Case Study

Case Study John Doe is a 46 class old disabled Caucasian male admitted to Confederate Ohio medical exam examination Center on 10-19-2010 for chest hug and degenerative nephritic insufficiency. His height 61 and slant is 267 pounds. He lives in a one story hearthstone with his aunt who is his principal(prenominal) support system. unhurried reports his aunt and cousin ar his solitary(prenominal) family members. unhurried reports aunt prepares meals. long-suffering manages his own medication. patient is supersensitised to plastic tape and vioxx. He has a past medical history of jam affection failure, myocardial infarction, heart cartherization with terzetto stents placed, renal failure, renal disease, diabetic, nephritic syndrome, benign prostatic hyperplasia, chronic obstructed pulmonary disease, arthritis in bilateral knees, and degenerated disk disease. patient of denies alcohol and drug use. Smokes one pack of cigarettes a repute solar day and has for the last twelve years. The medical interference plan for this diligent is observation callable 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+, countercurrent 1+. Patient has a 20 gauge salty lock in left antecube, no redness or swelling observe to site. Patient is alert and oriented to time, place, and name . Patient has a tied(p) affect simply pl! easant. 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 common cephalic. mention redness to left sclera, patient reports he has a unfermented onset of retinopathy. Patient is supposed to wear sum 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 penury to begin a full essay, order it on our website: OrderEssay.net

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