This is an 84-year-old Arabic patient with a significant past medical history of hypertension, hyperlipidemia, and hypothyroidism. She also has a question of osteoarthritis and gout. She came to the emergency room with pain in her right ankle and foot extending into her leg. She had difficulty in ambulating. She had no chest pain, shortness of breath or other significant symptoms. Her past medical history she has a history of hypertension, as I noted, congestive heart failure and hyperlipidemia. Her initial diagnostic testing revealed a white count of 12.4 with uric acid of 5.5, creatinine was 2.36 however her previous creatinine was abnormal at 1.43 but that was from 3 years prior. She had a CAT scan of the foot which showed an osteochondral
A 46-year-old Hispanic man presented to the clinic for a routine physical and a review of his recent laboratory studies. His medical history was significant for high cholesterol. His daily medication regimen included a multivitamin, aspirin 81 mg, and simvastatin (Zocor) 40 mg for high cholesterol. His family history was remarkable for type 2 diabetes, hypertension, and hyperlipidemia in his mother, maternal grandmother, maternal aunt, and maternal uncle. Physical examination revealed a height of 69 inches, weight of 199 pounds, body mass index (BMI) of 29.4 kg/m2, waist circumference of 36 inches and blood pressure of 125/72 mm Hg. Initial laboratory results were: total cholesterol 195 mg/dL; triglycerides 136 mg/dL; low-density lipoprotein cholesterol (LDL), 124 mg/dL; high-density lipoprotein cholesterol (HDL), 44 mg/dL; and fasting plasma glucose (FPG), 119 mg/dL. Complete blood count, renal function and liver function tests were all normal. Additional studies included an oral glucose tolerance test (OGTT) of 157 mg/dL and hemoglobin A1c (HbA1c) of 5.9%. The patient’s physical exam was unremarkable with no abnormalities noted.
Creatine is one of the most popular sports supplements on the market and is used by bodybuilders, and athletes. It is an amino acid, like the building blocks that makes up proteins. It is also an important store of energy in muscle cells. Creatine is a natural nutrient found in our bodies and in the bodies of most animals. It can also be found in the form of a powder and sold as a supplement. Creatine is categorized as a food supplement by the Food and Drug Administration, like a vitamin and is available over the counter at drug stores and nutrition centers. Approximately 95% of the body’s creatine supply is found in the skeletal muscles. The remaining 5% of creatine is scattered throughout the rest of the body, with the highest concentration in the heart, brain, and testes. The human body gets most of the creatine it needs from food or dietary supplements.
This paper discusses pharmacology and terminology related to “Pharmacology” which is the branch of medicine concerned with the uses, effects, and modes of action of drugs“ pharmacology. 2015. In Merriam-Webster.com. The study of different classes of drugs, routes of absorption, and drugs have effects on those consuming them. There are drugs that are necessary for illnesses and healing but, there are medicines that cause concern regarding interaction and harming the body.
This module of study has focused on many aspects of human health, anatomy, and the disease process. It has included such topics as the human organ systems, the mechanism of disease and the resulting disruption of homeostasis, the integumentary system, and the musculoskeletal system. The following case studies explore how burn classification will affect treatment, how joint injuries can disrupt mobility, and last, how a sedentary lifestyle can contribute to a decline in a person’s health status. The importance of understanding disease and knowing when to seek treatment is the first step toward enjoying a balanced and healthy life.
Background: Merck & Co. is an American pharmaceutical company and one of the largest pharmaceutical companies in the world. In 1971 the United States approved the use of an MMR vaccine made by Merck, containing the Jeryl Lynn strain of mumps vaccine. In 1978 Merck introduced the MMR II, using a different strain of the rubella vaccine. In 1997 the FDA required Merck to conduct effectiveness testing of MMRII. Initially it was over 95%; to continue the license; Merck had to convince the FDA that the effectiveness stayed at a similar rate over the years.
On admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings. J.P. was positive for dyspnea and a productive cough. She also was positive for dysuria and hematuria, but negative for flank pain. After close examination of her integumentary and musculoskeletal system, the examiner discovered a shiny firm shin on the right lower extremity with +2 edema complemented by severe pain. A set of baseline vitals were also performed revealing a blood pressure of 124/80, pulse of 87 beats per minute, oxygen saturation of 99%, temperature of 97.3 degrees Fahrenheit, and respiration of 12 breaths per minute. The blood and metabolic panel exposed several abnormal labs. A red blood cell count of 3.99, white blood cell count of 22.5, hemoglobin of 10.9, hematocrit of 33.7%, sodium level of 13, potassium level of 3.1, carbon dioxide level of 10, creatinine level of 3.24, glucose level of 200, and a BUN level of 33 were the abnormal labs.
R.G. is a 74 year-old male, and was admitted on 3/16 with shortness of breath and cough, which had been going on for one week. He was previously discharged with aspiration pneumonia, but was readmitted with the same diagnosis for treatment. R.G. was taking Zosyn for antibiotic treatment. He was also diagnosed with acute kidney injury due to medication during his hospital stay. He is currently on hemodialysis with right internal jugular access. While on dialysis his hemoglobin was 6.4 and on 3/26 he received one unit of blood.
FAQs About Creatine There are a lot of common questions that arise for many when buying creatine. We have compiled a list of frequently asked questions, hoping to help you. What is the best creatine? There is no creatine that can be directly appointed as the best, but the positive effects are probably the same regardless of the brand. Creatine monohydrate is the purest form and then there are several other variations but ultimately it will be the same substance.
Per the medical report dated 05/17/16, the patient reported bilateral hand pain with numbness and tingling for the past 7 years or so, worsening, right greater than the left side. There is some degree of numbness/tingling on the right hand at all times. She has difficulty sleeping at night due to pain and driving, doing her hair/make up or holding objects worsen her symptoms. She has tried wearing splints that they worsened the discomfort. She denies any history of steroid injections. On examination, Tinel’s, Durkan’s and Phalen’s tests are positive bilaterally. There is bilateral thenar weakness.
The patient was receiving a combination of oral prednisolone, hydroxychloroquine and methotrexate for her complaints of seronegative spondyloarthropathy. Further, to counter her dysthymia, she had been initiated on oral escitalopram two weeks prior to presenting in our hospital. Her blood sugar levels were being managed using a combination of fast and long acting insulin. Further, on obtaining a detailed history and after a thorough clinical examination, the mild abdominal pain was attributed to severe constipation. Her initial work-up revealed her to be severely hyponatraemic with serum sodium level of 107 mmol/L. Her previous sodium levels, prior to starting escitalopram, was normal (137.6 mmol/L). At this juncture, in view of a possibility of drug induced hyponatraemia, escitalopram was withheld. Further investigations revealed high urinary sodium level (36 mmol\L), elevated urinary osmolality (291 mmol/kg) and reduced serum osmolarity (235 mmol\kg). The low serum urea (11.0 mg/dL), serum creatinine (0.4mg\dL) and low uric acid (2.2 mg/dL) added substance to the
Addie Rerecich was an eleven and a half year of girl who was just as normal as any other kid her age. She played sports and was very social. All that changed one night when she woke up complaining of some pain in her hip. Her mother thought it was just a simple softball injury, so she gave her some ibuprofen and sent her back to bed. When the pain didn’t subside, she was taken to the hospital. Initially the doctors said she had symptoms of a virus. The next day she could breath well and they said she now had pneumonia. When at the hospital the disease specialist said Addie had “community-aquired” resistant staphylococcus MRSA from picking her scabs. This infection caused damage in her lungs and was so bad she was then put on ECMO, total life
1. How did L’Oreal become the world’s largest beauty company? What was the role of acquisitions in this growth?
The case under analysis, Eli Lilly & Company, will be covering the positives and negatives with regards to the business situation and strategy of Eli Lilly. One of the major pharmaceutical and health care companies in its industry, Lilly focused its efforts on the areas of "drug research, development, and marketed to the following areas: neuroscience, endocrinology, oncology, cardiovascular disease, and women's health." Having made a strong comeback in the 1990's due to its remarkably successful antidepressant Prozac, was now facing a potential loss in profits with its patent soon to expire. The problem was not only the soon to expire patent on Prozac, but the fact that Prozac accounted for as much as 30% of total revenue was the reality Eli Lilly now faced. (Pearce & Robinson, 34-1)
Patient profile: Heterosexual Muslim Woman who has been in the United Stated for three years. She came from Pakistan. She is 42 forty-two years old, from low socioeconomic standing, English language barrier, and is Muslim rituals and practices. She came to emergency department with her husband due to shortness of breathing, high fever, severe cough. She was dignosed with new onset of pneumonia and currently on antibiotic. she also has history of Vitamin D deficiencies and diabetes mellitus type II. She admitted to medical-surgical floor for observation...
Mayo Clinic is a hospital that is as well-known by many to be a haven of caring and concerned doctors whos’ sole focus is to give their patients the type of care they would want their families to receive if they were patients. According to Colquitt, LePine, and Wesson (Mayo Case Study, 2014), Mayo Clinic has established a customer service, patient first culture that puts the needs of those whom they serve ahead of other focuses, such as profit or patient quotas. This corporate culture has lead the hospital to become one of the most successful and iconic medical centers in the United States. Colquitt, LePine, and Wesson (Mayo Case Study, 2014) propose several very interesting questions at the end of the reading that they ask readers to ponder.