Assesmen 3 dan 4 cika gita.pptx
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The patient has paraparesis in both legs due to suspected metastasis of bone cancer or infection in the thoracic vertebrae T5, T7. A physical examination found reduced motor function and hipoesthesia in the right extremities from T8 down. Imaging showed multiple lytic and blastic lesions in the thoracic vertebrae T1-T8 suggestive of metastatic disease. A biopsy was recommended to confirm the diagnosis. The patient also has moderate protein-energy malnutrition and was prescribed a soft food diet of 500 calories plus nutritional supplements to increase calorie intake and address nutrient deficiencies.
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This document discusses various metabolic bone diseases including:
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This document summarizes the medical history and workup of a 91-year-old Chinese female patient. She has a history of diabetes, hypertension, hyperlipidemia, tuberculosis of the kidneys, gastrointestinal bleeding, and fractures. She presented with fever, cough, and renal dysfunction. Testing showed anemia, elevated creatinine and beta-2 microglobulin. Bone marrow and urine tests were performed to evaluate for multiple myeloma versus post-tuberculosis renal disease. The results were more consistent with monoclonal gammopathy of undetermined significance rather than multiple myeloma.
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*Notify surgeon/Reg n/a n/a n/a
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n/a n/a n/a
2400 n/a n/a
2400 n/a n/a
n/a n/a
(circle) Top/Bottom/Partial denture n/a n/a n/a n/a
n/a n/a n/a n/a
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UR NUMBER 075486
Chelsea Bassett
Joelle Latham
Lisa Leanard
P
E
R
I-O
P
E
R
A
T
IV
E
C
H
E
C
K
L
IS
T
M
R
7
1
A
Chelsea bassett
Joelle Latham
Lisa Leonard
Signature:
Signature:
Signature:
Post- Operative check performed by:
Xray/Scans:
Patient reception check performed by:
Given and signed
Given and signed
Pre-Operative check performed by:
Medical Certificate
Follow up Appointments
Observations Checked
Discharge SummaryGraduated compression stockings insitu
(Circle) N/A / with Patient / With Doctor
VTE Prevention Anticoagulant
Investigations: FBC updated
Check/Wound/Drain tube
POST OP ONLY
Epidural Test Dose
Post Op Orders
Glasses
Hearing aids
Posthetic devices
Pacemaker insitu:
Seen by technician
Pre Op Prep: Skin Prep (Betadine)
Bariatric: (>120kg) - Notify Theatre
(obtain Hover mat prior to transfer to OT)
Cytotoxic Drugs Within 48 hours
Weight Recorded:
Anaes. Record
Fasting time: Food
Fluid(Document time)
Own teeth:
Pre-medication Ordered
Ordered
IV Therapy IV bung flushed
IV orders written
Clip
Bowel Prep
Identification Labels: Min of 20
Infectious State: Please state:
Theatre notified
History: (circle) Old New
Jewellery: (circle) Taped / Removed
Make-up/Nail Polish: Removed
Underwear: (circle) Disposable / Own
Female Sanitary Products:
NB:Please remove tampons Pad in situ
Personal items with patient:
Contact lenses
Procedure on consent form corresponds with
Theatre List
* Do not allow pt to leave holding bay
Side and site of surgery:
Not Marked
Allergies:
Wrist band
Patient Identifcation (check against
Notify surgeon/registrar Not completed
Consent form:
Admission form: Wrist band
Leg band
Patient/rep signature
Doctors signature
Comments: (e.g. Alerts, manual handling issues, Infections, Bariatric skin integ.)
PRE AND POST OPERATIVE CHECKLIST YES P NO O Not Applicable N/A
5/03/2018
DOCTOR John Smith
DATE OF BIRTH
ROBERTS
Darren
25 Happy Street
CAIRNS 4860
23/11/1968
SURNAME
FIRST NAME
ADDRESS
SIMULATED HOSPITAL
Name ROBERTS, Darren Lab ID
UR 075486 Request Date 04/03/2018
Age/Sex 50 years, Male Reported Date 05/03/2018
Test Normal Range Result
Na+ mmol/L 139
K+ mmol/L 4.5
CL- mmol/L 100
Bicarb mmol/L 25
Urea mmol/L 3.5
Creatinine mmol/L 65
Glucose mmol/L 5
Ca++ mmol/L 2.5
Mg++ mmol/L 0.78
CRP mg/L 0.2
Serum Fe µmmol/L 20
Transferrin µmmol/L 45
21- 29
3.0 - 8.0
14 - 32
40 - 260
0 - 5
Laboratory Report
2100045678
Biochemistry Results
2.25 - 2.65
.
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Surgical diseases of the parathyroid gland
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Date PRE POST PRE POST
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n/a n/a
n/a n/a
n/a
n/a n/a
Marked
*Notify surgeon/Reg n/a n/a n/a
n/a n/a
n/a n/a n/a
n/a n/a n/a
2400 n/a n/a
2400 n/a n/a
n/a n/a
(circle) Top/Bottom/Partial denture n/a n/a n/a n/a
n/a n/a n/a n/a
n/a n/a
Pre-Operative Antibiotics: n/a n/a
n/a n/a n/a n/a
n/a
Bloods n/a
ECG n/a
n/a
n/a n/a
n/a
UR NUMBER 075486
Chelsea Bassett
Joelle Latham
Lisa Leanard
P
E
R
I-O
P
E
R
A
T
IV
E
C
H
E
C
K
L
IS
T
M
R
7
1
A
Chelsea bassett
Joelle Latham
Lisa Leonard
Signature:
Signature:
Signature:
Post- Operative check performed by:
Xray/Scans:
Patient reception check performed by:
Given and signed
Given and signed
Pre-Operative check performed by:
Medical Certificate
Follow up Appointments
Observations Checked
Discharge SummaryGraduated compression stockings insitu
(Circle) N/A / with Patient / With Doctor
VTE Prevention Anticoagulant
Investigations: FBC updated
Check/Wound/Drain tube
POST OP ONLY
Epidural Test Dose
Post Op Orders
Glasses
Hearing aids
Posthetic devices
Pacemaker insitu:
Seen by technician
Pre Op Prep: Skin Prep (Betadine)
Bariatric: (>120kg) - Notify Theatre
(obtain Hover mat prior to transfer to OT)
Cytotoxic Drugs Within 48 hours
Weight Recorded:
Anaes. Record
Fasting time: Food
Fluid(Document time)
Own teeth:
Pre-medication Ordered
Ordered
IV Therapy IV bung flushed
IV orders written
Clip
Bowel Prep
Identification Labels: Min of 20
Infectious State: Please state:
Theatre notified
History: (circle) Old New
Jewellery: (circle) Taped / Removed
Make-up/Nail Polish: Removed
Underwear: (circle) Disposable / Own
Female Sanitary Products:
NB:Please remove tampons Pad in situ
Personal items with patient:
Contact lenses
Procedure on consent form corresponds with
Theatre List
* Do not allow pt to leave holding bay
Side and site of surgery:
Not Marked
Allergies:
Wrist band
Patient Identifcation (check against
Notify surgeon/registrar Not completed
Consent form:
Admission form: Wrist band
Leg band
Patient/rep signature
Doctors signature
Comments: (e.g. Alerts, manual handling issues, Infections, Bariatric skin integ.)
PRE AND POST OPERATIVE CHECKLIST YES P NO O Not Applicable N/A
5/03/2018
DOCTOR John Smith
DATE OF BIRTH
ROBERTS
Darren
25 Happy Street
CAIRNS 4860
23/11/1968
SURNAME
FIRST NAME
ADDRESS
SIMULATED HOSPITAL
Name ROBERTS, Darren Lab ID
UR 075486 Request Date 04/03/2018
Age/Sex 50 years, Male Reported Date 05/03/2018
Test Normal Range Result
Na+ mmol/L 139
K+ mmol/L 4.5
CL- mmol/L 100
Bicarb mmol/L 25
Urea mmol/L 3.5
Creatinine mmol/L 65
Glucose mmol/L 5
Ca++ mmol/L 2.5
Mg++ mmol/L 0.78
CRP mg/L 0.2
Serum Fe µmmol/L 20
Transferrin µmmol/L 45
21- 29
3.0 - 8.0
14 - 32
40 - 260
0 - 5
Laboratory Report
2100045678
Biochemistry Results
2.25 - 2.65
.
Gouty Athritis , Cause of painful joints ,pseudo gout
This document describes the case of a 41-year-old male presenting with bilateral knee swelling and pain for 10 days. His medical history includes a similar illness 7-8 years ago and a history of heavy alcohol consumption. On examination, he has flushed face, icteric eyes, and tender, swollen knees bilaterally. Laboratory tests show elevated uric acid, liver enzymes, and inflammatory markers. X-rays and microscopy confirm chronic tophaceous gout with an acute gout flare. He is treated with anti-inflammatory medications, urate-lowering therapy, and supportive care, and discharged after 8 days with resolution of symptoms.
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Osteoporosis%203rd%20yr[1]
Osteoporosis is a systemic skeletal disease characterized by low bone mass and deterioration of bone tissue, leading to increased bone fragility and risk of fractures. It is most commonly seen in elderly women. Bone mineral density testing is used to diagnose osteoporosis, with scores more than 2.5 standard deviations below normal indicating the disease. Treatment options include calcium, vitamin D, exercise, bisphosphonates, calcitonin, parathyroid hormone, and selective estrogen receptor modulators.
A kliewer journal_club_anemia
This study investigated the prevalence of anemia and nutrient deficiencies in the first year after laparoscopic gastric bypass surgery in 377 patients. The results found that 25% of patients developed anemia, with 33% having iron deficiency, 15% with folate deficiency, and 50% with vitamin B12 deficiency. Overall, 63% of patients were diagnosed with at least one of these deficiencies. Female patients and those with a prior gastric band had higher rates of deficiencies. The study recommends increased supplementation of iron, folate, and B12 after surgery to prevent deficiencies and anemia.
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1) Pathologic fractures occur in abnormal bone that has been weakened, often by conditions like cancer or osteoporosis, and these fractures can occur during normal activity or minor trauma.
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Management of osteoporosis final
Osteoporosis is a systemic skeletal disease characterized by low bone mass and deterioration of bone tissue, leading to increased bone fragility and susceptibility to fractures of the hip, spine, and other bones. It is a major health problem due to consequences like pain, disability, and even death. Diagnosis involves bone mineral density tests like DEXA scans, and management focuses on lifestyle changes and medications to reduce fracture risk such as bisphosphonates, calcitonin, PTH, and SERMs. Effective prevention and treatment can help improve quality of life for those affected by osteoporosis.
Onion decreases the ovariectomy-induced osteopenia in young adult rats
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metabolicbonedisease-150401111940-conversion-gate01-converted.pptx
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𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
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A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
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Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
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His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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Event Link:- https://meetups.mulesoft.com/events/details/mulesoft-mysore-presents-mule-event-processing-models/
Agenda
● What is event processing in MuleSoft?
● Types of event processing models in Mule 4
● Distinction between the reactive, parallel, blocking & non-blocking processing
For Upcoming Meetups Join Mysore Meetup Group - https://meetups.mulesoft.com/mysore/YouTube:- youtube.com/@mulesoftmysore
Mysore WhatsApp group:- https://chat.whatsapp.com/EhqtHtCC75vCAX7gaO842N
Speaker:-
Shivani Yasaswi - https://www.linkedin.com/in/shivaniyasaswi/
Organizers:-
Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Giridhar Meka - https://www.linkedin.com/in/giridharmeka
Priya Shaw - https://www.linkedin.com/in/priya-shaw
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- 2. No Assessment Planning Diagnosis Therapy Monitoring 4. Paraparese due to destruction vertebra thoracal V,VII due to suspect metastasis bone disease dd infection proses S : 0: Motoric R L L2 0/5 0/5 L3 0/5 0/5 L4 0/5 2/5 L5 0/5 0/5 S1 0/5 0/5 Sensoriy: hipoestesi on the right extremities as high as 8th thoracal and below. Photo of pelvic AP 26/6/2023 - Multiple lesi litic and blastic at CV Th1-T8 suspect methastatic - Examine biopsy from orthopedic divisiob - According to orthopedic division Monitoring vital and clinical sign 5 Moderate Protein energy malnutrition O : According to nutritionist division Standard soft food 500kcal ONS Peptiso 300kcal (3x100 kcal) Extra white egg 75kcal EVOO 240 kcal Zink 40mg/24 ho/oral Vit.Bcomp 2 tab/8ho/oral Curcuma 400 mg/8 ho/ oral Check Natrium post correction
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- Assesmen efusi pleura (1) tb paru (2) Tambah CAP (3) + massa paru kanan(4)