Entries by Munene david

MR. Hogle is a 65 year old male patient who presents with a burning type in the epigastrium

)     MR. Hogle is a 65 year old male patient who presents with a burning type in the epigastrium. He notices It is most at night, but says that sometimes he appreciates it when he is really hungry. It actually seems to get better when he eats. His vital signs are all within normal. A stool […]

 

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Heather is a 51 year old female who is admitted for inpatient support of worsening liver function

1)     Heather is a 51 year old female who is admitted for inpatient support of worsening liver function. she has chronic hepatitis B and has been infected now with hepatitis D. She has significant ascites and when you examine her you appreciate a respiratory rate of 28 b.p.m. heather reports subjective shortness of breath with even […]

 

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Marianne is 48 year old female who is hospitalized for stabilization

1)     Marianne is 48 year old female who is hospitalized for stabilization after having a serious dysrhythmia during an outpatient cosmetic procedure. This evening the AGACNP is called to the bedside because the patient is having a seizure. Upon arrival at the bedside, Marianne is having an tonic-clonic activity and is not responding verbally. The drug […]

 

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A 53 year old male is being evaluated in clinic for a chief complaint of fever and fatigue

1)     A 53 year old male is being evaluated in clinic for a chief complaint of fever and fatigue. Physical examination is non-specific. The vital signs are T-102,2oF, Pulse 121 bpm, respiratory rate is 28 bpm, and blood pressure of 128/84 mm Hg. He is alert and conversant, not acutely distressed, but clearly does not feel well. […]

 

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