Entries by Munene david

Mrs. Hoffman is an 82-year-old female who is on postoperative day 4 following

April 7, 2020 in /by

Mrs. Hoffman is an 82-year-old female who is on postoperative day 4 following mastectomy for breast cancer. This morning her vital signs include a temperature of 101.2°F, pulse of 110 bpm, respiratory rate of 20 breaths per minute, and blood pressure of 100/70 mm Hg. The incisions look good and there is no physical finding […]

 

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Ms. Carson is a 71-year-old female who presents with significant pleuritic-type

April 7, 2020 in /by

Ms. Carson is a 71-year-old female who presents with significant pleuritic-type chest pain. She has no known cardiopulmonary history and does not smoke cigarettes. Her history is significant only for an upper endoscopy this morning for evaluation of severe gastroesophageal reflux disease (GERD). She tolerated the procedure well and was discharged home. Over the afternoon […]

 

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Lilly M. is a 44-year-old female who is transferred to the emergency department

April 7, 2020 in /by

Lilly M. is a 44-year-old female who is transferred to the emergency department following a severe fall. She had been standing on the balcony of a four-story building and tried to balance on the railing. She fell and sustained numerous internal and external injuries. In the emergency room she was in profound hypovolemic shock. Bleeding […]

 

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W. is a 67-year-old male with a history of significant coronary artery disease,

April 7, 2020 in /by

W. is a 67-year-old male with a history of significant coronary artery disease, who now presents in acute cardiogenic shock. His blood pressure is 82/50 mm Hg, and the pulse is in sinus bradycardia at 44 bpm. He is awake and oriented but lethargic and says he feels lightheaded. The treatment of choice for this […]

 

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