Patient B Was Rushed To Northern Mindanao Medical Center Emergency Due To Chest Tightness

Nursing Health History A. Biological Data Patient B was a 46 years old Filipino, female, was born on November 07, 1966 and residing at Lapasan, Cagayan de Oro City. Her religion is Roman Catholic. She is married and living with her family and has three children. She was admitted for the first at Northern Mindanao Medical Center under doctor Flores as her admitting physician with the diagnosis of chronic kidney disease stage 5 secondary to diabetes mellitus, nepropathy. B. Chief Complaint Patient B was rushed to Northern Mindanao Medical Center Emergency due to chest tightness. C. History of Present Illness Three months prior on admission, patient experienced onset of bipedal edema with easy fatigability and early signs of periorbital edema. A month before admission, there was progression of edema on the thighs and signs of right eye blurring of vision. On the third week prior to admission, patient experienced exertional dyspnea and blurring of vision on the left eye. Patient sought consultation at City Hospital and was given Furosemide. D. Past Health History Patient had no past health history since it was her first time to be admitted in Northern Mindanao Medical Center. E. Functional Health Pattern Upon assessment, patient was in pain, restless and complained of loss of vision. Patient had non pitting bipedal edema, dyspnea even at rest. Because of this, patient had been irritable during assessment gave us small informations about her. She was a non drug user and non alcoholic drinker. Patient b has a history of hypertension and diabetes mellitus on maternal side. F. Nutritional and Metabolic Pattern Patient B’s usual daily food intake before admission was 2 cups of rice and viand with a fluid intake of 3-5 glass of water a total of 720 mL every day. Upon admission, patient B was ordered…

Please ENROL FOR FREE or LOGIN to The Website to View The Entire Essay or Term Paper.
LOGIN ENROL FOR FREE

Patient Was Apparently Well One Week Ago When He Had Episodes Of Seizure At Home Following With Vomiting

  BIODATA OF PATIENT:- NAME- PAUL RAHI AGE- 34 YEARS SEX- MALE UNIT NO.- C- 7385124 WARD- 16 EDUCATION- GRADUATION OCCUPATION- LAB TECHNICIAN MARIETAL STATUS- MARRIED RELIGION- CHRISTIAN DIAGNOSIS- ALCOHOL DEPENDENCE DATE OF ADMISSION- 11-6-12 DOCTOR INCHARGE- DR. SANDEEP GOYAL CHIEF COMPLAINTS:- 34yr. Old Paul Rahi brought to hospital with chief complaints of:- EPISODES OF SEIZURES since one day PALPITATION since one day RETROSTERNAL PAIN since 6days UNEASINESS since 1 week MULTIPLE EPISODES OF VOMITING since one day TREMORS since 2 weeks PRESENT HISTORY:- patient was apparently well one week ago when he had episodes of seizure at home following with vomiting. The patient was brought to casuality. Patient was admitted in ward 23 then was transferred to ward 11 and then was reffered to psychiatric ward. PAST HISTORY:- MEDICAL HISTORY:- No significant past medical history of DM, HTN, TB etc. SURGICAL HISTORY:- No significant history of accident and trauma in past PSYCHIATRY HISTORY:- Patient was drinking alcohol since 10yrs but start taking more since 1 yr approx 1 bottle daily start from morning. Then patient was taken to deaddiction centre mundian in 2009 and patient had abstinence of alcohol till 2011. Then due to family problems he again started taking alcohol. FAMILY HISTORY:- FAMILY TREE-     FATHER:- Mr. J. A. Rahi, 76 years old, retired employee of CMC blood bank, h/o asthma, hypertension; no h/o of any psychiatric illness; shares good bonding with the patient. MOTHER:- Mother died at the age of 52 years, in 2003, after 2-3 months of elder son’s death; there was no h/o any psychiatric illness. She was close to the patient. Sister:- Rubina; 45 years old, graduate worked as teacher at Wylie school; no h/o any medical or psychiatric illness, good bonding with the patient. Brother:- Bobby Rahi; 34 years at the time…

Please ENROL FOR FREE or LOGIN to The Website to View The Entire Essay or Term Paper.
LOGIN ENROL FOR FREE

Pemeriksaanpsikiatrikhusus

CASE REPORT SESSION *Kepaniteraan Klinik Senior/ G1A109003, G1A109005, G1A109009 / 10-03-2014 **Pembimbing SKIZOFRENIA PARANOID Ratih Suci Wijaya, S.Ked, Dara Wulan Sari Afandy, S.Ked, Anita Rahayu Wijayanti, S.ked* dr. Victor Eliezer, Sp.KJ** KEPANITRAAN KLINIK SENIOR BAGIAN IKJ RUMAH SAKIT JIWA DAERAH PROVINSI JAMBI FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI 2014 CASE REPORT SESSION SKIZOFRENIA Oleh : Ratih Suci Wijaya, S.Ked Dara Wulan Sari Afandy, S.Ked Anita Rahayu Wijayanti, S.Ked Telah diterima dan dipresentasikan sebagai salah satu tugas Bagian Ilmu Kedokteran Jiwa RSJD Prov. Jambi Program Studi Pendidikan Dokter Universitas Jambi Jambi, Maret 2014 Pembimbing, dr. Victor Eliezer, Sp.KJ KATA PENGANTAR Puji dan syukur penulis ucapkan atas kehadirat Allah SWT karena berkat rahmat dan karunia-Nya, penulis dapat menyelesaikan Case Report Session yang merupakan syarat kelengkapan dalam mengikuti Kepanitraan Klinik Senior di Bagian Ilmu Kesehatan Jiwa RSJD Provinsi Jambi dengan judul “Skizofrenia Paranoid”. Terima Kasih yang sebesar-besarnya penulis ucapkan kepada dr.Victor Eliezer, Sp.KJ yang telah bersedia meluangkan waktu dan pikirannya untuk membimbing penulis selama menjalani Kepanitraan Klinik Senior di Bagian Ilmu Penyakit Jiwa RSJD Provinsi Jambi. Penulis juga menyadari bahwa Case Report Session ini masih banyak kekurangan dan belum sempurna. Oleh karena itu, penulis sangat mengharapkan sumbangan kritik dan saran terhadap Case Report Session ini agar nantinya dapat menjadi lebih baik dikemudian hari. Semoga Case Report Session ini dapat berguna dan bermanfaat bagi kita semua serta dapat menambah wawasan. Jambi, Maret 2014 Penulis DAFTAR ISI HALAMAN JUDUL i HALAMAN PENGESAHAN ii KATA PENGANTAR iii DAFTAR ISI iv BAB I PENDAHULUAN Latar Belakang 1 BAB II STATUS PSIKIATRI Identitas Pasien 2 Identitas dari Alloanamnesis 2 Anamnesis 3 Pemeriksaan Psikiatri Khusus………………………………………………………….6 Pemeriksaan diagnosis lebih lanjut………………………………………………….9 Ringkasan Penemuan………………………………………………………………11 Diagnosis Banding…………………………………………………………………11 Diagnosis Multiaksial……………………………………………………………..11 Terapi Menyeluruh………………………………………………………………..12 BAB III TINJAUAN PUSTAKA3.1 Definisi………………………………………………………………………………..133.2 Epidemiologi………………………………………………………………………..133.3 Etiologi………………………………………………………………………………143.4 Patogenesis…………………………………………………………………………163.5 Gejala dan diagnosis………………………………………………………………193.6 Diagnosis Banding…………………………………………………………………243.7 Terapi………………………………………………………………………………25 BAB III ANALISIS KASUS…………………………………………………………..33 DAFTAR PUSTAKA………………………………………………………………….36 Pemeriksaanpsikiatrikhusus……

Please ENROL FOR FREE or LOGIN to The Website to View The Entire Essay or Term Paper.
LOGIN ENROL FOR FREE

Patient Has Been Diagnosed With Perineal Tear, And Vaginal Childbirth. Jc Has A 20 Gauge Peripheral Iv Site In His Left Posterior Forearm

Case study NURS 208 9-28-11 Mrs. Lattamore Dayna Lancaster JC is a 30 year old white female being cared for at Princess Anne Hospital she was admitted on September 20th she presented with abdominal and lower back pain. Mrs. JC has been married for six years prior to current child she has no children of her own. Mrs. JC was originally born and raised in Fallon, Nevada. She is not a smoker and during her pregnancy she had not consumed any alcohol. After discharge JC plans to be a stay at home mother until Breanna is one year of age. Patient has been diagnosed with perineal tear, and vaginal childbirth. JC has a 20 gauge peripheral IV site in his left posterior forearm. Currently JC has a full code and she is allergic to sulfur drugs. She responds to verbally commands well though she does seem to be lethargic due to recent vaginal delivery. She has been placed on a regular diet as of 0400 on 9/20 post delivery. JC does not require assistance with ADL’s. On September 21st 2011 at 0304 JC gave birth to a 4lb 7oz baby girl by the name of Breanna. JC was 38 gestational weeks when she went into labor, she had a vaginal birth. Childbirth also called labor, birth; is the culmination of a human pregnancy or gestation period with the birth of one or more newborn infants from a woman’s uterus. The process of normal human childbirth is categorized in three stages of labor: the shortening and dilation of the cervix, descent and birth of the infant, and birth of the placenta. In many cases, with increasing frequency, childbirth is achieved through caesarean section, the removal of the neonate through a surgical incision in the abdomen, rather than through vaginal birth. Perineal…

Please ENROL FOR FREE or LOGIN to The Website to View The Entire Essay or Term Paper.
LOGIN ENROL FOR FREE

Open Reduction Internal Fixation (orif) Involves The Implementation Of Implants To Guide The Healing Process Of A Bone

In partial fullfillment in NCM 107n Area:OPERATING ROOM Submitted by: Warren Dango SNJPIICD Submitted to:   Introduction Open Reduction Internal Fixation (ORIF) involves the implementation of implants to guide the healing process of a bone, as well as the open reduction, or setting, of the bone itself. Open reduction refers to open surgery to set bones, as is necessary for some fractures. Internal fixation refers to fixation of screws and/or plates, intramedullary bone nails (femur, tibia, humerus) to enable or facilitate healing. Rigid fixation prevents micro-motion across lines of fracture to enable healing and prevent infection, which happens when implants such as plates (e.g. dynamic compression plate) are used. Open Reduction Internal Fixation techniques are often used in cases involving serious fractures such as comminuted or displaced fractures or in cases where the bone would otherwise not heal correctly with casting or splinting alone. Risks and complications can include bacterial colonization of the bone, infection, stiffness and loss of range of motion, non-union, mal-union, damage to the muscles, nerve damage and palsy, arthritis, tendonitis, chronic pain associated with plates, screws, and pins, compartment syndrome,deformity, audible popping and snapping, and possible future surgeries to remove the hardware. Anatomy and physiology The diaphysis, or shaft, is the long tubular portion of long bones. It is composed of compact bone tissue. The epiphysis (plural, epiphyses) is the expanded end of a long bone. It is in the epiphyses where red blood cells are formed. The metaphysis is the area where the diaphysis meets the epiphysis. It includes the epiphyseal line, a remnant of cartilage from growing bones. The medullary cavity, or marrow cavity, is the open area within the diaphysis. The adipose tissue inside the cavity stores lipids and forms the yellow marrow. Articular cartilage covers the epiphysis where joints occur. The periosteum is the membrane covering the outside of the diaphysis (and epiphyses where articular cartilage is absent). It contains osteoblasts (bone-forming cells), osteoclasts (bone-destroying cells), nerve fibers, and…

Please ENROL FOR FREE or LOGIN to The Website to View The Entire Essay or Term Paper.
LOGIN ENROL FOR FREE