Jacob Powell
Write-up for Heart and Blood Vessels
Date: 10/18/2013
Time: 1330
Biographical: G.B., 20, Male, Caucasian, DOB: 01/23/1993, Student, Dr. Wang, Orientated to person, time and place, reliable source of information. No deficits in mental ability.
Write-up for Heart:
History of Present Illness- Chief Complaint- Fatigue
Denies chest pain
Fatigue is persistent, but not strong enough to interfere with capabilities
Denies associated symptoms
Denies medication
Denies cough
Denies difficulty breathing
Denies loss of consciousness
Symptom Analysis-
Where-
Symptoms systematic
States “I always seem to be tired.”
When-
Symptoms began three months ago
Symptoms onset was gradual
Last entire duration of the day
What-
Rated pain 0 out of 10
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High intensity
Denies sexual activity
Denies use of illegal drugs
Risk Factors
Male, more at risk
Denies hyperlipidemia
Denies elevated homocysteine level
Denies smoking
Denies family history of cardiac disease
Denies diabetes mellitus
Denies obesity
Denies sedentary lifestyle
Positive personality, somewhat intense
Write-up for Blood Vessels:
History of Present Illness- No CC
Denies leg pain or cramps
Denies swollen ankles
Past Medical History-
Denies cardiac surgery or hospitalization for cardiac evaluation or disorder, congenital heart defect, or vascular procedures
Denies acute rheumatic fever, unexplained fever, swollen joints, or vasculitis
Hypertension noted, denies bleeding disorder, hyperlipidemia, diabetes, thyroid dysfunction, stroke, transient ischemic attacks, coronary artery disease, atrial fibrillation, or thrombophlebitis
Family History-
Denies family member with risk factors, morbidity, mortality related to cardiovascular system, hypertension, dyslipidemia, diabetes, heart disease, thrombosis, peripheral vascular disease, or abdominal aortic aneurysms
Personal and Social History-
Denies employment
Denies tobacco use
Healthy nutritional status
Usual diet consist of a large amount of carbs and sugars, low amounts of protein and fat
Denies weight gain or loss
Denies alcohol use
Exercises with weights twice a week for one
An adult should follow the ratio consumption of: 60% carbohydrates, 30% fat, and 10% protein. All of these are essential macronutrients for adult bodies as they are a main source of energy. However, it is important to note that the ratios may vary from person to person due to physiological demands (1). Examples of sources of protein are milk, eggs, meat, fish, and nuts. Sources of healthy fat include avocados, peanuts, and soybeans. Carbohydrate sources derive from foods such as bread, pasta, rice, and potatoes.
Support from a patient. The court ruled that competent individuals have the right to refuse
Patient states he is “in very good shape overall,” he has had some concerns in the past with his blood pressure which was too high, but it's been a long time since
Screen the individual for any and all drugs which interfere with clotting of blood and would cause strokes or interferences with cascade of the clotting factors.
which the patient’s health will be significantly affected by the lack of proper blood flow,
Discuss the different types of blood vessels. Include the different layers composing blood vessels (remember to include tissue types) in your discussion.
Uncle Gary, a single firefighter captain and grandfather of four, has recently been experiencing chest pain. Having a background as an emergency response provider, he is not unaware of what the condition could lead to. A trip to the doctor’s concluded that he has angina, high blood pressure, and does not exercise enough. While these symptoms are modifiable, he also has a non-modifiable risk factor; he is male over the age of forty-five. The doctor stressed the seriousness of his conditions and put him at an increased risk for Congestive Heart Disease that, if not treated, could lead to a stroke or myocardial infraction.
The fundamental standards of the eating regimen are that the individual can eat a wide range of beans, vegetables, organic products, grains, and vegetables, however just 10% of the individual's calories ought to originate from fat. The individual ought to keep away from meat (red and white), oils and items containing oil including avocados, olives, nuts, seed, full-fat dairy, and sugar. The individual ought to practice for no less than 30 minutes five times each week or an hour three times each week. They ought to manage stress with yoga and meditation.
After a series of announcements about cardiac screenings and where to buy gym clothes, the Instructional Coordinator finally projected the three offerings for the students not signed up for one of the new specialized P.E. courses.The first choice was out immediately because there was no way I would pay to golf off-campus. One of the two remaining choices looked identical to a girls-only course I had taken my junior year, although this year all P.E. classes were officially coed. The group fitness unit offered would be less torturous than rotating between the cardio room and the weight room that catered to football players and wrestlers, not petite out-of-shape non-athletes, but I’d have to repeat hip-hop dance.
Mr. GL’s health history and behaviors reflect poor health management and likely played a role in the development of heart disease, and ultimately his cardiac arrest. Due to the patient’s condition, much of the patient’s health history was obtained from his sister and wife of 20 years. He had a past medical history of diabetes mellitus type II, hyperlipidemia, and hypertension. His mother was a diabetic who died in her late sixties and his dad died “a few years ago” due to a stroke. Mr. GL worked in construction for most of his life and served as the primary income for his family. Due to the demanding nature of his job, he was not physically active at home, nor did he maintain a healthy diet. His wife stated that “he didn’t have a very healthy diet, especially for having diabetes. He didn’t really check it very often, either.” His unhealthy diet and lack of regular exercise likely played a part in his obesity. Mr. GL was a pack a day smoker of 20 years and occasionally used cocaine in his early adulthood. Per his wife and sister, he rarely went to the doctor despite his diabetes and increased cardiovascular risk. He did not take any medications to control his diabetes or
(56 %) were smokers, 6 patients (24 %) were drug addicts, 14 patients (56 %) had positive family history of coronary artery disease table 1 & Figure 1.
The vascular assessment of a patient is an invaluable tool in the diagnosis and management of a condition. As podiatrists, it is essential to accurately assess the blood supply of the foot as even the slightest inaccuracy has the potential to become a catastrophic repercussion. Therefore, it is crucial that the vascular system is fully understood. It is also fundamental to note that, just as patients are unique, so is their anatomy. While many anatomical reference books provide a standardized anatomical positions of the arteries of the foot, it is important to recognize that variations of anatomy are a reality and must be taken into consideration during assessment.
• Lack of fruit, vegetables an untidiness carbohydrate, such as brown rice and wholemeal bread
When you’re in love, you feel it in your heart, so why not show your heart some love as well? The key to preventing cardiovascular disease is to manage your risk factors – high blood pressure, total cholesterol, and blood glucose levels. These negative risk factors can lead to coronary artery disease (CAD) and even a heart attack.
has to work harder pumping blood to the rest of the body. Blood in our