RC is a female of unknown age presented with a chief complaint of a persistent headache. Specifically, RC describes the pain as being located on her skull’s bony ride behind her left ear. The pain is localized to that region, does not travel or radiate to any other areas, and is described by the patient to be felt on her skull bone. The pain is described as being sharp and not dull. RC began noticing the onset of the pain about two months ago and reports it to have gradually gotten worse in severity. The pain gets worse towards the end of the days. The sharp pain makes her feel some “pressure” and “fogginess” in her head as the pain gets worse. Patient does not report any associated symptoms. RC is not taking any medications to alleviate the pain. She believes that due to her smaller body size, she tends to overreact to medicines. Patient drinks lots of water and tries to eat well. She drinks 2 cups of coffee in the morning. …show more content…
Her son has been receiving treatment for rectal cancer. Patient has been one of his primary care takers. Although her son has been cleared of cancer, he has one more surgery
Mr BW was a 74-year-old man who had a fall due to a new onset of seizures, which resulted, to a direct impact of his head on the ground while at home. While at the hospital, MR BW underwent a CT and MRI brain scan and showed a haematoma, which resulted to commencing of the patient on Keppra and Bezodiapenes. Moreover, Mr BW also developed a sudden onset of pleuretic chest pain, which was confirmed by CTPA as a small pleural effusion on the left lungs; while there was also pulmonary embolism on both upper and lower lobes of the left lung. Due to the development of a provoked pulmonary embolism, patient commenced on Clexane injection. In September 2015, an elective open abdominoperineal resection was performed on Mr BW, which resulted to prolonged stay in the hospital due to delayed wound healing.
When implementing the treatment it will be important to remember that she is in pain and has a lot going on systemically. There may be excessive bleeding from the aspirin she takes daily. The diclofenac sodium can also cause abnormal coagulation. Being aware of the tissue’s response from scaling is important as well as the texture and amount of
She reported having a normal delivery, full term with no complications; developed normally. Major events: none. Nutrition history: fair. Social history: Currently lives with 2 children in her mother’s house, separated with ex-husband, who is in jail and plans to get a divorce.
Review of the medical record indicates that she was diagnosed with stage 3 rectal cancer with Mets to bones in 2013 for which she was treated with radiation treatments. She is followed by Dr Lederman in New York and locally by Dr patel- oncologist. After her radiation therapy she developed lymphedema to left lower extremity. She is follow by healthy lymphatics agency and was been followed by Dr DeBonet for pain.
This patient data from assessment includes: Alert & Oriented x4, vital signs BP-141/78, P-72, R-16, pox 99% RA, T-97.9 F- oral, RBC-3.44, Hct- 32.3, Hgb-10.7, platelet-183, WBC- 6.2, BUN-30, Cr-1 ,Na-141, K+-3.4, Cl-109, Ca-8.9, and Mg-2.6 . This Patient is a stand by assist and reports a chronic pain in neck and back at 7/10 and later 3/10 after pain medication. This patient also reported pain during urination at a 0/10 after antibiotic therapy. The patient’s physical assessment revealed a normal range of motion in upper and lower, skin elasticity with good
She also report she is in pain and there is a possibility that they will be starting epidural shot to assist client with the pain and if that doesn't work possible surgery. She also mentioned no changes in her medications. She report she is not medication complaint because the medication doesn’t help with the pain. Client was prescribed with the following medications: Ventolin HFA****AER 90mg G/IN Ibuprofen Tab 600mg Gababafeb /dN Kiq-100mg and Cyclobenzaprine HCL tab 10mg.
She herself seems to be in good health physically and is able to come to appointments. Her good physical health allows her to go the appointments and services she requires.
Based on the progress report dated 05/12/16, the patient had a corticosteroid injection about a month or so ago, which seemed to be helping, she has much less pain and has fairly good range of motion.
Sally’s headaches normally start at work were she is an administrative assistant at a local hospital. Sally describes the headache as a “tight band around her head” and the headaches have increased in frequency over the last thirty days. She also states they pain starts in the back of her neck and back of her head. Questions to ask are? Do you use a computer a lot? Do you feel stressed at work? Have you started any new medications? Have you had any dental work in the last 30 days? Do you find your work stressful?
MR imaging has been shown to be a useful tool for the assessment of both rectal and anal cancers [3,7–12]. However, its role in differentiating the site of origin of carcinomas that overlap the anorectal junction is limited, as most of the cases need histological confirmation for a final diagnosis.
Colon and rectum cancer is ranked third for cancer incidence and fourth for cancer death globally in 2013. Further colon and rectum cancer ranked second for incidence and mortality for developed countries and ranked fourth for both incidence and mortality for developing countries. The Global burden of cancer study showed that colon and rectal cancer was the fourth leading cause for cancer related years life lost between 1990 and 2013. The number of people diagnosed with colon and rectal cancer doubled from 1990 to 2013, most of the increase being explained by an aging and growing population. But a 16% of this increase was independent of the aging and growing population. The study showed colon and rectum cancer caused 15.8 million
Being spotted with colon rectal cancer is a nerve-wracking time for everyone. Colon rectal cancer befalls when there are malevolent cancer cells that develop and grow in the tissues of the colon. The colon is portion of human's digestive system. Having a healthy digestive system is imperative for ensuring our overall sense of welfare. It is the hub where wastes are removed quickly out of our body and it is accountable for processing and absorbing all the vital nutrients, vitamins, carbohydrates, fats, proteins, water and minerals. Not everyone falls into the high-risk group of patients who develop colon rectal cancer. Some individuals are more in jeopardy than the others. The factors consist of somebody who is at or over the age of fifty, somebody
Colon cancer is one of the most common cancers found in obese people. The colon (large intestine) absorbs water and salts before the remains are passed out of the rectum as faeces and also helps to absorb remaining carbohydrates and some fats (BHIA, n.d.). Among men, a higher BMI is strongly associated with increased risk of colorectal cancer and an association between BMI and colon cancer risk is also seen in women, however, the link is weaker (NIH, 2012). In addition, people who are overweight also have a higher potential for developing gallbladder disease and gallstones which are clusters of solid material in the gallbladder made mostly of cholesterol (NIH, 2012). Researchers have found that people who are obese tend to produce higher levels
Colon and rectum cancer, much like many other cancers, are researched and analyzed in order to study the trends of the disease. Either of these cancers are also named colorectal cancer for reference to either colon or rectal cancer. Colorectal cancer is in the top five most commonly diagnosed cancer within the United States, standing at number four. There are 50,260 estimated deaths from colon and rectum cancer, ultimately making up the estimated 8.4 percent of all diagnosed cancers. New cases of these cancers have decreased since 1992; deaths have also decreased. Statistics show deaths and numbers of cases diagnosed have been decreasing by over two percent each year for the last ten years.
History of present illness: Patient was at work and developed sudden onset numbness and weakness in the left arm and headache pain described as “dull and throbbing.” Pain is 8/10 on pain scale. She denies nausea and vomiting. Patient reports she has occasional headaches, which she treat with Tylenol or Motrin, but this is the first time she experienced numbness