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Instructions · This week’s case study will introduce concepts related to the pulmonary system and shock states. Read the scenario and thoroughly complete the questions. Some of the answers will be short answers and may not require a lot of details. For example: what is the most common organism to cause a hospital acquired infection? The answer is pseudomonas aeruginosa. Answers to questions that relate to the pathogenesis of a disease must include specific details on the process. For example: How does hypoxia lead to cellular injury? Simply writing that a lack of blood flow, causes a lack of oxygen available to the cell and the cell cannot function without oxygen is not sufficient. This type of response is NOT reflective of an advanced understanding of the concept or graduate level work. This answer should discuss the cascade of events leading to the lack of oxygen and how it specifically impairs cellular function. All answers to these type of questions should address the effects at the cellular level, then the effects on the organ and then the body as a whole. Additionally describing the normal anatomical and/or physiologic processes underlying the pathogenesis will be necessary to thoroughly answer the question. It is very likely that you will need to reference multiple sources to answer the questions thoroughly. Your text book will not necessarily have all the answers. Only professional sources may be used to complete the assignment. These include text books, primary and secondary journal articles from peer reviewed journals, government and university websites, and publications from professional societies who establish disease management guidelines and recommendations. Sources such as Wikipedia or other generic websites are not considered professional references and should not be used to complete the case studies. · Reason for Consultation: Desaturation to 64% on room air 1 hour ago with associated shortness of breath. History of Present Illness: Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs. X was found to be mildly dyspneic. Vital signs were checked at that time and were; temperature 38.6, pulse 120, respirations 20, blood pressure 138/38. O2 sat was 64% on room air. The general surgeon was notified by the nursing staff of the hypoxia, an order for a chest x-ray and oxygen therapy were given to the RN. The O2 sat is maintaining at 91-92% on 4L NC. The patient was seen and examined at 10:10 a.m. She reported that she has had mild dyspnea for 2 days that has progressively gotten worse. She does not use oxygen at home. Her respiratory rate at the time of this visit was 20 and she feels short of breath. She has felt this way in the past when she had pneumonia. She is currently undergoing radiatio.

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Clinical Scenario: REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hours ago with associated shortness of breath. HISTORY OF PRESENT ILLNESS: Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago and is now working properly. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs. X was found be mildly dyspneic. Vital signs were checked at that time and were; temperature 38.6, pulse 120, respirations 22, blood pressure 138/38. O2 sat was 64% on room air. The general surgeon was notified by the nursing staff of the hypoxia, an order for a chest x-ray and oxygen therapy were given to the RN. The O2 sat is maintaining at 91% on 4L NC. The patient was seen and examined at 10:10 a.m. She reports that she has been having mild dyspnea for 2 days that has progressively gotten worse. She does not use oxygen at home. Her respiratory rate at the time of visit was 22 and she feels short of breath. She has felt this way in the past when she had pneumonia. She is currently undergoing radiation treatment for laryngeal cancer and her last treatment was 1 to 2 weeks ago. She reports that she has 2 to 3 treatments left. She denies any chest pain at this time and denies any previous history of CHF. Review of her vital signs show that she has been having intermittent fevers since yesterday morning. Of note, she was admitted to the hospital 3 weeks ago for an atrial fibrillation with RVR for which she was cardioverted and has not had any further problems. The cardiologist at that time said that she did not need any anticoagulation unless she reverted back into A-fib. REVIEW OF SYSTEMS: Constitutional: Negative for diaphoresis and chills. Positive for fever and fatigue. HEENT: Negative for hearing loss, ear pain, nose bleeds, tinnitus. Positive for throat pain secondary to her laryngeal cancer. Eyes: Negative for blurred vision, double vision, photophobia, discharge or redness. Respiratory: Positive for cough and shortness of breath . Negative for hemoptysis and wheezing. Cardiovascular: Negative for chest pain, palpitations, orthopnea, leg swelling or PND. Gastrointestinal: Negative for heartburn, nausea, vomiting, abdominal pain, diarrhea, constipation, blood in stool or melena. Genitourinary: Negative for dysuria, urgency, frequency, hematuria and flank pain. Musculoskeletal: Negative for myalgias, back pain and falls. Skin: Negative for itching and rash. Neurological: Negative for dizziness, tingling, tremors, sensory changes, speech changes. Endocrine/hematologic/allergies: Negative for environmental allergies or polydipsia. Does not bruise or bleed easily. Psychiatric: Negative for depression, hallucinations and memory loss. PAST MEDICAL HISTORY: Diabetes mellitus that was diagnosed 12 years ago with neuropathy. This resolved after gastric.

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Name: Add name here HIM 2214 Module 6: Medical Record Abstracting Instructions: In this medical record abstracting assignment you will first need to download and the records (history & physical, surgery consultation, operative report, pathology report and discharge summary) for a patient with digestive system problems. (Recommend reading them in the order listed). Save your answers to the following related questions in this document and submit them for this module's assignment. 1. Define the terms diverticulosis and diverticulitis. 2. What is the pathophysiology of diverticulitis? 3. What is a hiatal hernia? 4. Describe some of the signs or symptoms a person with a hiatal hernia might have. 5. What is a pulmonary embolus? 6. What was the etiology (cause) of the pulmonary embolus for this patient? 7. What is gastritis? 8. Which problem is likely a contributor to the patient’s Type II diabetes mellitus? 9. What was the purpose of the barium enema? 10. What does the abbreviation HEENT stand for? 11. What is thrombophlebitis? 12. What is a surgical resection? 13. Define anastomosis. 14. What is ferrous gluconate and what is it used to treat? 15. What condition is the drug Darvocet used to treat? 16. What are electrolytes? 17. What is exogenous obesity? 18. Where is the femoral pulse found/taken? 19. Where is the popliteal pulse found/taken? 20. What is hepatosplenomegaly? 21. Which condition(s) is/are the drug Humulin used to treat? 22. What is an adenocarcinoma? 23. Which condition(s) is/are the drug Lanoxin used to treat? 24. What is the purpose of ordering the blood test PTT? 25. What is a colon stricture? 26. What is/are the etiologies associated with colorectal cancer? 27. What is the medical term for gallstones? 28. Which condition(s) is the drug Zantac used to treat? 29. What does the pathology report indicate about the spread of the carcinoma in this patient? 30. What is the etiology of Type II diabetes mellitus? · Academic arguments are designed to get someone to agree with the author, who may use pathos (emotion), logos (logic and facts) and ethos (authority and expertise) to persuade. Academic arguments are not about ranting, screaming or otherwise increasing conflict, but in fact are the opposite: They attempt to help the other person understand what the author believes to be right (opinion) based on the evidence presented (authority, logic, facts). For your topic for your final paper, what kinds of arguments can you develop for your claim (thesis, main idea)? Health Record Face Sheet Record Number: 005 Age: 67 Gender: Male Length of Stay: 3 days Service: Inpatient Hospital Admission Disposition: Home Discharge Summary Patient is a 67-year-old male. He saw the doctor recently with abdominal pain and constipation. A barium enema showed diverticulosis and perhaps a stricture near the sigmoid and rectal junction. He was scoped by the doctor, who saw a stricture at that point and sa ...

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Renal Case Study A 51 year old Caucasian-American female present to the emergency department with a headache of 8 of 10 on a pain scale. She reported the headache as a pulsation in her ear that is typical when her blood pressure rises. She also reported accompanying visual blurring, intermittent chest pressure, non-exertional shortness of breath, and episodic abdominal pain with nausea. She reports not taking her Labetalol. PMH: Type I DM since age 8 with history of impaired renal function that has continued to progress to a chronic stage and hypertension. Family history: Positive for DM, hypertension, CAD and Cancer. SH: Quit tobacco 5 years ago Meds: Labetalol, Lasix 20mg qd prn, Lantus 20 units at hs, Protonix 40mg qd, ASA 81mg qd, and Tylenol prn ROS: Constitutional: Denies fever or chills Eyes: Reports blurred vision, no floaters ENT: Denies sinus pressure or congestion, denies sore throat Respiratory: Denies cough, non-exertional dyspnea reported Cardiovascular: Admits intermittent chest pressure, denies palpitations Physical Exam: General: Alert and oriented in no acute distress Vitals: T 36.7C, BP 193/98, HR-88, Weight 87.5kg Eyes: PERRLA, EOMI, moist mucus membranes Neck: supple, No JVD Lungs: CTA A&P Heart: RRR without MGR Abdomen: soft, non-distended, nromoactive bowel sounds LE: edema to mid-thigh Skin/Integument: no cyanosis or clubbing The patient was admitted for hemodialysis due to her progression of renal functioning but also admitted to control the hypertensive urgency and headache. Question answers should be based on evidence found in readings and from peer-reviewed literature. At least two sources must be used and cited in APA format for each question. Only one source can be a textbook. Resources should generally be within 5 years unless you are explaining the pathophysiology of a disease or providing pertinent background information Discussion Questions: Explain what happens physiologically with chronic renal failure and the GFR. Support with evidence. Include important labs that are monitored in the process. Explain the role of Angiotensin II and proteinuria as they relate to advancing renal disease. List at least three other body systems that are impacted by chronic kidney disease and why. .

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Week 4Problem Assignment: Time Value of Money1If you deposit $15,000 today and earn 8% annual interest, how much will you have in 9 years?Answer:$29,985.072Tiffany will receive a graduation gift of $10,000 from her parents in 3 years. If the discount rateis 7%, what is this gift worth today?Answer:$8,162.983What is the present value of a 20-year ordinary annuity of $30,000 using a 6% discount rate?Answer:$344,097.644You deposit $5,000 in an account that pays 8% interest per annum. How long will it take to double your money?Answer:9 years5The Johnsons have $60,000 to use as a down-payment on a house, and they want to borrow $240,000from the bank. The current mortgage interest rate is 5%. If they make equal monthly payments for 30 years,how much will the monthly payment be?Answer:$1,288.376Tim paid $250 per month into his 401K retirement plan. After 30 years, he had accumulated $500,000. Whataverage annual rate of interest had he earned over the 30 years?Answer:9.42%7Charlotte's firm had sales of $525,000 in the year 2001. By 2012, sales had increased to $1,200,000. What wasthe average annual rate of increase?Answer:7.80%8Alan had saved up $500,000. How much more must he save each year over the next 10 years in order to have atotal of $2 million? Alan earns 5% interest, compounded annually.Answer:$94,257 Instructions · This week’s case study will introduce concepts related to the pulmonary system and shock states. Read the scenario and thoroughly complete the questions. Some of the answers will be short answers and may not require a lot of details. For example: what is the most common organism to cause a hospital acquired infection? The answer is pseudomonas aeruginosa. Answers to questions that relate to the pathogenesis of a disease must include specific details on the process. For example: How does hypoxia lead to cellular injury? Simply writing that a lack of blood flow, causes a lack of oxygen available to the cell and the cell cannot function without oxygen is not sufficient. This type of response is NOT reflective of an advanced understanding of the concept or graduate level work. This answer should discuss the cascade of events leading to the lack of oxygen and how it specifically impairs cellular function. All answers to these type of questions should address the effects at the cellular level, then the effects on the organ and then the body as a whole. Additionally describing the normal anatomical and/or physiologic processes underlying the pathogenesis will be necessary to thoroughly answer the question. It is very likely that you will need to reference multiple sources to answer the questions thoroughly. Your text book will not necessarily have all the answers. Only professional sources may be used to complete the assignment. These include text books, primary and secondary journal articles from peer reviewed journals, government and university websites, and publications from professional societies who establish disease management g.

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Drs. Claire Milam and Alyssa Thomas are Emergency Medicine Residents and interested in medical education. With the guidance of Dr. Michael Gibbs, a notable Professor of Emergency Medicine, they aim to help augment our understanding of emergent imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides on: • Malignant Pneumothorax • Lung Mass • Retained Bullet • Cavitary Lesion • Pleural Effusion • Mucus Plug with Atelectasis • Rib Fracture • Mediastinal Lymphadenopathy

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Join Dr. Muhammad Ali Rabbani, Assistant Professor of Anatomy, for an enlightening exploration of advanced concepts in the histology of connective tissue. Building upon foundational knowledge, this lecture delves into the histological features, classification, and functional significance of various types of connective tissue, providing a comprehensive understanding of their roles in maintaining tissue integrity and homeostasis. From the dynamic interplay of cells and extracellular matrix components to the clinical correlations and medical applications, embark on a journey through the intricacies of connective tissue histology with Dr. Rabbani as your guide. 🔬 Key Topics Covered: - Interstitial Fluid: Explore the composition and physiological significance of interstitial fluid in connective tissue, including its role in maintaining tissue hydration, nutrient exchange, and waste removal. - Types of Connective Tissue: Examine the diverse types of connective tissue, including connective tissue proper, embryonic connective tissue, and specialized variants, and understand their structural characteristics, cellular composition, and functional adaptations. - Histological Features: Investigate the histological features of connective tissue, ranging from loose and dense connective tissue to specialized types such as reticular and mucoid connective tissue, and comprehend their unique properties and functions. - Adipose Tissue: Gain insight into the structure, function, and histogenesis of adipose tissue, including the classification of white and brown adipose tissue, their physiological roles, and regulatory mechanisms. - Clinical Correlations: Explore the clinical relevance of connective tissue histology in health and disease, including its implications for tissue repair, inflammation, metabolic disorders, and therapeutic interventions. 🎓 Learning Objectives: By the end of this session, students will: - Describe the composition and functions of interstitial fluid in connective tissue. - Summarize the histological features and classification of various types of connective tissue. - Compare and contrast different types of connective tissue based on cellular composition, fiber arrangement, and functional adaptations. - Explain the physiological roles of adipose tissue and its significance in metabolic regulation, thermogenesis, and pathological conditions. 💡 Medical Applications: - Apply knowledge of connective tissue histology to interpret histopathological findings, diagnose connective tissue disorders, and develop targeted therapeutic strategies. - Explore research opportunities aimed at unraveling the molecular mechanisms underlying connective tissue physiology and pathology, with implications for regenerative medicine and tissue engineering. 🔍 Connect with Dr. Muhammad Ali Rabbani to deepen your understanding of advanced concepts in connective tissue histology and their clinical relevance! 🔍

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Join Dr. Muhammad Ali Rabbani, Assistant Professor of Anatomy, as he navigates through the intricate world of epithelial tissues in histology. Epithelium, comprised of closely aggregated polyhedral cells, forms cellular sheets that line organ cavities and cover body surfaces. Explore the diverse types of epithelium, their structural characteristics, and physiological functions in this enlightening session. 🔬 Key Topics Covered: - Definition and Classification: Understand the fundamental properties of epithelium and classify its various types based on structure and function. - Microscopic Examination: Learn to identify different types of simple epithelium under the microscope and sketch their histological diagrams. - Physiological Functions: Explore the principal functions of epithelial tissues, including covering, lining, protection, absorption, and secretion. 🎓 Learning Objectives: By the end of this lecture, students will: - Define epithelium and distinguish between its basic types. - Identify the histological features of simple epithelium and provide examples of each type. - Comprehend the structural components and physiological roles of the basement membrane. - Differentiate between surface epithelium and glandular epithelium. - Understand the classification, structure, and mode of secretion of glandular epithelium. 💡 Medical Applications: - Gain insights into the clinical relevance of epithelial tissues in understanding pathological conditions and disease mechanisms. - Appreciate the significance of glandular epithelium in various organ systems and secretory functions. 🔍 Connect with Dr. Muhammad Ali Rabbani to delve deeper into the histology of epithelium!🔍 Learning Resources: For additional educational content and resources, visit our website: [www.medicoseacademics.com](www.medicoseacademics.com). For inquiries, contact us at [info@medicoseacademics.com](mailto:info@medicoseacademics.com) or +92 310 7990649. 🔗 Stay Connected! Explore our content on YouTube: [Medicose Academics YouTube Channel](https://www.youtube.com/@MedicoseAcademics) Follow us on Facebook: [Medicose Academics Facebook Page](https://www.facebook.com/medicoseacademics) Connect on Instagram: [Medicose Academics Instagram](https://www.instagram.com/medicoseacademics) 🔬 Embark on a Journey through Epithelial Histology with Dr. Muhammad Ali Rabbani! 🔬 --- Tags Histology, Epithelium, Dr. Muhammad Ali Rabbani, Anatomy Lecture, Medical Education, Simple Epithelium, Basement Membrane, Glandular Epithelium, Exocrine Glands, Endocrine Glands, Paracrine Glands, Unicellular Gland, Multicellular Gland, Merocrine Gland, Apocrine Gland, Holocrine Gland, Serous Gland, Mucous Gland, Mixed Gland, Medicose Academics.

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Cases Chest

1. New England Roentgen Ray Society Meeting September 16th, 2011 Unknown Case Dr Stephen Solomon

2. 36 year old male with acute chest pain

5. New England Roentgen Ray Society Meeting September 16th, 2011 Unknown Case Dr Kitt Shaffer

6. 26 year old female with a history of developmental delay, benign brain tumor and melanoma

10.

11. New England Roentgen Ray Society Meeting September 16th, 2011 Unknown Case Dr Mannudeep Kalra

12. 56 year old male presenting with arm weakness, aphasia, fever and strep viridans bacteremia following a recent procedure

13.

14. New England Roentgen Ray Society Meeting September 16th, 2011 Unknown Case Dr Rahul Sheth

15. 86 year old male presenting with 6 months history of left pleuritic chest pain

16. 5 years prior

17.

18. New England Roentgen Ray Society Meeting September 16th, 2011 Unknown Case Dr Rachna Madan

19. 60 year old female presenting with fever and neutropenia, 6 months post lung transplant

20. 3 months prior At presentation

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