I had to make several pickups before meeting Detroit Jeff, who then briefed me on how the California shipment was coming along. Jeff said he had heard from the guys, and they would not be back until next week. I asked if the police were investigating the hit-and-run. Nobody seemed to know anything. I left my meeting with Jeff and headed over to make a drop to some people from the 82nd. After I had arrived, they invited me to snort a line. I took a big whiff, it burned my nose; they all started laughing
Introduction In this assignment I will explore a clinical experience where dignity was maintained and reflect on my practice. It is important to reflect in both personal and professional development. Reflection will allow me to recognise both good and bad practice and how I can improve as a person as well as professionally. For this assignment I will be writing in first person, as it is appropriate for a reflective essay. Hamil (1999) can be used to support this, in the essay. I will also use Gibbs
CASE STUDY INTERNAL MEDICINE: SYNCOPE MICHAEL RAMARA 27419399 22 SEPTEMBER 2014 Table of Contents 1. Patient’s Case Information. 2. Introduction to Syncope. 3. Epidemiology. 4. Pathophysiology and Etiology. 4.1. Vasovagal Causes. 4.2. Orthostatic hypotension. 4.3. Cardiac causes. 4.4. Cerebrovascular causes. 4.5. Other causes. 5. Approach to the diagnosis. 5.1. Is it cardiac or not? 5.2. Investigations. 6. Treatment. 7. Prognosis. 8. Conclusion. 9. References. 1. PATIENT’S CASE INFORMATION
patient’s symptoms, thus resulting in a positive test. As previously mentioned the patient’s symptoms occurs after passing urine in the morning and is known as micturition syncope. This micturition syncope is thought to have a relationship with vasovagal syncope. As the patient has vasovagal episodes and in relation to micturition syncope, the patient will not prescribe alpha-blockers for his prostatic urinary symptoms. Alpha-blockers are also used to reduce blood pressures and a side effect of dizziness
Vasovagal Syncope, Pediatric Syncope, commonly known as fainting or passing out, is a temporary loss of consciousness. It occurs when the blood flow to the brain is reduced. Vasovagal syncope, also called neurocardiogenic syncope, is a fainting spell in which the blood flow to the brain is reduced because of a sudden drop in heart rate and blood pressure. Vasovagal syncope occurs when the brain and the cardiovascular system (blood vessels) do not adequately communicate and respond to each other
11 Intractable arrhythmias are most commonly seen in patients with HCM. Though taking an extensive history is difficult in the emergency setting, questions about history of present illness, prior history of chest pain, shortness of breath and/or syncope during exertion, as well as family history of cardiac illnesses are essential in determining the etiology. Physical exam should
2. The integumentary system consists of the skin, hair, nails, and sweat glands. Its main function is to act as a barrier to protect the body from the outside world. It also functions to retain body fluids, protect against disease, eliminate waste products, and regulate body temperature. Skin: First the skin protects the underlying structures by providing a physical barrier against the external environment. This can include anything from pathogens to abrasions. The skin helps to regulate temperature
ARRHYTHMIA Description Cardiac arrhythmia, also known as cardiac dysrhythmia or irregular heartbeat, is a group of conditions in which the heartbeat is irregular, too fast, or too slow. Arrhythmias are due to problems with the electrical conduction system of the heart. The most common forms of arrhythmia observed is either, tachycardia (A heartbeat that is too fast - above 100 beats per minute in adults) or bradycardia (A heartbeat that is too slow - below 60 beats per minute). While most types
earlier poetry and dissatisfaction with her literary abilities by crafting an extended metaphor likening her poetry to a flawed child birthed from her alone. Creating a connection between form and function, Bradstreet applies changes in meter, like syncopes and additional syllables, chooses an untraditional structure for the stanzas, and incorporates extended metaphor in order to further highlight the imperfections of her creation. Beginning by demeaning her work directly, “thou ill-form’d offspring”
Have you ever been so hungry because you didn’t have time to eat? Has that ever affected you in class? Out of a 100 student 85 said that the feel rushed or doesn 't have enough time to eat. That why kindergarten-8 students need to have a 45 - 60 minutes lunch time because it improves efficiency in class, it improves students moods, and improves students’ chances of not becoming obese. First a shorter lunch can cause your body physical harm and cause you to feel sick, light headed, or have organ
Pacific Lutheran University’s mission to engage students in diversity, justice, and sustainability through academics and service activities lines up with my life in multiple ways. Having grown up in the church, I firmly believe that God has placed us on earth to honor and glorify Him using the gifts and talents He has provided us. My goal in attending PLU is that it would supplement my aspiration to connect and reach out to my community while strengthening my foundation in Christ. Part of what I
Common disease specific presentation Hypertrophic cardiomyopathy Hypertrophic cardiomyopathy (HCM) is the most common identified cause of SCD.16 It is also the most common inherited cardiomyopathy and has prevalence of 0.2% (1 in 500) in the general population.19 It is generally inherited in an autosomal dominant manner, with variable penetrance of the phenotype. Left ventricular hypertrophy can also be acquired, such as that seen in longstanding hypertension, however whether there is an increased
self-terminate in 15 minutes and she then feels weak in her legs. Her husband reports episodes of generalised tonic-clonic seizures with urinary incontinence. She is currently on no medication. The clinical indication for the test was migraine, syncope or epilepsy. EEG findings: The patient was calm, alert and cooperative throughout the recording. The background contains a posterior dominant rhythm at 11Hz alpha activity which was synchronous and reactive to eye opening. There was widespread beta
Identifying data: L.B. 24 years old Hispanic female Chief complaints: sore throat HPI: Patient presents with a complaint of throat pain and pain with swallowing with onset of 2 days ago. Patient also complains of ear pain a right sided headache. Patient states she received a prescription for Azithromycin and Medrol dose pack one day ago but did not obtain prescription yet. Patient states the pain has worsened in the past 2 days. Patient denies fevers, shortness of breath, cough and muscle pain.
attention. Upon arrival, I made contact with P.R.P.D. Engine 42 and Pasco County F.D. Rescue #11. The subject, later identified as Patricia Jeanne Brown, was laying prone on the ground next to a table at the bar. The EMT's advised me that Brown had a syncope; however she was conscious and breathing. Brown's friend, identified as Kathleen Effingham, advised me that Brown consumed several alcoholic beverages and an unknown amount of anti-depressants in a possible attempt to commit suicide. Effingham stated
this, I look back at hard times in my life when I chose to stick it out. From the approximate age of twelve I developed a condition doctors can only define as Vasovagal Syncope: a phenomenon that causes spontaneous loss of consciousness in response to certain triggers. I felt, and still feel tot his very day that Vasovagal Syncope is a lazy excuse for “we don't know, and we have exhausted all of our resources in attempting to find out.” After pilgrimage after pilgrimage to every pediatric neurologist
Ebonics from other dialects including Aphesis, Syncope, and Apocope (p. 733). Aphesis is the deletion of an unstressed vowel or consonant letter usually in the beginning of a word. This loss of the letter makes it easier to vocally pass through words. For example, ‘They ‘bout to go’ is translated into ‘They are about to go.’ The ‘a’ in about is dropped to rid of the stressed syllable to ease the sound of the sentence. The second phonological, Syncope, works in the same way as aphesis, but drops consonant
An ‘Out Of Body Experience’ also known as ‘Astral Projection’ is exactly what the name suggests; it is the separation of one’s conscious from one’s body. In an Out of Body (OBE) experience a person feels like they have left their body and are floating above it. During an OBE the person is said to hear things and see things happening around them even though the person unconscious in a very liberal sense of the word. People who have out of body experiences also tend to have lucid dreams and the ability
feel like I'm coming into this class prepared. I'm taking AP English and the whole year was about analyzing and writing all different types of prose and poems. I learned about these 10 concepts, but in a different way. I did not learn them all at once. I learned them throughout the first semester and like core concept 1 says “writing is a process of discovery and learning.” I had a lot of practice. When I say a lot I mean a lot everyday was at least 1 essay and analyzing a work of literature. I have
Vaccine refusal is the intentional rejection of the use of vaccines by an individual, or other individuals by themselves, their guardian, next of kin, or the government. Due to the measurable immense benefits of vaccines, it is the general assumption that their use will be widely supported and publicised, especially by governments of nations that are constantly challenged by one health problem or another. Unfortunately, this is not always the case, and, in fact, in this Twenty-First Century, vaccine