Case Study

Case Study John Doe is a 46 class old disabled Caucasian male admitted to southern Ohio aesculapian examination Center on 10-19-2010 for chest pressing and degenerative nephritic insufficiency. His height 61 and lean is 267 pounds. He lives in a one story lieu with his aunt who is his principal(prenominal) support system. unhurried reports his aunt and cousin atomic number 18 his solitary(prenominal) family members. unhurried reports aunt prep ars meals. long-suffering manages his own medication. forbearing is allergic to plastic tape and vioxx. He has a past medical history of jam affection failure, myocardial infarction, heart cartherization with ternary stents placed, renal failure, renal disease, diabetic, nephritic syndrome, benign prostatic hyperplasia, degenerative obstructed pulmonary disease, arthritis in bilateral knees, and degenerated disk disease. patient denies alcohol and drug use. Smokes one pack of cigarettes a esteem solar d ay and has for the last twelve years. The medical handling plan for this diligent is observation due to chest pain. His cardiogram was a conventionalism sinus rhythm. Chest x-ray showed cardiomegaly, which could be from history of congested heart failure. Cardiac enzymes; CKMB 5.1 H, could be due to damage to heart muscle. Troponin was negative. RBC 3.54, HGB 10.0, HCT 29.6, CBC Differential: neutrophil 7.1, Glucose 120, B.U.N 38 H, Creatinine 4.6 H.

uranalysis: Appearance hazy, glucose 1+, protein 3+, rent 1+. Patient has a 20 gauge saline solution lock in left antecube, no redness or swelling observe to site. Patient is alert and oriented to time, place, and name. Pati ent has a tied(p) affect scarcely pleasant! . Speech is slow but clear. Patient has halitosis with many dental caries. Patient refuses bath because he plans on going home soon. Patient has a formula cephalic. mention redness to left sclera, patient reports he has a unfermented onset of retinopathy. Patient is supposed to wear warmheartedness glass; he reports the new ones are on their way. Pupils are equal and reactive to light. Accommodation is incomplete. No JVD noted. Patient has a...If you necessity to begin a full essay, order it on our website: OrderEssay.net

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