10:28NCM 112 RLECase ReportA 32-year-old man was referred to the emergencies of ourhospital because of a right lower limb critical limb ischemia.Past medical history included chronic alcoholism and a three-month history of bilateral intermittent claudication. He did notreport any episode of superficial thrombophlebitis. He smokedabout 10 cigarettes since the age of ten and 10 cannabis jointsdaily since the age of twelve. He had no other cardiovascularrisk factors.At clinical examination, his right leg was extremely painful andpale. He had absent pedal pulses on both sides, and a mildsensory loss on the right side. Allen's test of upper extremitieswas negative. Echo Doppler was suggestive of a bilateralcommon iliac occlusion and of a three-vessel occlusion on theright leg.A computerized tomography (CT) angiography detected thepresence of an intraluminal aortic and iliac clot and a bilateralstalibialessels occlusion. The patient wasfullyanticoagulated with intravenous heparin. A transthoracicechocardiogram was also performed and did not detect anyproximal source of emboli. The patient was then operated on:under general anesthesia, a right iliofemoral embolectomyassociated to a selective right popliteal, tibial, and peronealembolectomy and intraoperative intraarterial thrombolysis oftibial vessels. During the operation, no thrombus was found inthe infrapopliteal vessels, but intraoperative arteriographyshowed a diffuse narrowing associated to total occlusion at theankle with the typical "corkscrew" collateral arteries suggestiveof a chronic vasculitis BD was then suspected.The postoperative period was uneventful, with completeremission of symptoms. The aortoiliac embolus was sent tobacteriology and some Micrococci were found. Subsequently,the patient was treated with medical therapy including full doselow molecular weight heparin, antiplatelets, and pentoxifylline,and a smoking-cessation program was started. A control thoracicand abdominal angio-CT scan, done also in order to detect aproximal source of embolism, showed the absence of residualaortoiliac clot, but the chronic occlusion of the anterior tibialand peroneal arteries bilaterally. The contralateral lower limb didnot require any operation.After discharge the patient underwent laboratory tests lookingfor diabetes and thrombophilia that were unremarkable. Theseincluded factor II and V mutation, disorders of plasminogenactivation, ATIII deficiency, protein C and protein S deficiency,and homocysteine serum levels. Extensive autoimmune testinglooking for autoimmune disorders potentially responsible forthromboticincludingantimitochondrial,anti-lupus erythematosus,anti-phospholipidseventsantinuclear,antibodies were all negative. We then concluded that the patientwas affected by BD.and1. Develop your top 3 Nursing Care Plan of the patient above.

Please Note:Hi! Thanks for your question. As you have posted multiple questions and have not…

Answered: Case Report A 32-year-old man was…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

See similar textbooks

Similar questions

write soap note for CVA patient
Match the chart note abbreviation with the description of what information would be found in that section of the chart note. 1. data from measureable sources (lab tests, x-rays, physical findings) 2. therapeutic treatment plan and instructions to the patient including prognosis P. A 3. analysis of information used to obtain aldiagnosis 4. how the patient feels and symptoms that cannot be measured
Watch YouTube video and answer question with reference https://youtu.be/m1xTUjUEz9E 1. List the symptoms pertinent to the case. 2. Identify appropriate history questions for your patient to discriminate critical characteristics or attributes about the above presenting complaint. Incorporate OLD CARTS (Onset Location, Duration, Characteristics, Aggravating, Relieving, Treatment, Severity). 3. Delineate 3 differential diagnoses that could support the above symptoms in relation to pertinent answers given the history. Include the name of the disease and the appropriate ICD 10 code and provide a rationale for each choice based on the presenting case. 4. What is the physiology, pathophysiology, and/or etiology associated with each differential? 5. What diagnostic tests would you obtain to rule out medical issues that mimic each differential diagnosis? 6. What does the USPSTF App (Preventive Studies)/website say about the final diagnosis? 7. Do you agree or disagree with the nurse…
Chief complaint patient having drowsiness,problem with balance nape pain,headache in nursing care plan what is for the nursing analysis on this patient?
Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)-sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes type 2 diabetes mellitus, heart failure, hypertension, andosteoarthritis. Home medications include furosemide (Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), metformin (Glucophage), and ibuprofen (Motrin).Clinical AssessmentTwenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free. His only complaint is shortness of breath and swelling in his ankles, feet, and hands. Physical assessment reveals bilateral breath sounds with basilar crackles; dressing at catheter site; right femoral clean, dry, and intact; peripheral pulses 2+ bilaterally; and 2+ edema noted in lower extremities. Mr. X has a body mass index (BMI) of 35 kg/m2 and weighs 100 kg. IV fluids have been discontinued, and saline lock…
Pathophysiology Ron Strauss has smoked for many years and has developed chronic bronchitis. He also has a history of pulmonary hypertension and secondary polycythemia vera. His arterial blood gas (ABG) reveals respiratory acidosis with a PaO2, at 50 mm Hg and a PaCO2, at 60 mm Hg; At this clinic visit, it is noted on his chest x-ray, RS has an enlarged heart and diaphragm flattening. Why has RS developed secondary polycythemia vera?
CASE HISTORY 2 The patient was a 19-year-old male who was brought to the emergency room by his sister. He gave a 24-hour history of dysuria and noted some “pus-like” drainage in his underwear and on the tip of his penis. Urine appeared clear, and urine culture was negative although urinalysis was positive for leukocyte esterase and multiple white cells were seen on microscopic examination of urine. He gave a history of being sexually active with five or six partners in the past 6 months. He claimed that he and his partners had not had any sexually transmitted diseases. His physical exam was significant for a yellow urethral discharge and tenderness at the tip of the penis. (A Gram stain done in the emergency room is shown in Fig. 1). He was given antimicrobial agents and scheduled for a follow-up visit 1 week later. He did not return. QUESTIONS: What pathogen caused the disease? Briefly describe the epidemiology and pathogenesis of this disease. What is the morphology and staining…
What is tomor control Brief description Treatment if there is any Cause or sign all bout tomor control
16-The nurse is instructing the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse tell the parents? 1. Administer the iron at mealtimes. 2.Administer the iron through a straw. 3. Mix the iron with cereal to administer. 4. Add the iron to formula for easy administration 17- Laboratory studies are performed for a child suspected to have iron deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia? 1.Elevated hemoglobin level 2.Decreased reticulocyte count 3.Elevated red blood cell count 4. Red blood cells that are microcytic and hypochromic
Patient presented to the emergency department with a chief complaint of feeling weak, tired, and lethargic. The patient states, "I've just been feeling run down and I don't know why." She also states that she is currently on diuretics and has a history of type I DM, HTN, and stage 3 chronic kidney disease. According to her caregiver and family, she has had difficulty breathing on minimal exertion and constantly appears "winded" even at rest. She reports that she is currently unable to ambulate and has been feeling lethargic for three days. According to her family, since her discharge from the hospital one month ago her respiratory status has not returned to normal. She also reports having a history of muscle cramping in her lower leg, but currently there is none present. She has been using 2L of oxygen via nasal cannula and just a few days ago her Lasix dose was doubled to help manage her CHF symptoms. She reports her quality of life has significantly declined in the last month and she…
This patient is a 55-year-old male, known to me for several years. He is here, today, for his annual physical examination. Vitals are of concern, as he is showing an elevated blood pressure (152/92 mm Hg) and his weight is 50 pounds over where it should be. Patient complained that he has been feeling sluggish and fatigued more often than not. Patient stated that he has been taking his BP medication and believes that he sleeps well. However, the patient shares that his wife has been complaining recently about his loud snoring and told him that he appears to be breathing irregularly when asleep. I am recommending that he go through diagnostic testing for suspected obstructive sleep apnea (OSA). Why should you query this physician and what would you ask? A. Missing detail: Does the patient have OSA or not? B. Missing detail: Does the patient have OSA or not? C. Ambiguous information: Was the wife's assessment accurate? D. Contradictory information: Does the patient have elevated BP or…
Write about a cardiac disorder or disease of the human body. It must be over 100 words.

SEE MORE QUESTIONS

Recommended textbooks for you

Phlebotomy Essentials

Nursing

ISBN:

9781451194524

Author:

Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:

JONES+BARTLETT PUBLISHERS, INC.

Gould's Pathophysiology for the Health Profession…

Nursing

ISBN:

9780323414425

Author:

Robert J Hubert BS

Publisher:

Saunders

Fundamentals Of Nursing

Nursing

ISBN:

9781496362179

Author:

Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.

Publisher:

Wolters Kluwer,

Phlebotomy Essentials

Nursing

ISBN:

9781451194524

Author:

Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:

JONES+BARTLETT PUBLISHERS, INC.

Gould's Pathophysiology for the Health Profession…

Nursing

ISBN:

9780323414425

Author:

Robert J Hubert BS

Publisher:

Saunders

Fundamentals Of Nursing

Nursing

ISBN:

9781496362179

Author:

Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.

Publisher:

Wolters Kluwer,

Fundamentals of Nursing, 9e

Nursing

ISBN:

9780323327404

Author:

Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE

Publisher:

Elsevier Science

Study Guide for Gould's Pathophysiology for the H…

Nursing

ISBN:

9780323414142

Author:

Hubert BS, Robert J; VanMeter PhD, Karin C.

Publisher:

Saunders

Issues and Ethics in the Helping Professions (Min…

Nursing

ISBN:

9781337406291

Author:

Gerald Corey, Marianne Schneider Corey, Cindy Corey

Publisher:

Cengage Learning

SEE MORE TEXTBOOKS