TRIPSE Assignment

As noted, on February 29, 2016, the patient was nonetheless admitted to the UCR hospitalist. This was a senior member of the UCR hospitalist team who knew or should have known all of the policies and procedures for admission, and should never have admitted the patient as an attending to the hospital. In so doing, he was directly and deliberately interfering with the doctor patient relationship.

The patient was initially admitted due to terminal cancer, his family wanted him to have a procedure, but he elected not to do so due to the risk of being in his mid-eighties. Instead, he remained in the hospital for comfort measures because the pain was unbearable without medication. His son did not accept the fact that his father was dying and this created family arguments about the care of the patient because the family did not believe the patient knew what he was doing by declining treatment.

The patient is a 70-year-old gentleman who was playing racquetball fell, hit his head was brought to the ED had a laceration on the right occiput area which was taken care of. He is also on known to be on aspirin. He was made in acute inpatient admission at the 20 to 11 the morning of the 13th. He was discharged a little over 24 hours later. My clinical review of this case indicates that this was most appropriate. They felt they needed to observe the patient, that he be placed in outpatient status and observed. However because he was admitted and discharged before condition code 44 could be carried out the admission must be

symptoms, it is the physician's duty to make a accurate diagnosis and give a prescription only if

At 0400 hours on a weekday in a rural suburb, a 911 call is placed for an eight month old female patient with persistent diarrhea, sunken fontanels, and severe respiratory distress. The local ambulance service responds to the call and transports the patient to a specialized emergency department for further evaluation. The mother accompanies the crew with the patient, nervously holding her daughter’s hand and stroking her head. Despite the tense ride, both the patient and mother are delivered to their destination without incident. The paramedic gives report and rushes to forget the call, while the patient is whisked into the ED for further testing. An ABG analysis (Arterial Blood Gas analysis) is performed on the child, revealing vital values

The baby, one year old, was unconscious and in grave condition, with a body temperature of 42 degrees Celsius and a total collapse of essential bodily functions. Her father was dehydrated and was given fluids intravenously.

In all two hundred thirty five patients were selected. A hundred and seventy patients consented to participate in the study. 10 patients were rejected after screening and six patients withdrew consent midway through the interview.

2. Pick one in particular disease noted, and expand on it. Do the research and give etiology, signs, and symptoms. Also, list any treatments that are commonly used for this illness.

Somewhere, sometime, as a mental health clinician we might conceivably do an evaluation and provide a complete course of treatment, or in our case, a complete document of first clinical interview of a patient. Regardless of where you work or who your patient may be, you will have to communicate your findings to someone. Working in hospitals, university counseling centers,

• Attended outpatient clinic three days a week, involved in taking patient histories, analyzed lab results, and then discussed with consultant the clinical presentation, management, and

The patient is an 8 year old African American boy from Milwaukee, Wisconsin. The boy was brought into the hospital by his mother. The patient’s mother is HIV positive, and she is worried that the HIV virus transmitted to her son. At the time of admission, the patient reported having a huge headache. The doctors decided to take a blood test to figure out if he indeed has HIV. The patient was diagnosed with HIV later that evening. The patient had

diagnosing a patient to be more difficult. The difficulty stemmed from the lack of information

4. What role does a physician play in this context? How much detailing effort is necessary?

Step 2: Gather Information – What clinical and situational information is available in the case? What clinical or

Suddenly, a critically ill patient was brought to an ambulatory setting. The patient was unconscious but those who presented him gave out