare system can improve the existing services to immigrants. The story is fictional, but imagine the answer to the questions.
Diagnostic excellence 03 16 year-old female with pelvicpainAMMY30
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This case involves a 16-year-old female, Kayla, who presented to the emergency department twice with severe pelvic pain. The first attending physician diagnosed her with pelvic inflammatory disease (PID) based on her symptoms and sexual history. However, her pain continued to worsen despite antibiotics. When consulted, the gynecology team discovered she actually had ovarian torsion requiring surgical removal of her ovary. This case highlights how diagnostic errors can occur from cognitive biases, lack of thorough history and exam, and failure to consider alternatives to the initial diagnosis. It is important for physicians to reflect on errors to improve care and prevent future mistakes.
This document contains summaries from a student's rotations in different areas of a hospital during a health academy program. In the first rotation in the laboratory, the student found it interesting to see things they never thought they would and found it both emotionally challenging and thrilling. In the cath lab, the first day was boring but the second day they got to watch an interesting procedure and found everyone friendly. In the MICU, the student found it intense and emotionally difficult to see patients suffering so much. Later rotations included the OR, which was less intense than expected but interesting to observe procedures, and the cardiac unit where the student learned a lot from their helpful nurse.
The author recounts experiencing severe anemia that led to her diagnosis of Wilson's disease at age 15. She describes being hospitalized multiple times and undergoing various tests while doctors struggled to determine the cause. Her mother provided constant love and support through the difficult period. After two weeks of misdiagnosed chemotherapy that caused hair loss, testing revealed the author had Wilson's disease, an inherited liver disorder. She was transferred to a specialized hospital and experienced periods of insomnia, hallucinations, and mental instability before eventually recovering and returning home with treatment.
This document is the June 2015 issue of the magazine "Human Capital" which focuses on the evolving role of corporate social responsibility (CSR) in India and the role of human resources in CSR initiatives. Some of the key topics covered include inculcating a CSR culture within companies, engaging and aligning different generations like millennials with CSR programs, the need for strong leadership from the C-suite to ensure CSR goals are translated into meaningful actions and results, how building a diverse and socially conscious workforce can help embed CSR in a company's DNA, and integrating CSR within talent management strategies to create a richer career experience for employees. The issue also features interviews with heads of CSR and HR from companies like L'Oreal and Schneider
This presentations looks at different systems that are incorporated as part of the process of getting to work. Part of the 2015 Connected Learning MOOC
ABD Employer Branding Article published in Spiritz magazine November 2011 issueSanjeev Dixit
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Allied Blenders & Distillers Pvt Ltd (ABD), an Indian spirits company known for brands like Officer's Choice, has established itself as a top employer through various HR initiatives. ABD received recognition at the 2011 Asia's Best Employer Brand Awards for talent management and HR strategy aligned with business goals. This external recognition affirms ABD's efforts to build a progressive, people-oriented organization under Chief People Officer Sanjeev Dixit. Dixit has led initiatives such as training programs and an improved work culture that have reduced attrition and positioned ABD as an employer of choice.
This is an old Case Study that I used in class to illustrate how our healthcare system can improve the existing services to immigrants. The story is fictional, but imagine the answer to the questions.
Diagnostic excellence 03 16 year-old female with pelvicpainAMMY30
Â
This case involves a 16-year-old female, Kayla, who presented to the emergency department twice with severe pelvic pain. The first attending physician diagnosed her with pelvic inflammatory disease (PID) based on her symptoms and sexual history. However, her pain continued to worsen despite antibiotics. When consulted, the gynecology team discovered she actually had ovarian torsion requiring surgical removal of her ovary. This case highlights how diagnostic errors can occur from cognitive biases, lack of thorough history and exam, and failure to consider alternatives to the initial diagnosis. It is important for physicians to reflect on errors to improve care and prevent future mistakes.
This document contains summaries from a student's rotations in different areas of a hospital during a health academy program. In the first rotation in the laboratory, the student found it interesting to see things they never thought they would and found it both emotionally challenging and thrilling. In the cath lab, the first day was boring but the second day they got to watch an interesting procedure and found everyone friendly. In the MICU, the student found it intense and emotionally difficult to see patients suffering so much. Later rotations included the OR, which was less intense than expected but interesting to observe procedures, and the cardiac unit where the student learned a lot from their helpful nurse.
The author recounts experiencing severe anemia that led to her diagnosis of Wilson's disease at age 15. She describes being hospitalized multiple times and undergoing various tests while doctors struggled to determine the cause. Her mother provided constant love and support through the difficult period. After two weeks of misdiagnosed chemotherapy that caused hair loss, testing revealed the author had Wilson's disease, an inherited liver disorder. She was transferred to a specialized hospital and experienced periods of insomnia, hallucinations, and mental instability before eventually recovering and returning home with treatment.
This document is the June 2015 issue of the magazine "Human Capital" which focuses on the evolving role of corporate social responsibility (CSR) in India and the role of human resources in CSR initiatives. Some of the key topics covered include inculcating a CSR culture within companies, engaging and aligning different generations like millennials with CSR programs, the need for strong leadership from the C-suite to ensure CSR goals are translated into meaningful actions and results, how building a diverse and socially conscious workforce can help embed CSR in a company's DNA, and integrating CSR within talent management strategies to create a richer career experience for employees. The issue also features interviews with heads of CSR and HR from companies like L'Oreal and Schneider
This presentations looks at different systems that are incorporated as part of the process of getting to work. Part of the 2015 Connected Learning MOOC
ABD Employer Branding Article published in Spiritz magazine November 2011 issueSanjeev Dixit
Â
Allied Blenders & Distillers Pvt Ltd (ABD), an Indian spirits company known for brands like Officer's Choice, has established itself as a top employer through various HR initiatives. ABD received recognition at the 2011 Asia's Best Employer Brand Awards for talent management and HR strategy aligned with business goals. This external recognition affirms ABD's efforts to build a progressive, people-oriented organization under Chief People Officer Sanjeev Dixit. Dixit has led initiatives such as training programs and an improved work culture that have reduced attrition and positioned ABD as an employer of choice.
Nursing information helps you to collect history of patient which is helpfulYashaswiniV20
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1) Ms. Rogers, a 56-year-old woman, presented to the emergency department with chest pain. She described a week history of dull, aching chest pain that radiated to her neck and was exacerbated by exertion.
2) Her medical history included hypertension diagnosed 3 years ago, a total abdominal hysterectomy and bilateral oophorectomy 6 years ago, and a family history of premature coronary artery disease.
3) On examination, she had an elevated blood pressure, a systolic murmur, and crackles in her lung bases. The assessment was that her symptoms were suggestive of unstable angina due to coronary artery disease given her risk factors.
This document describes an interactive case scenario where the reader takes on the role of an F1 doctor on their first night on call. They receive a bleep about a postoperative patient, Mrs. M, whose condition is declining. When examining Mrs. M, the reader finds signs of urinary retention but gives intravenous fluids instead of addressing the blocked catheter. After further deterioration, the registrar calls to explain the correct diagnosis and treatment should have been to flush the catheter.
The document discusses how heart attack symptoms can present differently in women than in men. It shares a first-hand account of a woman experiencing a heart attack with symptoms of indigestion and squeezing sensations in her spine and jaws rather than the stereotypical chest pain. She realized she was having a heart attack and called paramedics, who got her to the hospital quickly where doctors opened blocked arteries with stents. The key messages are that women should not ignore new or unexplained symptoms, and to call paramedics immediately rather than trying to drive oneself to the emergency room if a heart attack is suspected.
Jagiellonian University Medical College's SSIG presentation on the basics of the acute abdomen (12.04.2018)
All content has been credited to their respectful owners.
Ben Ahrens discusses his experience with Lyme disease and recovery. He was bedbound for 3 years with severe neurological symptoms from Lyme disease. Through integrative treatment addressing infection, toxicity, and mindset, he was able to recover. He now works developing personalized medicine protocols. He is writing a book about how changing one's "setpoint" through techniques like visualization can positively impact health, strength, and other goals effortlessly by altering underlying mind-body mechanisms. An example is visualizing increased strength before workouts to recruit more muscle fibers.
Women’s warning signs of a heart attackLynette Crane
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The “Hollywood Heart Attack,” where the character, clutching his chest, slumps to the floor immediately, does sometimes happen. But many heart attacks do not mimic this model. In particular, women’s symptoms of heart attack may be very different from men’s in both quality and severity.
IMPACT Study - Voices from the Front Line 24 mar2020UCL TB
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The document discusses interviews conducted with TB patients and healthcare providers in the UK, who describe the challenges patients face in treatment including side effects, stigma, isolation, and personal issues, and how nurses aim to anticipate, empathize with, build relationships with, and adapt support for each patient to help them complete treatment.
IMPACT Study - Voices from the Front Line 24 mar2020UCL TB
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This document summarizes interviews conducted with tuberculosis (TB) patients and healthcare providers in the UK. It describes some of the challenges patients face, including long treatment durations, side effects of medications, stigma, isolation, feeling overwhelmed, and impacts on family plans. The IMPACT study aims to provide personalized support packages to help patients better adhere to TB treatment regimens compared to standard care, which focuses on risk assessments and monitoring but does not directly address issues like believing one has TB or medication side effects and stigma. Interviews highlight complex patient experiences with diagnosis, treatment challenges, social determinants of health, and quality of life impacts of having TB.
This document summarizes a 28-year-old Indonesian male patient who presented with abdominal pain, fever, and vomiting. On examination, he was found to have jaundice and tenderness in his right hypochondrium and epigastrium. Laboratory tests showed elevated liver enzymes and bilirubin. Ultrasound revealed gallbladder sludge and dilation of the bile ducts due to a large stone. ERCP confirmed choledocholithiasis with multiple stones in the common bile duct. The provisional diagnoses were ascending cholangitis and cholecystitis.
Mr. Ashley Brown, aged 55, had a myocardial infarction 4 days ago and has been medically managed in the hospital. He is being discharged and prescribed medications including aspirin, bisoprolol, simvastatin, clopidogrel, and ramipril. The doctor discusses lifestyle modifications with the patient, including stopping smoking and drinking, improving his diet, and engaging in regular physical exercise to help prevent future cardiac events. The doctor also addresses any concerns and offers support for smoking cessation.
Acute back pain is common and usually non-specific. It is important to thoroughly examine patients to rule out red flags indicating serious underlying causes. Non-specific back pain typically improves within two weeks with medications and staying active. Yellow flags like depression and fear of movement can slow recovery, so it is important to address psychosocial factors as well.
This document summarizes the author's experiences with various major health issues over a period of 10 years, including twice having heart operations, his wife's battle with and death from cancer, experiencing depression, having two strokes, and receiving a pacemaker. It provides background on his first heart operation at age 35, his wife's cancer diagnosis and treatment, her subsequent death, his struggles with depression, and receiving additional medical procedures like a second heart operation and pacemaker.
Case 2 describes a 53-year-old graphic designer with a hand tremor, stiffness, slowness, and sleep problems affecting her work. Her exam finds mild facial expression changes and a mild intention tremor. Her history includes loss of smell and irregular periods. Differential includes neurological causes
The letter describes the author's negative experiences with medical treatment that have left her disabled. She details being mistreated during childbirth and receiving epidural steroid injections for back pain that caused permanent damage, leaving her unable to care for herself. The author believes the injections were performed for profit without proper patient consent. She now suffers constant pain and loss of mobility due to adhesive arachnoiditis caused by the medical procedures. The letter calls for reform to prevent other patients from experiencing similar harm.
A 33-year-old overweight woman presented with palpitations, chest pain, and shortness of breath. Initial examinations and tests led doctors to consider diagnoses like pleurisy, anxiety, or anemia. However, further imaging revealed a pulmonary embolism from a hypercoagulable state caused by oral contraceptive pills. This case demonstrates that while symptoms may sometimes be functional, signs always require further investigation to identify an underlying cause, as the true diagnosis can be deceptive.
This document presents four cases of patients presenting with congestive heart failure (CHF) as a symptom and discusses the underlying causes in each case. The first case involves a woman from Moldova whose imaging shows dilated cardiomyopathy causing systolic dysfunction. The second case is a woman from China with diabetes who has diastolic dysfunction secondary to hypertrophic cardiomyopathy. The third case is a man from Canada whose CHF was caused by stunned myocardium from ischemic heart disease. The fourth case involves a man from India with critical aortic stenosis from a bicuspid aortic valve, illustrating valvular heart disease as a cause of CHF.
This document presents four cases of patients presenting with congestive heart failure (CHF) as a symptom and discusses the underlying causes in each case. The first case involves a woman from Moldova whose echocardiogram reveals dilated cardiomyopathy causing systolic dysfunction. The second case is a woman from China with diabetes who has diastolic dysfunction secondary to hypertrophic cardiomyopathy. The third case is a man from Canada whose CHF is caused by stunned myocardium from ischemic heart disease. The fourth case involves a man from India with critical aortic stenosis from a bicuspid aortic valve, illustrating valvular heart disease as a cause of CHF.
This document provides an overview of a health and fitness unit that includes vocabulary and grammar related to parts of the body, symptoms, diseases, and expressing how people feel physically. It introduces present simple tense to describe physical states and indefinite pronouns. Vocabulary covers body parts, common symptoms and diseases. Grammar focuses on asking how others feel, making suggestions, and using indefinite pronouns. Exercises practice this content through labeling diagrams, matching illnesses to symptoms, role plays between doctors and patients, and punctuation practice.
This document discusses the imperfect nature of medicine and doctors. It shares several stories from the author's family that highlight medical errors and missed diagnoses. The author's goal is to encourage patients to take an active role in their own healthcare and form a partnership with doctors. While medicine has advanced, doctors remain human and susceptible to mistakes. Patients should communicate openly with doctors and challenge them when appropriate to help maximize health outcomes.
"Enterocolitis necrosante neonatal"
16 de Febrero de 2016.
Hospital General de zona no. 24 del Instituto Mexicano del Seguro Social; Internado rotatorio de pregrado 2015-2016.
MIP Lupita Hernández Retureta
Nursing information helps you to collect history of patient which is helpfulYashaswiniV20
Â
1) Ms. Rogers, a 56-year-old woman, presented to the emergency department with chest pain. She described a week history of dull, aching chest pain that radiated to her neck and was exacerbated by exertion.
2) Her medical history included hypertension diagnosed 3 years ago, a total abdominal hysterectomy and bilateral oophorectomy 6 years ago, and a family history of premature coronary artery disease.
3) On examination, she had an elevated blood pressure, a systolic murmur, and crackles in her lung bases. The assessment was that her symptoms were suggestive of unstable angina due to coronary artery disease given her risk factors.
This document describes an interactive case scenario where the reader takes on the role of an F1 doctor on their first night on call. They receive a bleep about a postoperative patient, Mrs. M, whose condition is declining. When examining Mrs. M, the reader finds signs of urinary retention but gives intravenous fluids instead of addressing the blocked catheter. After further deterioration, the registrar calls to explain the correct diagnosis and treatment should have been to flush the catheter.
The document discusses how heart attack symptoms can present differently in women than in men. It shares a first-hand account of a woman experiencing a heart attack with symptoms of indigestion and squeezing sensations in her spine and jaws rather than the stereotypical chest pain. She realized she was having a heart attack and called paramedics, who got her to the hospital quickly where doctors opened blocked arteries with stents. The key messages are that women should not ignore new or unexplained symptoms, and to call paramedics immediately rather than trying to drive oneself to the emergency room if a heart attack is suspected.
Jagiellonian University Medical College's SSIG presentation on the basics of the acute abdomen (12.04.2018)
All content has been credited to their respectful owners.
Ben Ahrens discusses his experience with Lyme disease and recovery. He was bedbound for 3 years with severe neurological symptoms from Lyme disease. Through integrative treatment addressing infection, toxicity, and mindset, he was able to recover. He now works developing personalized medicine protocols. He is writing a book about how changing one's "setpoint" through techniques like visualization can positively impact health, strength, and other goals effortlessly by altering underlying mind-body mechanisms. An example is visualizing increased strength before workouts to recruit more muscle fibers.
Women’s warning signs of a heart attackLynette Crane
Â
The “Hollywood Heart Attack,” where the character, clutching his chest, slumps to the floor immediately, does sometimes happen. But many heart attacks do not mimic this model. In particular, women’s symptoms of heart attack may be very different from men’s in both quality and severity.
IMPACT Study - Voices from the Front Line 24 mar2020UCL TB
Â
The document discusses interviews conducted with TB patients and healthcare providers in the UK, who describe the challenges patients face in treatment including side effects, stigma, isolation, and personal issues, and how nurses aim to anticipate, empathize with, build relationships with, and adapt support for each patient to help them complete treatment.
IMPACT Study - Voices from the Front Line 24 mar2020UCL TB
Â
This document summarizes interviews conducted with tuberculosis (TB) patients and healthcare providers in the UK. It describes some of the challenges patients face, including long treatment durations, side effects of medications, stigma, isolation, feeling overwhelmed, and impacts on family plans. The IMPACT study aims to provide personalized support packages to help patients better adhere to TB treatment regimens compared to standard care, which focuses on risk assessments and monitoring but does not directly address issues like believing one has TB or medication side effects and stigma. Interviews highlight complex patient experiences with diagnosis, treatment challenges, social determinants of health, and quality of life impacts of having TB.
This document summarizes a 28-year-old Indonesian male patient who presented with abdominal pain, fever, and vomiting. On examination, he was found to have jaundice and tenderness in his right hypochondrium and epigastrium. Laboratory tests showed elevated liver enzymes and bilirubin. Ultrasound revealed gallbladder sludge and dilation of the bile ducts due to a large stone. ERCP confirmed choledocholithiasis with multiple stones in the common bile duct. The provisional diagnoses were ascending cholangitis and cholecystitis.
Mr. Ashley Brown, aged 55, had a myocardial infarction 4 days ago and has been medically managed in the hospital. He is being discharged and prescribed medications including aspirin, bisoprolol, simvastatin, clopidogrel, and ramipril. The doctor discusses lifestyle modifications with the patient, including stopping smoking and drinking, improving his diet, and engaging in regular physical exercise to help prevent future cardiac events. The doctor also addresses any concerns and offers support for smoking cessation.
Acute back pain is common and usually non-specific. It is important to thoroughly examine patients to rule out red flags indicating serious underlying causes. Non-specific back pain typically improves within two weeks with medications and staying active. Yellow flags like depression and fear of movement can slow recovery, so it is important to address psychosocial factors as well.
This document summarizes the author's experiences with various major health issues over a period of 10 years, including twice having heart operations, his wife's battle with and death from cancer, experiencing depression, having two strokes, and receiving a pacemaker. It provides background on his first heart operation at age 35, his wife's cancer diagnosis and treatment, her subsequent death, his struggles with depression, and receiving additional medical procedures like a second heart operation and pacemaker.
Case 2 describes a 53-year-old graphic designer with a hand tremor, stiffness, slowness, and sleep problems affecting her work. Her exam finds mild facial expression changes and a mild intention tremor. Her history includes loss of smell and irregular periods. Differential includes neurological causes
The letter describes the author's negative experiences with medical treatment that have left her disabled. She details being mistreated during childbirth and receiving epidural steroid injections for back pain that caused permanent damage, leaving her unable to care for herself. The author believes the injections were performed for profit without proper patient consent. She now suffers constant pain and loss of mobility due to adhesive arachnoiditis caused by the medical procedures. The letter calls for reform to prevent other patients from experiencing similar harm.
A 33-year-old overweight woman presented with palpitations, chest pain, and shortness of breath. Initial examinations and tests led doctors to consider diagnoses like pleurisy, anxiety, or anemia. However, further imaging revealed a pulmonary embolism from a hypercoagulable state caused by oral contraceptive pills. This case demonstrates that while symptoms may sometimes be functional, signs always require further investigation to identify an underlying cause, as the true diagnosis can be deceptive.
This document presents four cases of patients presenting with congestive heart failure (CHF) as a symptom and discusses the underlying causes in each case. The first case involves a woman from Moldova whose imaging shows dilated cardiomyopathy causing systolic dysfunction. The second case is a woman from China with diabetes who has diastolic dysfunction secondary to hypertrophic cardiomyopathy. The third case is a man from Canada whose CHF was caused by stunned myocardium from ischemic heart disease. The fourth case involves a man from India with critical aortic stenosis from a bicuspid aortic valve, illustrating valvular heart disease as a cause of CHF.
This document presents four cases of patients presenting with congestive heart failure (CHF) as a symptom and discusses the underlying causes in each case. The first case involves a woman from Moldova whose echocardiogram reveals dilated cardiomyopathy causing systolic dysfunction. The second case is a woman from China with diabetes who has diastolic dysfunction secondary to hypertrophic cardiomyopathy. The third case is a man from Canada whose CHF is caused by stunned myocardium from ischemic heart disease. The fourth case involves a man from India with critical aortic stenosis from a bicuspid aortic valve, illustrating valvular heart disease as a cause of CHF.
This document provides an overview of a health and fitness unit that includes vocabulary and grammar related to parts of the body, symptoms, diseases, and expressing how people feel physically. It introduces present simple tense to describe physical states and indefinite pronouns. Vocabulary covers body parts, common symptoms and diseases. Grammar focuses on asking how others feel, making suggestions, and using indefinite pronouns. Exercises practice this content through labeling diagrams, matching illnesses to symptoms, role plays between doctors and patients, and punctuation practice.
This document discusses the imperfect nature of medicine and doctors. It shares several stories from the author's family that highlight medical errors and missed diagnoses. The author's goal is to encourage patients to take an active role in their own healthcare and form a partnership with doctors. While medicine has advanced, doctors remain human and susceptible to mistakes. Patients should communicate openly with doctors and challenge them when appropriate to help maximize health outcomes.
"Enterocolitis necrosante neonatal"
16 de Febrero de 2016.
Hospital General de zona no. 24 del Instituto Mexicano del Seguro Social; Internado rotatorio de pregrado 2015-2016.
MIP Lupita Hernández Retureta
Carbohidratos: Digestión, absorción y utilización.MIP Lupita ♥
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Este documento describe la estructura, funciĂłn y metabolismo de los carbohidratos. Explica que los carbohidratos proporcionan energĂa estructural a los organismos vivos y clasifica los carbohidratos en monosacáridos, disacáridos, oligosacáridos y polisacáridos. Detalla los procesos de digestiĂłn, absorciĂłn, almacenamiento y utilizaciĂłn de los carbohidratos, incluidos los roles de la amilasa salival, amilasa pancreática, maltasa, glucosa y glucĂłgeno.
Bach flower remedies are dilutions of flower material developed in the 1930s by Edward Bach who believed flower dew retained healing properties. The remedies are intended primarily for emotional and spiritual conditions like depression, anxiety, insomnia and stress. They contain a very small amount of flower material diluted in a 50:50 solution of brandy and water, making them extremely diluted without scent or taste of the plant but claimed to contain the flower's "energetic" nature transmitted to the user.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
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A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
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Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
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• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
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Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
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He’s feeling a little better than he did this morning.
What happened this morning?
To start at the beggining, he was going to his car
All of a sudden he got a terrible pain in his chest
It went down his left arm.
After that he broke into a cold sweat.
He became real nauseated.
He had to lean against the car.
He felt he might faint an minute.
His wife saw this and came outside immediately.
4. ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
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He told her what happened.
She went inside and called the family doctor.
The doctor sent an ambulance over for him.
The doctor met him in the emergency room.
Did the pain feel as though there was something
heavy pressing on his chest?
Did the pain last for the entire period of time?
Does he recall being short of breath?
He honestly can’t remember.
Has he ever had this happened before?
5. Intern: Hello, Mr. Scott. I’m
Dr. English.
Patient: Hello, Dr. English.
Intern: How are you feeling
now?
Patient: Well, I’m feling a
little better than I did this
morning
Intern: What happened this
morning?
6. Patient: Well, to start at the
beginning, I was going to my car,
when all of a sudden I got a
terrible pain in my chest, which
went down my left arm. After that
I broke into a cold sweat and
became real nauseated. I had to
lean against the car, because I felt
I might faint any minute. My wife
saw this and came outside
immediately. I told her what
happened. She then went inside
and called our family doctor. He
sent an ambulance over for me
and met me in the emergency
room and, well… here I am.
7. I: Did the pain feel as though there was something
heavy pressing on your chest?
P: Yes, it did.
I: Did the pain last for the entire period of time before
you came to the hospital and were treated by
yourprivate physician?
P: Yes, it did.
I: Do you recall being short of breath?
P: I honestly can’t remember.
I: Have you ever had this happen before?
P: No.
8. ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
Has he ever had any heart trouble?
Did he ever have rheumatic fever as a child?
Did he ever had scarlet fever?
I have his previous history here.
He’s never been short of breath on exertion.
He’s slept on one pillow all of his life.
He’s never had swelling of the ankles.
He’s never had toget up during the night to pass his
water.
Is all that correct?
9. ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
ď‚—
Has he noiced any of these symptoms recently?
Has he ever had any chest pain before?
This is the first time.
Is there any history of heart disease in his family.
His father died of a heart attack.
So did his uncle.
He says he felt light-headed. Is that right?
He didn’t actually experience unconsciouness?
I’ll be back in a few minutes, and we’ll esamine him
then.
10. I: Have you ever had any heart trouble that you know
about?
P: None.
I: Did you ever had a rheumatic ot scarlet fever as a
child?
P: No.
I: I see here in your previous history that you’ve never
been short of breath on exertion, have slept on one
pillow all of your life, never had swelling of the
ankles, nor had to get up during the night to pass you
water. Is that all correct?
P: Yes.
11. I: Have you noteced any of these symptoms recently?
P: No, I haven’t.
I: Have you ever had any chest pain before?
P: No, this is the first time
I: Is there any history of heart disease in your family?
P: Yes, my father died of a heart attack, and so did my
uncle.
I: You said you felt light-headed. Is that right?
P: Yes, it is.
I: The you didn’t actually experienced unconsciousness?
P: That’s correct.
I: I’ll be back in a few minutes, and we’ll examine you
then.
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The patient is doing just fine, considering what he
had.
What do you think he had?
A myocardial infarction.
I have to agree with that.
Why don’t we go to the lounge and discuss the
problem?
Then we can come back and see him again.
What did you find on the physical exam?
There really wasn’t anything remarkable.
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Does that surprise you?
What conditionswould you think of in ruling out an MI?
I would think of pulmonary embolus and cardiac
neurosis.
I would think of dissecting aneurysm and acute
pericarditis.
I would also consider hiatal hernia.
He wasn’t in shock when I saw him.
Nor was there any evidence that he was going into
acutepulmonary edema.
Would you expectto see fever at the onsetof his
condition?
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It’s usually absent at the onset.
This is in contrast to acute pericarditis.
It usually will risewithing 24 hours and remain about
a week.
16. Physician: Hello, Dr. English. How’s Mr. Scott doing?
I: Just fine, considering what he had.
Ph: What do you think he had?
I: A myocardical infarction.
Ph: I have to agree with that. Why don’t we go to the
lounge and discuss the problem? Then we can come
back and see Mr. Scott again.
I: Fine.
Ph: What did you find in the physical exam?
I: There really wasn’t anything remarkable.
Ph: Does that surprise you?
I: No, not really.
17. Ph: What conditions would you think of in ruling out an
MI?
I: Pulmonary embolus, cardiac neurosis, dissecting
aneurysm, and acute pericarditis.
Ph: That’s quite good. I would also consider hiatal
hernia. He wasn’t in shock when I saw him, nor was
there any evidence that he was going into acute
pulmonary edema. Would you expecto to see fever at
the onset of this condition?
I: Yes, I would.
Ph: It’s usually absent at the onset, in contrast to acute
pericarditis. It usually will rise within 24 hours and
remain about a week.
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Have an y of his lab studies come back?
Yes, they’re over here.
Well, his white count is normal.
This will probably go up tomorrow.
It will probably stay up for about a week.
Willyou please order another one for tomorrow?
What would you expect the sed rate to show?
That also goes up about the second day
It will remain elevated for more than a week.
Which one of these will reamin elevated longer?
Has the cardiogram come up to the floor?
Has it come up with the rest of his chart?
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These waves look abnormal.
His rate and rythm appear to be all right.
What complications will you be looking for?
What will you look for during his recovery period?
I’ll look for congestive heart failure.
I’ll look for pulmonary embolus.
This would be secondry to phlebitis of the leg.
I’ll look for arrhytmias and cerebrovascular accident.
I’ll look for rupture of the heart and shock.
What are the most common arrhytmias during this
period?
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Ventricular premature beats are the most common.
Arterial fibrillation and prolonged A-V conduction
are next.
Let’s see him for a few minutes now.
21. Physician: Have any of his lab students come back?
Intern: Yes, they’re over there.
Ph: Well, his white count is normal. This will probably go
up tomorrow and stay up for about a week. Will you
please order another one for tomorrow? What would
you expect to sed rate to show?
I: That also goes up about the second and will remain
elevated for more than a week.
Ph: I see his SGOT is elevated, and so is the LDH. Which
one of these will remain elevated longer?
I: The LDH.
Ph: Has the cardiogram come up to the floor with the
rest of his chart.
I: Yes it has. Here it is.
22. Ph: Here is elevation of the ST segment and T-wave. And
these waves look abnormal. His rate and rythm appear
to be all rigth. What complications will you be looking
for during his recovery period?
I: Congestive heart failure; pulmonary embolus,
secondary to phlebits or the leg; arrhytmias;
cerebrovascular accident; rupture of the heart; and
shock.
Ph: What are the most common arrhytmias during this
period?
I: Ventricular premature beats are the most common.
Atrial fibrilation and prolonged A-V conductions are
next.
Ph: Let’s see him for a few minutes now.
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He’s a little better than this morning.
Has the chest pain decreased a little?
Does he feel short of breath at all?
Do his legs hurts?
Lut’s unbutton his shirt for a minute.
I want to listen to his heart.
He should just lie still and let me do all the work
Has his wife been into seehim yet.
She’ll be here in about an hour.
The doctor will be here, if he should feel any shortness of
breath.
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The doctor will be here, if he has a difficulty lying on
one pillow.
Let the nurse know and she’ll tell the doctor about
this.
Remember, it’s very important.
Thank you for stopping by.
I’ll see him tomorrow afternoon.
Please, let me know if anything happens.
He might go into failure, and you might not be able
to get me.
If so, start treatment right away.
26. Ph: Mr. Scott, how are you?
P: A little better than this morning?
Ph: Has the chest pain decreased a little?
P:Yes, it has.
Ph: Do you feel short of breath at all?
P: No.
Ph: Do your legs hurt when i do this?
P: No, they don’t.
Ph: Let’s unbutton your shirt for a minute so I can listen to your
heart… That’s fine. You just lie still and let me do all the work…
Now take up a few deep breath… Fine… Has your wife been in to
see you yet?
P: She’ll be here in about an hour.
Ph: Fine. Dr. English will be here if you should feel any shortness of
breath or have difficulty lying on one pillow. Let the nurse know
and she’ll tell Dr. English aboutthis. Remember, it’s very
important.
P: I will certainly will, Doctor. Thank you for stoppping by.
27.
28. Physician: Dr. English, please let me know if anything
happens.
Intern: I certainly will.
Physician: If he should go into failure and you can´t get
me, start treatment right away. See you tomorrow.
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Sorry to wake you up.
The patient has been very restless.
He has great difficulty in catching his breath.
He’s sitting up in bed now.
Get the following things ready.
Get an oxygen mask and 2cc. Mercuhydrin.
Get 0.4 mg Cedilanid and a phlebotomy bottle.
Get 500 mg of Aminophylline.
Also see if you can get an ECG machine.
We’ll have all those ready when you get here.
I understand he’s having some difficulty.
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It was about an hour or so after he lay down.
He has to sit up to catch his breath.
He hasn’t been able to catch it at all.
Just let me examine him for a few minutes.
Have the bed propped up.
I want the patient to sit upright.
Put tourniquets on three extremities.
Rotate them every fifteen minutes.
Start the oxygen.
Let me have the Cedilanid and the Mercuhydrin.
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This will make him feel more comfortable.
We have the doctor on the phone.
Do you want to talk to him now?
I’m sure the nurse told you what has happpened.
The patient has distention of his neck veins.
He has persistant basilar rales.
He has a gallop rythm.
His liver is down one finger breadth.
There is some slight sacral edema.
He’s not into shock presently.
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Wht have you done for him?
We’re using oxygen by face mask and rotating
tourniquets.
We’re using Mercuhydrin 2cc. IM Cedilanid 2cc. IV
The patient is in the upright position.
I have a phlebotomy bottle here as well as
aminophylline.
Thanks for calling, and I’ll be right down.
34. ď‚— Nurse: Dr. English, sorry to wake you up, but Mr. Scott
has been very restless. He has great difficulty in
catching his breath, and he´s sitting up in bed now.
 Intern: All right, I´ll be right down. Get the following
things ready: oxygen mask, 2 cc. Mercuhydrin, 0.4 mg.
Cecilanid, a phlebotomy bottle, and 500 mg. Of
Aminophylline. Also, see if you can get an ECG
machine. And call Dr. Black.
 Nurse: All right, Doctor. We´ll have those ready when
you get there.
35.
36.  Intern: Hello, Mr. Scott. I understand you´re having
some difficulty.
ď‚— Patient: Yes. About an hour or so after I lay down, I
had to sit up to catch my breath, and I haven´t been
able to catch it at all.
 I: Just let me examine you for a few minutes… Nurse,
have the bed propped up. Iwant the patient to sit
upright. Put tourniquets on three extremities and
rotate them every fifteen minutes. Start the oxygen and
let me have the Cedilanid and Mercuhydrin… This will
make you feel more comfortable, Mr. Scott.
ď‚— Nurse: We have Dr. Black on the phone, Dr. English.
Do you want to talk to him now?
37. Intern: Yes, I’ll be right there… Hello, Dr. Black. I’m sure
the nurse told you what has happened.
Attending: Yes, she did.
I: Mr. Scott has distention of his neck veins, persistent
basilar rales, and a gallop rythm. His liver is down one
finger’s breadth, and there is some slight sacral edema.
He’s not in the shock presently.
A: What have you done for him?
I: Oxygen by face mask, rotating tourniquets,
Mercuhydrin 2 cc. IM, and Cedilanid 2cc. IV. The
patient is in the uprigth position. I have a phlebotomy
bottle here as well as Aminophylline.
A: Fine. Thanks for calling, and I’ll be right down.