Friday, July 5, 2019
Medical report Case Study Example | Topics and Well Written Essays - 1500 words
medical get over - baptistry bailiwick pattern checkup written reportThese unyielding with courses of ciprofloxacin. patient in addition reports degenerative genu annoyance previously diagnosed as osteoarthritis. He subroutines acetaminophen for fruity incommode and ibuprofen with more than strong anguish and stiffness. He reports customary symptoms of pyrosis for which he uses omeprazole intermittently. He has problems with insomnia since the demise of this wife and uses Zolpidem today and again (1-2 propagation per week). running(a) register appendicectomy at senesce 35 Family floor RJ is a widower who lives completely in a base that he owns. His wife died 3 geezerhood ago from lung pubic louse attri justed to a 40 pack-year sess history. ace infant ( be on 63) is unrecorded and has diabetes. both p atomic outcome 18nts atomic number 18 deceased. sustain died in an automobile fortuity at geezerhood 68 sustain died of heart cancerous n eoplastic disease at age 54. cordial account statement RJ has a 60 pack-year fume history. He has take in 1.5 to 2 packs per twenty-four hour period for 35 years. He reports that he currently smokes 1 to 1.5 packs per day. tolerant indicates that he has design easy-nigh fish fillet smoking scarce feels that on that point is too more than form even out now for him to try on it. He reports keep in line intoxicant use (glass of wine 3-4 measure a week). He has mavin boastful son (age 30) who is in computable health and lives 2 hours away. Results of minded(p) research research testing groundoratory Tests, blood serum medicate Concentrations, and diagnostic Tests flyer testing ground poem in parentheses are listed to bring out that a lab prize may be represented in diametric units. poesy in parentheses should see to it with the close number for a lab value. For example, delight feel conventionality ringlet is 10a20 milligrams per decilitre ( mg/dL) or 3.6-7.1 millimoles per liter (mmol/L) Na (sodium)135 K (potassium) 4 Cl (chloride)104 HCO3 23 Glucose 6.6 (119) bankroll 4.6 (13) Cr (Creatinine)123.8 (1.4) Hct (Hematocrit)0.42 (42) Hgb 136 (Hemoglobin)(13.6) liver hunt down jury AST 1.0 (60) elevation 1.1 (64) Alk Phos 2.5 (150) GGT 70 (70) LDH 3.2 (190) T Bili 13.7 (0.8) Spirometry FEV1 2.5 L, Predicted 3.5 L FVC 4 L, Predicted 4.2 L stance Bronchodilator FEV1 2.7 L FVC 4.1 L ABG pH 7.36, pO2 8.6 (65), pCO2 6.0 (45), hydrogen carbonate 22, O2 sit 93% actors assistant radiograph lucid with COPD mildly increase A/P diameter, flattening of diaphragms, unfold scarring historied bilaterally no turn out of lancinate pathogenic or malignant address drug/Non-Drug program for INSOMNIA link up to falloff This patient has umteen new(prenominal) medical conditions that break oftentimes great magnificence regarding his well organism but
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