What safeguards could have been put in place in the long term care setting to protect this patient? Bleeding in the Patient Who Clots Posted on: There is joint varus study of the joint. Lyme disease titer arthritis. For other discipline-specific case studies, navigate using the left menu.
Identification of the above causes of renal insufficiency and exclusion of other causes was important in this patient. HLA B27 testing negative. Cardiorespiratory and abdominal examinations were within normal limits. Gram stain of the urine revealed numerous gram negative rods. WBC 16, Hemoglobin
If it is determined that rheumatold patient is still unable to meet intake needs, then it would be appropriate for arthritia physician at the long term care facility to address the potential use of a feeding tube to prevent further development of acute renal failure.
Regarding the latter of these, it would srudy important for nursing staff to note how much the patient consumes, and if he rheumattoid not appear to be able to feed himself in an efficient manner, then feeding schedules should be set up.
On this occasion, there was no evidence of a urinary tract infection or pneumonia. Discussions about alternate methods of feeding should have been carried out and wasand attitudes of the family regarding the appropriateness of the feeding tube should have been sought out and they were. The patient was discharged back to the long term care facility on hospital day 8. Figure 1 The right knee shows severe cystic changes in the femoral and tibial components most consistent with osteonecrosis.
Is it a Panacea? Specifically, while he normally did not verbalize on a regular basis, he did sometimes utter one word answers, and he did communicate through the use of affirmative or negative nods of the head.
Tube feedings and free water flushes were started and the rheumatoiid was discharged to the long term care facility on hospital day 5. Communications with nursing staff and the physician caring for the patient there were initiated.
New Teaching Tools in Medicine? Hesi case study rheumatoid arthritis with joint arthroplasty – Pharmacist Case Studies. Knees left knee was warm, swollen rheumatooid tender to palpation. He likely had an age-associated reduction in renal function, and may have had other co-existing renal disease. Elbows, wrists and small joints of the hands arthroplasty entirely normal.
Hesi case study rheumatoid arthritis with joint arthroplasty – Pharmacist Case Studies
Right knee was with swelling or warmth. Reflections for the Physician Posted on: Right shoulder limited abduction and external rotation with pain in all planes of motion.
The left knee shows a prosthesis in the distal femur and proximal tibia. His arthritus in oral intake may have been precipitated by the development of the urinary tract infection acutely, and by the ongoing decline in mental status from his dementia.
However, identifying the precipitating causes above made it more likely that he would recover. Figure 2 Osteopenia, otherwise unremarkable.
Hesi case study rheumatoid arthritis with joint arthroplasty –
What safeguards could have been put in place in the long term care setting to protect this patient? You are currently viewing Physician case studies.
Radiology Studies Figure 1 standing film more info the knees. Of Vaccines and Vioxx Posted on: There is joint varus tsudy of the joint. Joint hesi was remarkable for the following: This case represents an actual case that the author participated in.
Her general physical examination was entirely unremarkable. Meet rheumatoid with the UAP to discuss the identified studies about privacy. Was the use of the feeding tube appropriate in this patient?