Benjamin Engelhart Essay

HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis, presents to the emergency room after having had three days of abdominal pain. It initially started three days ago and was a generalized vague abdominal complaint. Earlier this morning, the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o. earlier around

Three subdivisions of anatomy that are included in this case presentation are radiographic anatomy, pathological anatomy and systemic anatomy. Radiographic anatomy is related because they used an abdominal CT scan on Mr.C to reveal the mass in his colon. Pathological anatomy is related to anatomy because they used a pathology report to determine what type of tumor Mr.C had and to study the patterns the disease took in his body. Systemic anatomy relates to the anatomy of this case because the mostly examine the abdominalpelvic region of his body and the digestive system because the mass was found in his colon.

T.B. is a 65-year-old retiree who is admitted to your unit from the emergency department (ED). On arrival you note that he is trembling and nearly doubled over with severe abdominal pain. T.B. indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid-back as a deep, sharp boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to having had several similar bouts of abdominal pain in the last month, but “none as bad as this.” He feels nauseated but has not vomited, although he did vomit a week ago with a similar episode. T.B. experienced an acute onset of pain after eating fish and chips

Melissa Johnson is a 45-year-old woman who today was seen on an emergency basis when she called the office complaining of left upper quadrant pain. The patient stated that the pain has been increasing for about three months. The patient’s most notable symptom is increased belching. The patient also experiences heart burn, increased satiety, and intermittent left upper quadrant pain. The patient denies any vomiting, change in bowel habits, melena, or dysphagia. She also denies having chills, fever or rigors. The patient states that she has not been examining her sugars, and she has not felt any chest pain with exertion or dyspnea. In addition, the patient denies any orthopnea, pedal edema, or paroxysmal nocturnal

In this study, out of 112 patients operated for acute non perforated appendicitis, 72 patients were male and 40 patients were female, a ratio of 1.8:1. The patients' age ranged from 18 to 55 years with a mean age of 26 years, the majority of cases lie in a range between 20-32 years. As shown in Table 1, there is no significant difference regarding patients' age, sex, medical comorbidities (diabetes, liver disease, renal disease, hyperlipidemia, heart disease), fever, leukocytosis, radiologic findings (appendiceal diameter, presence of free fluid) or operative time between the two groups.

A 42-year-old man with severe right-sided abdominal pain, nausea, vomiting, and fever presented to the emergency room. After obtaining a computed tomography scan with contrast, he was taken to the operating room for an emergent laparoscopic appendectomy. His medical history was significant for long-standing hypertension but recent onset weight loss, dysphagia, heat intolerance, palpitations, diarrhea, and dyspnea. He had received general anesthesia multiple times without complications.

The patient is a 89-year-old female who's brought to the emergency room by her grandsons complaining of high blood pressure. the grandson takes her blood pressure in the morning and evening and it normally runs in the range of 140-170. She presents in the ED with a blood pressure 234/152, a pulse of 77, respirations of 18, and she is hypothermic at 96.8. Her medical history is significant for insulin-dependent diabetes mellitus, hypercholesterolemia, CVAs in the past and hypertension. The patient is also complaining of headache, abdominal pain and urinary complaints including urinary incontinence. Workup in the ED CAT scan of the abdomen reveals her to have severe diverticulosis. There is no mention of diverticulitis. Her blood cultures

A 61 year old female was at Christus Spohn South Hospital to have a small bowel series done on September 15, 2016. She had prior radiographs from September 14, 2016, September 13, 2016 and September 12, 2016. She also had a CT scan of the abdomen and pelvis from September 8, 2016 and had a recent surgery on her abdomen. Radiographs of her abdomen showed staples and surgical clips along her midline in the epigastric region of her stomach. She was being evaluated for a possible bowel obstruction in the ileus.

Possessing a distinctively resonant sound quality, lyrical phrasing, and technical finesse, classical guitarist Luther Enloe has received acclaim from concert presenters and audience members alike for the expressive command of his live performances. John Sutherland, his former teacher at the University of Georgia, said, “Luther's performances are wonderful. His sound is one of the best I have ever heard." A recent solo concert highlight includes the premiere performance of Tonoi XI for solo guitar, written for and dedicate to Luther Enloe, by Atlanta composer Nickitas Demos. Furthermore, Luther Enloe has performed solo concerts at Emerson Concert Hall in The Schwartz Center for Performing Arts in Atlanta, Georgia, Kopleff Recital Hall in Atlanta, Georgia, on the William

The patient has a history of possible gallbladder polyp. She saw Neal Luther, MD following that. He actually thought these were more cholesterol crystals than a true polyp and recommended a repeat ultrasound. To date that has not been done. The patient is willing to have that done. She is not having any belly pain and no nausea, no vomiting. No episodes of jaundice and she is otherwise feeling well.

Who was Benjamin Franklin? Probably not quite who we think he was. Yes, he was one of the "Founding Fathers," the only one who put his name to all three of the founding documents of the United States: the Declaration of Independence, the Treaty of Peace with Great Britain, and the Constitution under which we still live. He may have become famous for his many sayings in praise of being industrious and frugal in one’s calling, but he left his own calling as a printer and retired from business at the age of forty-two to become what he spoke crudely of for years, a gentleman. Once retired, he devoted the rest of his life to public service, but the most important services he performed at the public’s demand were not quite what he thought the

Benjamin Franklin was born in Boston on January 17, 1706. He would be the tenth out of seventeen children that his father, Josiah Franklin, would have. His father had plans for Benjamin to join the clergy when he came of age and was sent to grammar school to prepare. He would excel in reading at a very young age but would find that he could not master math so easy. He would be at the grammar school for less than a year before his father would come to terms with not being able to support a college education for Benjamin and supporting the rest of the large family. Benjamin would then be sent to another school which would teach him basic math and English skills. There, he would surpass the rest of class in English

I was happy that I managed to rule out any distinct causes of the abdominal pain by performing the examination to collect data, analyse it, and use the results to make an appropriate decision (Schon, 1984). However, had I performed the examination without assistance I may not have gained all the information required to confirm diagnosis, as I did forget some aspects.

III. REASON FOR SEEKING CARE (CC): 38 y/o female c/o abdominal pain throughout the entire abdominal cavity, states that she has always had abdominal discomfort, but the past 3 days’ pain has become unbearable. She describes the pain as a burning, churning throughout 8/10. Pain is intermittent c/o of sour stomach after meals accompanied by nausea, denies vomiting, diarrhea or anorexia, last bowel movement 4 days ago. States she moved bowels 2-3 times a week. She states this happened about 2 years she went to the emergency room, CT was done, no blockage, she was sent home without medications, CT contrast helped her move bowels at the time, symptoms eventually resolved on their own. Patient c/o of waking up feeling unrested, had trouble falling asleep ever since she could remember, wakes up frequently with difficulty getting back to sleep. She reports sleep disorder sometimes coincide with inability to get comfortable due to shoulder and neck pain especially in the winter months. Patient states the head and shoulder pain are the result of an MVI in 1995 where she had spinal nerve damage and bulging disc.

Benign Diseases of the Anorectum. In: Maingot’s Abdominal Operations. Zinner MJ, Schwatz SI, Ellis H (Eds), 10th Edition, Prentice Hall International. London, 1997; pp.