X-Ray Patient Observation

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

The resident was assessed by the outreach nurse practitioner and further findings were obtained that he developed left sided chest pain radiating down the left arm whilst he had the dizziness. He described the pain as sharp and “grabbing” sensation. He suffered from no nausea or vomiting, no fevers or coughs and has been eating/drinking normally with a normal bowel motion. However, he complained of burning sensation prior to urination, but has no history of dysuria or abdominal pain.

2. An 56-year-old established patient presents to her doctor's office with chest pain and shortness of breath. The doctor orders an ambulance to take the patient to the ED to be checked out. From the ED the patient is admitted for some

States that it started 3 days back and uses oxygen at home. States that he is a former smoker and laying on his back feels better. Also says he has a list of medication, more than 20. Pt has a history of COPD, CHF, DM,morbid obesity, HTN, HLM, hypothyroid, and sleep apnea. Has no accessory muscle use. CC is shortness of breath. Assessment is that there is no deformities or trauma of the head or neck area. Chest shows no signs of deformities or trauma. The abdominal area is tender and warm to the touch. Pelvis and back was not assessed. The upper and lower extremities show signs of low circulation and swelling. PMS=4. I helped with placing the BP cuff on the left arm and attaching it to the monitor. First vitals were recorded. O2 was given by the Nurse and then Albuterol by nebulizer. After 30 minutes, I assisted the Nurse and other hospital workers in moving the PT to a bigger bed. Second set of vitals were recorded. After becoming stable the Pt was moved up to the floor.

I have this notion that being an X-Ray Technician is something anybody can learn quick and easy. Get the patient undress, instruct the patient to get in the exam table, get the pelvic area covered then go to the computer and press a key in the keyboard.

Mrs. Schafer completed her pulmonary function test prior to the appointment time and she was evaluated by Dr. Theodore J Standiford. Mrs. Schaefer provided an acute report of her injury and symptoms she was experiencing. Dr. Standiford replied that Mrs. Schaefer lung capacity was reduced by a third. (1/3). I inquired if it was the result of the injuries in the MVA. Dr. Standiford replied that they are a contributing factor i.e. flail chest and fluid in her lungs from aggravated congested heart failure. Dr. Standiford noted left crackles breath sounds on his examination and recommended that Mrs. Schaefer return to her cardiologist and that a high resolution CT scan of her lungs be obtained prior to the next appointment to determine if she has

O: Mr. P is alert but restless. His vital sign are Temputure-97.3, Pulse-88, resperatin-22, Blood Pressure 155/88, Oxygen Saturation on room air is 96%, Weight-210lbs, and Height 5fl 9in. Normal breathing, lungs clear on auscultation, hyperactive bowel sounds in all four quadrants, and heart sounds are normal on auscultation with regular S1 and S2 rhythm. His abdomen is soft, non-tender, extremities without clubbing, cyanosis or edema. A 12 lead EKG was done and result are pending for lipid panel, CK-MM, CK-BB, chest x-ray, Troponin I and Troponin T, CBC, BMP, and myoglobin levels.

On January, 31st, Patient F.F. arrived to the emergency room in the hospital with her brother due to an increased temperature for ‘the past 3 days,’ fatigue, and was ‘unable to catch [her] breath.’ A focused assessment revealed crackles and wheezes in the lower lobes of the lungs. The patient was leaning over in a tripod position and breathing heavily between words. The patient’s heart sounds were normal with a regular S1 and S2. The patient denied having chest pain and edema was not present. The patient reported having a productive cough with green sputum for the past 3 days. Vital signs were taken and the patient’s oxygen saturation was 88%. The doctor ordered 2 liters of oxygen by nasal cannula for the patient with a continuous

The patient is a 73-year-old female who presents to the ED complaining of diffuse abdominal pain that started 3 days prior to admission. Her medical history is significant for atrial fibrillation, however she is not on anticoagulation because of previous GI bleed, type 2 diabetes mellitus, history of congestive failure, a history of uterine cancer, she had a TAH/BSO 8 years ago and postop radiation. She is not a good historian but does believe that she had a colonoscopy few years ago. The patient required narcotics in the emergency room. CT of the abdomen done ER reveals an enlarged heart, coronary artery is that calcifications moderate sized right-sided pleural effusion and small left pleural effusion with adjacent atelectasis, multiple

Patient WS is a 52 years old male his complained of crushing chest pain, shortness of breathe with exertion and diaphoretic. His has history of present illness of angina. The patient has a history of hypertension, high cholesterol, and cholecystectomy. He is a full-time carpenter, no known allergies, smokes one pack per day, and no active exercise. The patient takes one heavy meal per day and mostly skips breakfast and eats fast foods for lunch.

The patient complained of crushing chest pain that radiated to his neck and jaw, short of breath (SOB) with exertion, and diaphoretic that had been going on for four hours that day.

This is a patient with a past history of hypertension, hyperlipidemia, diabetes, CAD and congestive heart failure who presented initially complaining of chest discomfort in the upper left side of her chest which was thought could be consistent with angina. The patient's initial workup showed the blood pressure was elevated at 193/77. The EKG had nonspecific changes. The chest x-ray had no acute disease. The troponin was negative.

Notied by the pt. Two pt verfier completed. Per PA Wu, the pt advised that her xray shows pericardial effusion. The pt instructed to take ibuprofen 600-800mg no more than 2400mg per dayfor 4 weeks. Pt instructed the pt to go to the ER if he should have SOB, chest pain, epigastric, pain in left shoulder that radiates down the arm, and numbness and tingling. The pt agrees and verbalizes

PRESENTING COMPLAINT: Mr P presents with of sudden onset of chest pain, the pain is constant, feels some tightness, pressure and squeezing in the chest and radiates to lower jaw, neck and right shoulder, has vomited twice, dyspnoeic and some diaphoresis.

An adult patient visited the doctor complaining of symptoms concerning his mouth and not being able to open it. The patient explained that he had injured himself causing puncture to his leg. The patient was provided a health examination that involved a brief screening into his history. The patient was asked