- Atrial fibrillation (AF) with a rapid ventricular response
A previously healthy 22-year-old woman presents to the emergency department (ED) with acute shortness of breath. Her shortness of breath became worse with exertion and was associated with pleuritic chest pain for 2 days. She has had a fever, nonproductive cough, nausea, vomiting, and arthralgia.
On presentation, she is febrile with a temperature of 101.5°F (38.6°C), a blood pressure of 88/54 mm Hg, a pulse of 104 bpm, a respiratory rate of 28 breaths/min, and an oxygen saturation of 88% while breathing room air. Her oxygen saturation improved to 92% with supplemental oxygen given at 2 L/min. She is in moderate respiratory distress; however, she can speak in full sentences. Her physical examination reveals absent breath sounds throughout the right thorax, with decreased breath sounds halfway up the left thorax. Other findings include egophony, decreased fremitus, and dullness to percussion on the right thorax. She has no jugular venous distention, edema on her lower extremity, or rash.
A previously healthy 22-year-old woman presents to the emergency department (ED) with acute shortness of breath. Her shortness of breath became worse with exertion and was associated with pleuritic chest pain for 2 days. She has had a fever, nonproductive cough, nausea, vomiting, and arthralgia.
On presentation, she is febrile with a temperature of 101.5°F (38.6°C), a blood pressure of 88/54 mm Hg, a pulse of 104 bpm, a respiratory rate of 28 breaths/min, and an oxygen saturation of 88% while breathing room air. Her oxygen saturation improved to 92% with supplemental oxygen given at 2 L/min. She is in moderate respiratory distress; however, she can speak in full sentences. Her physical examination reveals absent breath sounds throughout the right thorax, with decreased breath sounds halfway up the left thorax. Other findings include egophony, decreased fremitus, and dullness to percussion on the right thorax. She has no jugular venous distention, edema on her lower extremity, or rash.- Tobacco Control
Twelve states have approved this legislation in 2007, and three more states have legislation awaiting action by the governor. “This legislation is vital in the fight to reduce the 700 to 900 deaths annually from fires caused by cigarettes and other smoking materials,
Twelve states have approved this legislation in 2007, and three more states have legislation awaiting action by the governor. “This legislation is vital in the fight to reduce the 700 to 900 deaths annually from fires caused by cigarettes and other smoking materials,- Cigratte Smoking Resposible for 1 of 5 Deaths
Centers for Disease Control and Prevention. Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses * U.S., 1997-2001. Morbidity and Mortality Weekly Report (MMWR) 2005; 54(25); 625-628.
Centers for Disease Control and Prevention. Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses * U.S., 1997-2001. Morbidity and Mortality Weekly Report (MMWR) 2005; 54(25); 625-628.- Suffering From Joint Pain?
Cartilage is what keeps the bones from grinding against each other. As your immune system eats away at your joint cartilage, pain is brought on by the formation of nerve endings in the affected area. Eventually, the pain is so sever that mobility in those joints is virtually impossible.
Cartilage is what keeps the bones from grinding against each other. As your immune system eats away at your joint cartilage, pain is brought on by the formation of nerve endings in the affected area. Eventually, the pain is so sever that mobility in those joints is virtually impossible.- The Effectiveness Of Psychological Treatments For Treatment Resistant
About 30% of people with depression do not respond to an antidepressant at the recommended dose and can be described as having treatment-refractory depression.
About 30% of people with depression do not respond to an antidepressant at the recommended dose and can be described as having treatment-refractory depression.- Schizophrenia and Social Support
Looking at my patient’ scenario I feel she had multiple factors which led her to mental illness these were; poverty, lack of parental attention in childhood and teenage, unavailability of supportive person, loss of husband, suppression of own feelings due to role transition, and social stigma.
Looking at my patient’ scenario I feel she had multiple factors which led her to mental illness these were; poverty, lack of parental attention in childhood and teenage, unavailability of supportive person, loss of husband, suppression of own feelings due to role transition, and social stigma.
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