Mary is a 37-year old white female who was in good health until 4 years ago when she developed flu-like symptoms. She sought medical care when her symptoms persisted with palpitations, dyspnea, syncope, edema of lower limbs, and sensation of fullness. Mary’s mother died at age 67 of congestive heart failure. Her father died at age 50 of a myocardial infarction. One of her sisters dies at the age of 48 from a cardiomyopathy. This sister had heart failure for about two years and died suddenly. Another sister had congestive heart failure at the age of 37 and a history of ventricular tachycardia which prompted automatic implantable defibrillator placement followed by a heart transplant. How does her family history may have played a role in her situation?
Hereditary is not a cause for all diseases, lifestyle changes, risk factors ( like smoking, diabetes, hypertension) are responsible for disease. Cardiomyopathy is a genetic disorder.
Mary is a 37-year old white female who was in good health until 4 years ago...
1. Mrs. Jones, a 40-year-old female patient, is presenting for a history and physical. The nurse gathers a family history from the patient. She shares that her mother died at 70 years of age of colon cancer and had adult onset diabetes controlled with oral agents, hypercholesterolemia, and hypertension. She had a stroke before passing away. Her father died at 67 years of age from a stroke. He had a long history of alcoholism and smoked two packs per day...
Mary Williams is a 78-year-old female who has stage 4 CKD, poorly controlled type 2 diabetes, and Class II obesity. She has was “chunky” as a child and adolescent with a life-time habit of having consumed a relatively high-fat, high-calorie diet. As she recalls, her entire family was overweight and she believed she had little control over the obesity. After marriage she gained excess weight with each of her 3 pregnancies and was never able loose all the weight. Throughout...
Mary Williams is a 78-year-old female who has stage 4 CKD, poorly controlled type 2 diabetes, and Class II obesity. She has was “chunky” as a child and adolescent with a life-time habit of having consumed a relatively high-fat, high-calorie diet. As she recalls, her entire family was overweight and she believed she had little control over the obesity. After marriage she gained excess weight with each of her 3 pregnancies and was never able loose all the weight. Throughout...
Melissa White is a 67-year-old female with ischemic cardiomyopathy and a history of chronic heart failure, HTN, high cholesterol and coronary artery disease (CAD). She is a past smoker that quit 5 years ago after her husband died of emphysema in 2007. She is a retired school teacher who cares for her ailing 90-year-old mother at home. Her neighbor brought her to an emergency department because she was complaining of shortness or breath, fatigue and swelling in her ankles and...
R is a 55-year-old white female who is being seen today for
her annual physical. She states the following: “this getting old is
tough. I stay tired all the time, I hurt all over, and I am not as
strong as I once was; plus, my feet are getting bigger and I can’t
wear any of my shoes.” Upon further questioning, S reveals that her
wrists have really been hurting, and she is afraid she may have
carpal tunnel. Her...
Anemia Case Study Mrs. M is a 68-year-old African-American female who came to the clinic due to progressive lethargy, dizziness and fatigue that began approximately three months ago. She also complains of shortness of breath, fatigue, cool lower extremities, and a beefy red tongue. She has a past medical history of type II diabetes mellitus (DM), hypertension (HTN), coronary artery disease (CAD), and osteoporosis. She is allergic to sulfa drugs with the reaction of hives when she took the medication...
A.P. is a 73-year-old female who presents to the women’s health clinic for an annual physical examination. She states that she is having difficulty sleeping and has been having panic attacks for the past year, since the death of her son. Subjective Data Lives with husband Daughter, age 50, lives nearby Had a son, age 52, who died in the past year from a drug overdose Objective Data Vital signs: T 37 P 80 R 18 BP 140/68 Weight: 140...
Mrs. M is a 68-year-old African-American female who came to the clinic due to progressive lethargy, dizziness and fatigue that began approximately three months ago. She also complains of shortness of breath, fatigue, cool lower extremities, and a beefy red tongue. She has a past medical history of type Il diabetes mellitus (DM), hypertension (HTN), coronary artery disease (CAD), and osteoporosis. She is allergic to sulfa drugs with the reaction of hives when she took the medication four years ago....
Document your FOCUS SKIN ASSESSMENT Situation: Edith Jacobson is an 85-year-old white female who was admitted last evening after having a dizzy spell, resulting in a fall where she fractured her hip and hit her head. An x-ray has been taken and shows a left intertrochanteric hip fracture. She also had a CT of her head, and those results showed that there was no intracranial bleeding. There was a concern regarding her orientation during the night, when she had a...
Document your FOCUS SKIN ASSESSMENT Situation: Edith Jacobson is an 85-year-old white female who was admitted last evening after having a dizzy spell, resulting in a fall where she fractured her hip and hit her head. An x-ray has been taken and shows a left intertrochanteric hip fracture. She also had a CT of her head, and those results showed that there was no intracranial bleeding. There was a concern regarding her orientation during the night, when she had a...