You are asked to review James Williams, a 76 year old man, postoperatively on the ward. Over the past week he has been generally unwell, with a temperature and cough. John Smith, aged 71, was diagnosed with chronic obstructive pulmonary disease (COPD) 8 years ago following a 10 year history of gradually worsening shortness of breath (SOB) and productive cough in the winter. Please leave feedback and comments, and if you want to put your own hot cases up, please get in touch and we can make it happen. Clinical Scenarios in Surgery PDF: Decision Making and Operative Technique presents 125 cases in all areas of general surgery: GI, breast, hepatobiliary, colorectal, cardiothoracic, endocrine, vascular, trauma, pediatric, critical care, and transplant. • Medical Research Council (MRC) breathlessness score: 4. You re-assess Mr Smith 2 weeks later at home during a follow-up visit. Clinical Cases. What would be the main aim(s) of your assessment at this stage? He lives with his wife in a four-bedroom house and has never smoked. Each question should be considered by the individual or group before referring to the answers. Clinical case studies for general practitioners, provding a practical approach to managing the common, and not so common, conditions presenting in general practice. Married with three children and eight grandchildren, Smoker for 40 years × 10 cigarettes per day = 20 pack-years, Medical Research Council (MRC) breathlessness score: 4. Filter by Subtopics Filter by Date Range. You may need to look back at individual assessment tools for further information. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), Presurgical Functional MappingAndrew C. Papanicolaou, Roozbeh Rezaie, Shalini Narayana, Marina Kilintari, Asim F. Choudhri, Frederick A. Boop, and James W. Wheless, the Child With SeizureDon K. Mathew and Lawrence D. Morton, and Pharmacologic Consequences of SeizuresShilpa D. Kadam and Michael V. Johnston, Self-Limited EpilepsiesDouglas R. Nordli, Jr., Colin D. Ferrie, and Chrysostomos P. Panayiotopoulos, in Epilepsy: A Network and Neurodevelopmental PerspectiveRaman Sankar and Edward C. Cooper, Hematology, Oncology and Palliative Medicine, the type of assessment you would undertake (e.g. "Place your order now for a similar assignment and have exceptional work written by … The LITFL Clinical Case Collection includes over 250 Q&A style clinical cases to assist ‘Just-in-Time Learning‘ and ‘Life-Long Learning‘.Cases are categorized by specialty and can be interrogated by keyword from the Clinical Case searchable database. He is no longer SOBAR (short of breath at rest) but he is still unable to walk far in the house without becoming breathless. He is still very breathless at rest and is expectorating thick yellow sputum. A commulative list of related case studies will display below the search options. He was diagnosed with motor neurone disease (MND) 18 months ago. The case of Stuart. Phone // +1.202.857.0717 or 800.892.1400 Fax // +1.202.887.5093. Challenging Scenarios in MPN: Applying Best Practice to Real-world Clinical Cases . Epigastric pain case study with questions and answers. The following scenarios portray real situations that are not uncommon in clinical practice. Epigastric pain case study with questions and answers - for doctors and medical students exams, finals and OSCEs. These cases present real and typical clinical scenarios that are followed, managed and discussed in light of current ESC recommendations. – Share the study plan on your screen. Clinical Cases A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. Observations taken on admission (on air): An introduction to cardiorespiratory physiotherapy: respiratory assessment, Anatomy and physiology of the respiratory system, Cardiac Monitoring and Cardiopulmonary Resuscitation. Clinical cases. CASE 1 A 20 year old man with no past medical history presented to a primary stroke center with sudden left sided weakness and imbalance followed by decreased level of consciousness. He is sleeping downstairs and has home oxygen at 2 l min−1, which he is using intermittently. 900 Seventh Street, NW Suite 400 Washington, DC 20001 U.S. He has stopped using oxygen and his. Working through them will allow you to pull together the information covered in this book in a problem-solving manner. This section is a collection of critical care clinical cases to test yourself and hopefully get some new ideas. Some background information is provided as follows. LITFL Clinical cases Database. You are asked to assess this man shortly after his admission to the respiratory ward: • Suggest the main aims of your assessment at this stage. %%EOF Two days later he is being considered for discharge home. Observations and arterial blood gases (ABGs) on admission: Physiotherapy assessment 1 (acute medical), Suggest the main aims of your assessment at this stage. The following scenarios portray real situations that are not uncommon in clinical practice. • What assessment tools or other measurements might you need to use/obtain for this patient? endstream endobj startxref • What assessment tools are you likely to use now? However, it’s also a valuable tool. 0 On your arrival, his respiratory rate is 6 breaths per minute and his Glasgow Coma Scale (GCS) score is 7/15. systems based, functional, social), • what your assessment aims and priorities would be. h��S�KSQ��{��bS昴zj��v�VBYa?IbR���=�p�9=$�|���Ѓ�ܰ�V�A&���*�M�,|��K�_�|��|����|?��� d��� (?� �,����h@��Z��@Ju�����x u�K�b��^�K�~�X�լW�p��ԣ? He wants to know whether he can go back to sleeping upstairs and whether he can get out. It all started in 1991, when Stuart traveled to Moscow to go to a march against … Physiotherapy assessment 4 (rehabilitation assessment), He has recovered from his chest infection and his temperature has now stabilized at 36.8°C. Case Records of the Massachusetts General HospitalNov 26, 2020 Case 37-2020: A 35-Year-Old Man with Lymphadenopathy and Petechiae Armand P., Heeger A.P., Kanjilal S., and Krystel-Whittemore M. | … • the significance of your assessment findings. Case 2: Pre-Surgical Evaluation and Management of the Older Patient. His SOB had gradually worsened over the past 7 days with cough producing small amounts of thick yellow sputum and increasing wheeze. Jack Jones, aged 59, was admitted this afternoon. Head CT showed no hemorrhage, no acute ischemic changes, and a hyper-dense basilar artery. Mr Smith is initially given amoxicillin 500 mg, ventolin nebulizers 2.5 mg in 2.5 ml QDS and prednisolone tablets 30 mg and improves quickly. Lung function tests (last performed 2 months ago) (height 185 cm, weight 86 kg and BMI (body mass index) 25.1). We all need support, guidance, new ideas, and feedback so that we can do our best work. He had a laparotomy and small bowel resection and returned to the ward 2 hours ago. Suggest the main aim of your assessment at this stage? systems based, functional, social) Low urine output case study with questions and answers - for doctors and medical students exams, finals and OSCEs . Mr Smith is now at home shortly after having been discharged as part of the early discharge support service. Page Title RSS feed . For each of the scenarios consider: • the type of assessment you would undertake (e.g. • Observations taken on admission (on air): Cardiorespiratory Assessment of the Adult Patient A clinicians g. Buy Membership for Pulmolory and Respiratory Category to continue reading. Case 5: Osteoporosis Impact in an Older Adult Patient. Case 3: Giant Cell Arteritis - One Geriatrician's Experience. 3744 0 obj <>/Filter/FlateDecode/ID[]/Index[3736 17]/Info 3735 0 R/Length 58/Prev 572661/Root 3737 0 R/Size 3753/Type/XRef/W[1 2 1]>>stream Case Studies. Step 1 Case Study – Work through the NURSING.com Case Study together as a clinical group. • What type of assessment approach is appropriate for this situation? Resources. Introduction Despite therapeutic advances in myeloproliferative neoplasms (MPNs), it is often challenging to determine the optimal treatment course for patients in this setting.

clinical case scenarios

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