Lyme Disease
Case Study
A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered:
Studies Results
Lyme disease test, Elevated IgM antibody titers against Borrelia burgdorferi (normal: low)
Erythrocyte sedimentation rate (ESR), 30 mm/hour (normal: ≤15 mm/hour)
Aspartate aminotransferase (AST), 32 units/L (normal: 8-20 units/L)
Hemoglobin (Hgb), 12 g/dL (normal: 14-18 g/dL)
Hematocrit (Hct), 36% (normal: 42%-52%)
Rheumatoid factor (RF), Negative (normal: negative)
Antinuclear antibodies (ANA), Negative (normal: negative)
Diagnostic Analysis
Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent.
Critical Thinking Questions
1. What is the cardinal sign of Lyme disease? (always on the boards)
2. At what stages of Lyme disease are the IgG and IgM antibodies elevated?
3. Why was the ESR elevated?
4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment
Peripheral Vascular Disease
Case Studies
A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg.
Studies Results
Routine laboratory work Within normal limits (WNL)
Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure)
Arterial plethysmography Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves
Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh level
Arterial duplex scan Apparent arterial obstruction in the superficial femoral artery
Diagnostic Analysis
With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.
Critical Thinking Questions
1. What was the cause of this patient’s pain and cramping?
2. Why was there decreased hair on the patient’s right leg?
3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation?
4. What would be the treatment of intermittent Claudication for non-occlusion?
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Case Study In Nursing
/in Uncategorized /by developerCase Study Analysis
The purpose of this assignment is to challenge students to think critically and strategically by analyzing the case assigned. After reading the case, the students should answer the questions at the end of the case. The questions should stimulate thought-provoking responses and showcase the students’ ability to provide theory to application. Answers should be succinct, but sufficiently address the concerns. The typical number of suggested pages is 4-6 pages, depending on the complexity of the case and the number of questions asked. Outside sources are not required, but welcomed. If using outside sources, remember to cite them in APA format. The paper should be double-spaced with 12 pt. font.
Please make sure all criteria is correct and fully understood.
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Case Study Inflamatory Bowel Disease
/in Uncategorized /by developerStudents much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references.
Case Studies will be uploaded and put through TURN-It-In (anti-Plagiarism program)
Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.
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Case Study Inflammatory Bowel Disease
/in Uncategorized /by developerCritical Thinking Questions
1. Why was this patient placed on immunosuppressive therapy?
2. Why was the Meckel scan ordered for this patient?
3. What are the clinical differences and treatment options for Ulcerative Colitis and Crohn’s Disease? (always on boards)
4. What is prognosis for patients with IBD and what are the follow up recommendations for managing disease?
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Case Study Informatics In Healthcare
/in Uncategorized /by developerRead the following case study:
Best Hospital is a 325-bed suburban community hospital that has just merged with a local major academic medical center, the University of Excellence Medical Center (UEMC). There are 15 hospitals in the UEMC system, ranging from small rural hospitals with 50 or fewer beds to large multiple-specialty tertiary referral hospitals. Two hospitals in the system have achieved magnet status and several hospitals are working to achieve this status. Within the UEMC system, a high value is placed on collaboration with the schools of the health professions at the University of Excellence (UE).
Best Hospital has a long history of association with local universities, functioning mainly as a site for student clinical experiences. For example, undergraduate students enrolled at the UE College of Health Professions often complete a portion of their clinical work at the hospital. Each year the hospital hires a number of graduates from this program. Several nurses in first-level management positions at the hospital are enrolled in the master’s program.
The vice-president for clinical practice at Best Hospital is a PhD-prepared nurse who has been appointed to the faculty at the UE School of Nursing. Your current position is director of staff development at Best Hospital. You are responsible for the educational programming of all clinical staff. Over the past 2 years, Best Hospital has been fully involved in meeting Meaningful Use criteria. As director of staff development, you have played the major leadership role in developing and implementing all related educational programs.
The health professional schools at UE are working together to revise their curricula to integrate informatics throughout. The goal is to develop an interprofessional approach that incorporates informatics across and throughout the different educational programs within these schools. The schools have requested a meeting with clinical leaders from the hospital to gain a practical perspective on what information should be included in the curricula. The vice-president for clinical practice has included you on the list of leaders to attend the meeting. She asked that each person attending the meeting prepare a short presentation on how they engage their staff in the continuous education process with respect to ever-changing healthcare technology.
PowerPoint Presentation
Directions:
1. Review the case study.
2. Download the provided PowerPoint template to create a presentation that includes:
· An overview process map on how staff training is linked to any update in healthcare technology for Best Hospital staff
· Examples of computerized teaching tools used within staff training, including:
o List of learning tools typically used within staff training
o How you determine which tools to use (rationale)
o How such tools are used within the training process
· Support of continuous learning by staff (3 slides)
o Existing support mechanisms and processes
o How continuous learning is linked to professional development
o Examples of how learning is offered for diverse learning styles of staff
· Ensure that your presentation is free of spelling and grammar errors.
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Case Study Institute Of Medicine Reports Analysis
/in Uncategorized /by developerIn 1999 and 2001, the Institute of Medicine published two reports on patient safety concerns and identified alarming problems within our healthcare system during this time. To Err is Human (IOM, 1999) identified high levels of avoidable medical errors in our hospitals resulting in many patients dying. Six aims to improve patient safety were identified in the Crossing the Quality Chasm(IOM, 2001).
Examine the ways in which the U.S. healthcare system has improved since the publication of these reports. What still needs to be done to make our healthcare system better? Discuss whether or not the U.S. healthcare system is meeting all of the six aims (safe, effective, patient-centered, timely, efficient, and equitable) necessary to improve quality of care delivered to our patients. You will also assess the role of patient care technologies in meeting the six aims. Include at least two references in your responses and analysis.
You Must Read and use Chapter 2 as a reference of E-book which is attached below – Crossing the Quality Chasm: A New Health System for the 21st Century
Chapter Two, “Improving the 21st Century Healthcare System,” outlines the Institute of Medicine’s six aims for improving patient care and offers methods to improve healthcare delivery.
It is a follow-up on the IOM’s 1999 report on medical errors, “To Err is Human: Building a Safer Health System
For additional details, please refer to the Case Study Guidelines and Rubric document.
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Case Study Knee Injury And Testicular Cancer Case Studies
/in Uncategorized /by developerCase Study 5 & 6 (10 Points)
Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.
Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
Turn it in Score must be less than 20% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 20%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.
Knee Injury Case Studies A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable. Studies Results Routine laboratory values Within normal limits (WNL) Long bone (femur, fibula, and tibia) X-ray No fracture Arthrocentesis with synovial fluid analysis Appearance Bloody (normal: clear and straw-colored) Mucin clot Good (normal: good) Fibrin clot Small (normal: none) White blood cells (WBCs)
Testicular Cancer Case Studies A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. Studies Results Routine laboratory studies Within normal limits (WNL) Ultrasound the testicle Solid mass, right testicle associated with calcifications HCG (human chorionic gonadotropin) 550mIU/mL (normal:
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Case Study Lyme Disease And Peripheral Vascular Disease
/in Uncategorized /by developerLyme Disease
Case Study
A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered:
Studies Results
Lyme disease test, Elevated IgM antibody titers against Borrelia burgdorferi (normal: low)
Erythrocyte sedimentation rate (ESR), 30 mm/hour (normal: ≤15 mm/hour)
Aspartate aminotransferase (AST), 32 units/L (normal: 8-20 units/L)
Hemoglobin (Hgb), 12 g/dL (normal: 14-18 g/dL)
Hematocrit (Hct), 36% (normal: 42%-52%)
Rheumatoid factor (RF), Negative (normal: negative)
Antinuclear antibodies (ANA), Negative (normal: negative)
Diagnostic Analysis
Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent.
Critical Thinking Questions
1. What is the cardinal sign of Lyme disease? (always on the boards)
2. At what stages of Lyme disease are the IgG and IgM antibodies elevated?
3. Why was the ESR elevated?
4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment
Peripheral Vascular Disease
Case Studies
A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg.
Studies Results
Routine laboratory work Within normal limits (WNL)
Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure)
Arterial plethysmography Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves
Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh level
Arterial duplex scan Apparent arterial obstruction in the superficial femoral artery
Diagnostic Analysis
With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.
Critical Thinking Questions
1. What was the cause of this patient’s pain and cramping?
2. Why was there decreased hair on the patient’s right leg?
3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation?
4. What would be the treatment of intermittent Claudication for non-occlusion?
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Case Study Mental Health 1200 Words
/in Uncategorized /by developerNeed to do MSE,
Clinical reasoning
recommendations
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Case Study Mobilizing The Masses 19489991
/in Uncategorized /by developerRequired Resources
Read/review the following resources for this activity:
Instructions
For this assignment, select one of the following options.
Writing Requirements (APA format)
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Case Study Module 9
/in Uncategorized /by developerWithin each case study you must: give a summary of the case; answer the questions provided; relate the case to a topic in the news, a piece of legislation, or a chapter covered in your book. Requirements: minimum two pages, double-spaced, 12pt Times New Roman font with 1″ margins in APA format to include a running head with page numbers, cover page and references. A detailed grading guide has been provided on this site or you can view the grading rubric.
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