...Running head: COMPRHRENSIVE PHYSICAL ASSESSMENT Linda McGoff Indiana Wesleyan University NUR 334: Comprehensive Physical Assessment of the Well Adult Facilitator: Tracy Kastenhuber October 31, 2011 Plagiarism Policy Interview for Health History Guidelines Student: Linda McGoff Core Group: RNBO142 Date: 10/15/2011 Initials of Client: MEV Sex: Female Age: 79 CONFIDENTIALITY OF IDENTIFICATION OF CLIENT Present Health Status: Fair Current medications and/or herbs: Synthroid 125mcg qd Cytomel 25mg BID Neurotin 300mg TID Plavix 75mg qd Voltaren 75mg BID Nexium 40mg qd Naproxen 500mg BID Xanax 0.25mg BID Botox 2000 U given in different areas in the neck Current treatments: Treatment for hypothyroidism, hyperlipidemia, GERD, osteoarthritis, anxiety and cervical dystonia Allergies: Allergic to Morphine Sulfate - vomiting History of Present Illness (if applicable): Left knee pain which is causing difficulty with ambulation & Cervical dystonia aka spasmodic torticollis causing head tilting, neck pain, and neck muscle spasms Location – Left knee and neck Character or quality – Left knee pain is described as sharp, grinding sensation with ambulation, reported considerable swelling prior to starting Voltaren medication. Neck has sensation of spasms and involuntary head tilting or movements Severity-Yes, debilitating Aggravating or relieving factors: Ambulation causes increase in pain...
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...Smoking,, the slow killer We all wonder of those people who refuse to live happy and healthy life, they choose to live miserable life intentionally! They want to commit slow suicide, you may ask your self whom are they, they are the smokers. As we know that our age is full of experiments and discoveries, these experiments may become one day a bad or fatal habits that lead people to death. Smoking is considered one of those habits. Unfortunately, that most smokers know that this unpleasant habit causes many diseases to them. Perhaps you would care to know that it has an adverse effect on lymph nodes, pituitary glands, nerves centers, heart, blood pressure and lungs, regardless of its fiscal disadvan***es. How to quit smoking? These are practical steps, but we need deeds not words: * Delay the usual time of smoking, e.g. if you are smoking every day at morning, try to delay it to the afternoon, then try again to delay it to the night. The desire of smoking will reduce gradually. * Try to avoid the places or attitudes that remind you with smoking. Most likely, you will be longing for smoking but you have to hold your horses. * learn new hobbies and sports to fill your time as a trial to distraction from smoking. In fact, they are more and more ways to quit smoking, but we want to notice that you have to put in your consideration the appropriate time and place, not to mention the praying and ask Allah to help you. If you do it, you will be obedient to Allah and held...
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...Table 4. Platform Patient Cases Medical Terms Worksheet TERM | PREFIX(S) | ROOT(S) | SUFFIX(S) | LITERAL MEANING | DICTIONARY MEANING | Alcoholic | | AlcoholAlcohol | -icpertaining | Pertaining to alcohol | Relating to alcohol | Afebrile | a-without | Frebrilfever | | Without fever | Without fever | Angioma | | AngiBlood, lymp | -omatumor | Blood tumor | benign tumor consisting chiefly of dilated or newly formed blood vessels or lymph vessels | Ascites | | AscBag | -itesPertaining to | Pertaining to bag | accumulation of serous fluid in the peritoneal cavity | Asterixis | a-without, no, not | -SterixisFixed position | | Not fixed position | motor disorder characterized by jerking movements | Cirrhosis | | CirrhTawny | -osisAbnormal condition | Tawny abnormal condition | disease of the liver characterized by increase of connective tissue and alteration in gross and microscopic makeup | Coronary | | Cor-Heart | -aryPertaining to | Pertaining to heart | Relating to the heart | Cyanosis | | CyanBlue | -OsisAbnormal condition | Abnormal blue condition | blueness or lividness of the skin | Diarrhea | Dia-Between, through | | -rrheaFlow, discharge | Flow or discharge in between | Excessive, frequent stool | Diaphragmatic | Dia-Between | PhragmatEnclosure | -ic Pertaining to | Pertaining to enclosure between | | Dyslipidemia | Dys-Bad, painful | EmBlood | -iaCondition | Bad blood condition of lipid | Excess lipid in the blood | Edema | | Edemaswelling...
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...are prominent; the cytoplasm is scarce and deeply colored or, on the opposite, is pale. The nucleus of malignant tissue plays, through its alterations, a big role in the evaluation of malignancy. Changes are associated with the surface, structure and homogeneity, the nucleus/cytoplasm ratio, volume, as well as shape and density. Ultra-structural features are associated with changes in chromatin (e.g. reduction in heterochromatin and increase of perichromatin and interchromatin granules, formation of inclusions, and increase of nuclear membrane pores), invaginations, and nucleus segmentation. The nucleus is characterized by its movement towards the membrane, hypertrophy, numerical increase, development of intranuclear and canalicular systems between the nucleolus and the...
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...caused often referred to as Bancroftian filariasis. – occurs throughout the tropics, especially in Africa, South America, India, and Southeast Asia – has also been found in parts of Europe, Nile Valley and Australia • Brugia malayi – limited mostly to parts of India and Southeast Asia – infects probably less than 10 million The Global Distribution of Lymphatic Filariasis 3 Major Life Cycle Stages • INFECTIOUS LARVAE - transmitted to humans by mosquito bites • ADULT WORM - develop from larvae, reside in the lymphatic vessels • MICROFILARIAE - produced by mated adults and found in host bloodstream, when acquired by mosquito develop into infectious larvae The Lymphatic System • System of vessels that drain lymph fluid from the tissues • Delivers antigen to lymph nodes • Eventually lymph is returned to the blood via the thoracic duct 4 Life Cycle of Lymphatic Filariae larvae develop in mosquito...
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...caused often referred to as Bancroftian filariasis. – occurs throughout the tropics, especially in Africa, South America, India, and Southeast Asia – has also been found in parts of Europe, Nile Valley and Australia • Brugia malayi – limited mostly to parts of India and Southeast Asia – infects probably less than 10 million The Global Distribution of Lymphatic Filariasis 3 Major Life Cycle Stages • INFECTIOUS LARVAE - transmitted to humans by mosquito bites • ADULT WORM - develop from larvae, reside in the lymphatic vessels • MICROFILARIAE - produced by mated adults and found in host bloodstream, when acquired by mosquito develop into infectious larvae The Lymphatic System • System of vessels that drain lymph fluid from the tissues • Delivers antigen to lymph nodes • Eventually lymph is returned to the blood via the thoracic duct 4 Life Cycle of Lymphatic Filariae larvae develop in mosquito...
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...Disorders and Diseases Affecting the Lymphatic System Brittany Drake ITT Technical Institute Disorders and Diseases Affecting the Lymphatic System Filarises is a parasitic disease that is caused by a worm so tiny it can only be viewed by a microscope. The body’s lymph system is responsible for maintaining the body’s balance of fluid as well as fight infections. Filarises is spread from person to person via mosquito bites. When an infected person with filarises is bitten by a mosquito the circulating worms from inside the infected persons blood enters the mosquito and carried to another person that is bit by the same mosquito. Once the person is bitten by the mosquito the worms travel to the lymph vessels. Once the worms reach the lymph vessels they mature into adults and live for five to seven years. Repeat mosquito bites over several months are needed to get filariases. This diseases is most common in tropical or subtropical areas. This infection will show up on a blood test as most that suffer from this disease are asymptomatic. Some people may develop lymphedema. Fluid collection and swelling is a result of the improper functioning of the lymph system. Usually this takes place in the legs however the genitalia, arms and breasts can be affected as well. People affected with this disease will have more bacterial infections in the skin as well as the lymph system. Hardening and thickening of the skin develops. This is known as elephantiasis. Men can develop hydrocele...
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...how thick it was. A sentinel node biopsy is a test that tells whether the cancer has spread to the lymph nodes. Tissue fluid is drained from the area with primary melanoma and is tested by a pathologist, specialized doctor. If the results come back that there is cancer in the lymph nodes then a lymph node dissection must be done. This is the removal of a lymph node from the neck, armpit, or groin. Lymphoedema is the swelling of the area that the lymph node was taken out of and will most likely happen after this treatment (“Treating Melanoma”). There are many advanced melanoma treatments or stage 4 melanoma. Four main treatments for this is biological therapy, chemotherapy, radiotherapy, and surgery. Factors that determines which treatment/treatments...
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...System Connections Sara Lenz HCS/230 August 1, 2011 Michael Allar, Ph.D. System Connections The Lymphatic System has four major structures lymphocytes, lymphatic vessels, lymphoid organs, and lymphoid nodules (Martini & Bartholomew, 2010). The functions of the lymphatic system are to provide the body with an immune system to fight off infections, bacteria, and any foreign invader that enters the body and maintains the balance of fluids in the internal environment (Cayuga School District, 1997). The lymphatic system works in correlation with the skeletal and cardiovascular systems (Allar, 2011). The lymphatic system regulates fluids in the body (National Institute of Health, 2010). The importance of fluid regulation in the body is important to help prevent edema, a serious disease caused by an over-accumulation of bodily fluids that can lead to tissue destruction or death. This problem is avoided by the presence of lymphatic vessels that act as "drains" to collect the excess fluid and return it to the venous blood just before it reaches the heart (Cayuga School District, 1997). The lymphatic system is a specialized component of the circulatory system. It consists of a moving fluid (lymph) derived from the blood and tissue fluid and a group of vessels (lymphatics) that returns lymph to the blood. Lymphatic vessels parallel veins (Mitchell High School, 2005). The Lymphatic System includes lymph nodes located along the paths of collecting vessels, isolated...
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...Ashley Rodriguez Lymphedema Lymphedema is swelling that usually occurs in one or both of your arms or legs. It is caused by a blockage in the lymphatic system which prevents lymph fluid from draining. It cannot be cured, but it can be managed by early diagnosis and taking good care of the limb that is affected. The symptoms are swelling of part or all of your arm or leg, feeling heaviness or tightness, restricted range of motion, aching or discomfort, recurring infections, and fibrosis. The amount of swelling can range from mild to extreme which could make the affected limb harder to move. Lymphedema occurs when lymph vessels are unable to adequately drain lymph fluid. Lymphedema can be either primary or secondary. If it is primary then the disease can occur on its own or if it’s secondary then it’s caused by another disease or condition. Secondary lymphedema is more common than primary lymphedema. Primary lymphedema is inherited and is caused by congenital lymphedema which starts at infancy, lymphedema praecox which occurs around puberty or pregnancy, lymphedema tarda which occurs after the age of 35. The causes of secondary lymphedema are surgery, radiation treatment for cancer, infection, and cancer. You are more at risk for developing lymphedema if you had cancer or cancer treatment, are older, have excess weight, or psoriatic arthritis. Having lymphedema can lead to complications such as infections or lymphangiosarcoma. Doctors usually diagnose you by the obvious signs...
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...Disorders and Diseases Affecting the Lymphatic System Jennifer Hicks July 3, 2015 According to Magill’s Medical Guide Elephnatiasis (aka filariasis) is a grossly disfiguring disease caused by a round worm parasite; it is the advanced stage of the disease Bancroft’s filarias, contracted through round worms. With this you can experience several symptoms including recurrent fever, inflammation of lymph nodes, and possible gross enlargement of a body part. This disease is caused by infestation of round worm parasites as discussed earlier, but how do you contract these parasites? These parasites are carried by mosquitos and black flies. So a bite from an infected mosquito can cause a person to contract the worm parasite. This usually occurs in tropical regions of the Americas, Asia, and Africa. There are approximately 120 million people worldwide infected, of these 40 million are disfigured or have chronic disease. The adult parasite sets up its establishment inside a lymphatic vessel of the carrying host. This in turn causing abnormalities in the lymphatic integrity system and its functions. People who are infected can develop scar tissue and fibrosis inside and around the affected lymphatic vessel. This leads to permanent characteristic pathology manifested by irreversible lymphedema. To try and prevent yourself from being infected with these parasites utilize a mosquito repellant this will hopefully keep you from receiving a bite from an infected...
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...Cellulite is not restricted to fat people. Even lean people can suffer from it. Losing cellulite is more difficult than losing fat. Cellulite is the swelling of the fat cells, which then appear as bumps on the body, causing what is known as the 'dimpling effect', or the 'orange peel effect', because the cellulite affected area resembles an orange peel. In the following paragraphs we will find out the exact nature of cellulite and how it is formed. Once that is clear, it will be easier to understand how to get rid of it. Appearance of Cellulite on the Skin The skin is made up of many different layers, called 'dermis'. The fat cells that are under the skin are connected to the skin with the help of a layer called 'septa', which is fibrous in nature. This layer forms a wall between the fat cells and the skin. But when this layer beaks down, the fat cells which expand, do so directly against the skin, so that there is no layer between the two. Due to this the skin develops pits and valleys, and resembles an orange peel, or cottage cheese, or has a dimpled appearance. The appearance of cellulite is different in men and women, but the difference is not very significant. Causes of Cellulite The causes of cellulite in men and women differ. In women, the hormonal changes during menstruation, menopause, pregnancy, etc., which regulate the flow of blood, lymphatic drainage and fat, are mainly responsible for the formation of cellulite. Birth control pills, also cause a change in...
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...Doresa Griffin EN102 English Composition II Leann.Slegowski Thyroid Cancer February 28, 2014 Miller-Motte College Online Thyroid Cancer Papillary thyroid cancer is known as a good cancer. However, learning you have any type of cancer is heart breaking. In December 2 I went to my primary cancer doctor for a routine physical exam and part of that was a thyroid ultrasound. When the thyroid ultrasound results came back it showed an 8mm thyroid nodule in right side of the thyroid gland. My primary care doctor was fine with just watching the nodule to see if would change over a year time. After months of soul searching and having an intuition that this could be some serious. I made an appointment with an otolaryngologists. Little did I know that this doctor’s appointment would be a life changing event for my sons and I. Once I was at the doctor’s appointment and the doctor did a full physical exam and reviewed the ultrasound films. I was given two options to have a thyroid biopsy done and this is where a needle is inserted in the thyroid gland with ultrasound guide and a small piece of tissue is removed and sent to pathology. In some cases the results are inconclusive. The other option was a thyroidectomy and complete remove the thyroid gland and send it to pathology for a diagnostic conclusion. I decided to have the surgery done. A decision that beginning of a life changing event. There are two types of thyroid surgery one is...
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...Gross Anatomy of the Lymphatic System Rather than describing the lymphatic system as an organ, it is better understood as a complex system which includes capillaries, vessels, cells, organs, ducts, lymph nodes and valves which all contribute to linking different structures together in order to transport excess fluid from the body tissues to the bloodstream and permeate pathogens from the blood (2, 3). Figure 2. Figure 1. The lymphatic vessels form a major element of the lymphatic system and are extensively distributed in most areas of the body excluding the central nervous system, bone marrow, bones, teeth, eyeball and avascular tissues such as cartilage (1,3) as illustrated in Figure 1. The lymphatic vessels themselves initiate as lymphatic...
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...Chapter.20 Lymphatic System & lymphoid organs and tissues Lymphatic System: returns fluids that have leaked from the blood vascular system back into the blood 3 Parts: Network of lymphatic vessels Lymph = fluid contained in those vessels Lymph nodes - cleanse the lymph as it passes through them Lymphatic vessels form a one way system in which lymph fluid flows only towards the heart. when fluid pressure is greater then the pressure n the lymphatic capillary it will be drained toward the heart. order questions? how does it flow from the lymphatic capillaries to the heart? or opposite way around. The cistern chill collects lymph from the 2 larger lumbar trunks that drain the lower limbs & form the intestinal trunk that drains the digestive organs. Lymphoid Organs & Tissues: provide the structural basis of the immune system -House phagocytic cells & lymphocytes which play roles in the body defines mechanisms & resistance to disease. Ex- Spleen Lymphatic Capillaries: Weave btwn the tissue cells and blood capillaries in the loose CT of the body these vessels to be EXTREMELY permeable due to mini-valves. Lymphatic Trunks: drain large areas of the body, named for the regions which they drain lymph Lymphatic Ducts: R Lymphatic Duct -drains lymph from R upper limb & right side of head and thorax 2) Thoracic Duct much larger b/c receives lymph from the rest of the body Lymph Transport: Lymphatic vessels are low-pressure conduits...
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