Answer: The more information needed that did the patient feels pain or stiffness during morning and the intensity of patient near the joints.
R is a 55-year-old white female who is being seen today for her annual physical. She...
Part 1: Case Study, Chapter 44, Disorders of the Skeletal System: Metabolic and Rheumatic Disorders R is a 55-year-old white female who is being seen today for her annual physical. She states the following: "this getting old is tough. I stay tired all the time, I hurt all over, and I am not as strong as I once was; plus, my feet are getting bigger and I can't wear any of my shoes." Upon further questioning, she reveals that her...
III. A 27-year old white female presented her self at her local physician on August 15. On physical exam, the patient had a fever of 38.5C. She appeared fatigued, had tender abdomen and complained of headache, stiff neck and backache with diarrhea. The physician noted an irregular heartbeat. The patient complained of lack of ability to concentrate. The patient gave the following history: She is a graduate student in the wildlife program at the University in her town. She was...
Case 2 Counseling Note This is a 68-year-old female who is being seen today because she feels “tired and very depressed.” She states that she has lost her appetite for the past month and has not been able to sleep well. Her medical doctor requested she see a counselor so that we can do some counseling, see if we can get her back on track, and make life more pleasurable for her again. At this time, she denies any substance...
The patent was a 6-year-old female from North Carolina. She was in her usual state of good health until 10 days prior to admission, when she had a tick removed from her scalp. She developed a sore throat, malaise, and a low grade- fever 8 days after tick removal, she was seen by her pediatrician when she began developing a pink, .acular rash, which started on her palms and lower extremities and spread to cover her entire body. The pediatrician's...
Mrs. Smith is an 88- year-old female who lives alone in her home. She walks with a walker. Last night Mrs. Smith needed to go to the bathroom. She got out of her bed and walked to the bathroom without using her walker. In the morning her daughter came to the house to check up on her. She found her mom on the bathroom floor. She called the ambulance and her mom was taken to the emergency room. In the...
Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday. A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2saturation 89% on RA. S1and S2audible without murmur, cap refill...
Case study: Emma is an 85-year-old white female who was recently widowed. She lives independently in her small home in a large city. She is fairly active in her community; she likes to attend church, weekly exercise classes, and social outings with her friends. Recently, she has found little interest or joy in leaving her home; this began after a bout of the flu where she was hospitalized for 3 days. She was happy enough with her medical care and...
Scenario: M.W. is a 65-year-old female. She is a retired auto worker who lives in a condo with her golden retriever, Charlie. She has a history of diabetes type II diagnosed 3 years ago. She had a myocardial infarction in 2012. She does not exercise. She denies smoking or alcohol use. She was feeling fine until yesterday. A&O x4, shortness of breath on exertion, fine crackles in bilateral lower lobes, O2saturation 89% on RA. S1and S2audible without murmur, cap refill...
Case: MT is a 45-year-old female who lives alone. She has a history of Crohn’s disease that is relatively well controlled. She is currently in the hospital for the treatment of longstanding anemia. Upon assessment, MT reports that her appetite ‘comes and goes’. She states that food has lost its flavor and that she is not interested in eating. When she does it, she reports having mostly snack foods such as chips, crackers, and yogurt. She eats very little fruit...
Melissa White is a 67-year-old female with ischemic cardiomyopathy and a history of chronic heart failure, HTN, high cholesterol and coronary artery disease (CAD). She is a past smoker that quit 5 years ago after her husband died of emphysema in 2007. She is a retired school teacher who cares for her ailing 90-year-old mother at home. Her neighbor brought her to an emergency department because she was complaining of shortness or breath, fatigue and swelling in her ankles and...