The patient is a 75-year-old gentleman who presents to the ED with complaints of weakness in the left upper extremity. The symptoms began the day of presentation about 5 hours before he presented. It is continuous. He was brought in by his friend. The patient was playing cards and then felt that he was losing the cards out of his hand and he could not hold onto them. His initial examination in the ED showed that he has dysmetria as noted on the left side the mild pronator drift of the left upper extremity. His motor strength is 4/5 in the left arm. There were no other neurologic deficits. He underwent a noncontrast CT of the head the telemedicine neuroradiologist reviewed it and the determination was made to not to administer TPA.
Cynthia Adae was taken to Clinton Memorial Hospital on June 28, 2006. She was taken to the hospital with back and chest pain. A doctor concluded that she was at high risk for acute coronary syndrome. She was transferred to the Clinton Memorial hospital emergency room. She reported to have pain for two or three weeks and that the pain started in her back or her chest. The pain sometimes increased with heavy breathing and sometimes radiated down her left arm. Cynthia said she had a high fever of 103 to 104 degrees. When she was in the emergency room her temperature was 99.3, she had a heart rate of 140, but her blood
The court will likely hold that Andrew Keegan’s (“Mr. Keegan”) actions were a product of a law enforcement officer in influencing his conduct therefore establishing an entrapment defense.
Hazelwood v. Kuhlmeier of 1987-1988 Background: At Hazel East High School, the school has a sponsored newspaper called “The Spectrum” that is written and edited by the students. In May of 1983, the high school principal, Robert E. Reynolds, received the edited version of the May 13th edition. Upon inspecting the paper, he found two articles that he found “inappropriate.” The two articles contained stories about divorce and teen pregnancy. An article on divorce featured a student who blamed her father’s actions for her parents’ divorce.
Team owner Fay Sollenberger was pleased that the team was recognized at their awards banquet.
Kenneth Edelin was a 35 year old third year medical resident at the Boston City Hospital. This hospital was known for many poor coming into it. This was also a place for research. By this time research was still being conducted on fetuses and embryos. When a patient came to the hospital for an abortion she also signed a waiver for them to test on her. They called her “Alice Roe” and she was only 17 years old but had the consent of her mother to proceed with the abortion.This patient was estimated by the supervisor over the residents, Hugh Holtrop, to be about twenty-two weeks pregnant but the other residents Enrique Giminez and Steve Teich disagreed. They estimated that she was about twenty-four weeks pregnant. Edlein was put in charge of doing the
Charlie Bothuell V, a 12 year old boy who lives in Detroit, was locked in the basement of his home by his step-mother and tortured by his biological father who made him do ridiculous amounts of strenuous exercise on a daily basis. He was also denied basic necessities such as food and water. Charlie recently told police that his step-mother barricaded him behind boxes and told him 'not to come out, ‘no matter what he hears’, and threatened “to make him disappear’. The exact exercise regime was 200 sit-ups, 100 pushups, 100 jumping jacks, 25 curls on each arm with a 25-pound weight and thousands of revolutions on an elliptical machine in under and hour. It was also discovered that Charlie’s dad assaulted him with a bloody PVC pipe. Charlie revealed that he was abused the entire two years that he lived with his father. Both adults claim that the allegations are untrue, however doctors agree that Charlie’s injuries are consistent with abuse.
Sexual harassment and rape cases are often difficult for victims and their lawyers. The difficulty lies in the trauma the victim has to face every single day and the lack of time the lawyer has to gather information. In the Ewanchuk case, there are many ideologies about women that are reinforced by the court system by having many preconceived notions of women. The case was seen as a sexual act when it should of have been treated like a criminal act. Cases involving sexual assault/harassment play a big role in demonstrating how the court system dehumanizes women, the Ewanchuk being one of them.
Even though Angelo’s case is a difficult one doesn’t mean there isn’t a simple solution that can resolve it. In general, faculty at schools needs to look at every individual’s case differently, and not generalize everyone’s situation. In this case, Dr. Sterling has a hard decision to make on whether to punish Angelo by suspension, or to let him go with a warning. Honestly, I don’t agree with either of those decisions because they are on two complete opposite sides of the spectrum in Angelo’s case. In determining Angelo’s punishment instead I feel that the punishment should fit the crime, the situation should be thoroughly investigated, and that the student’s guardians should be contacted before any punishment is given to Angelo.
Repetitive neck movements or keeping the neck in a fixed position aggravates the pain. The patient also complains of constant 5-6/10-scale level pain in the thoracic spine and lumbar spine. Heavy lifting, repetitive bending, twisting, and stooping aggravate the pain. The pain is improved by shifting positions. There is also frequent 5/10-scale level left shoulder pain. Current medications: Prevacid and Vitamins. The patient reports difficulty with some activities of daily living. There were reported sleep problems and difficulty with sexual function. The exam revealed limited ROM in the lumbar spine. He can extend his knees fully. SLR was positive bilaterally. There is paraspinal spasm and tenderness. There is facet joint tenderness. There was positive Tinel’s, positive Phalen’s and positive Finkelstein’s test on the left. Cervical: The ROM was reduced. There was paraspinal tenderness, tightness, spasm, muscle guarding at trapezius, rhomboid muscle groups at the base of the neck on the left side. Left Shoulder: ROM was reduced. There was positive impingement sign. There was tenderness to rotator cuff and tenderness over bicipital groove, on the left. Treatment plan: X-rays of the cervical spine, lumbar spine and left shoulder; MRI of the cervical spine, lumbar spine, and left shoulder; EMG/NCV of the upper extremities; Fiorcet,
PARTIES: U.S. West, Inc., a Colorado corporation was the sole shareholder in numerous subsidiaries, including Northwestern Bell Telephone Company ("Northwestern Bell"), Mountain States Telephone and Telegraph Company ("Mountain Bell"), and Pacific Northwest Bell ("PNB"). All these 3 companies provided the regional telecommunication services throughout the western United States. Jerry D. Mooberry worked as Director of New Products Stimulation for Northwestern Bell and had 2 employees Robert H.E. Frank and Tyrone G. Moreno working for him. U.S. West, Inc. was the defendant whereas Jerry D. Mooberry, Robert H.E. Frank and Tyrone G. Moreno were the plaintiffs in this case.
The purpose of this case study is to investigate and bring new insight to situations and behaviors within an organization. Case studies are learning tools which utilize social science research to identify and resolve individual and organizational challenges (K. Mariama-Arthur Esq., 2015).
Firstly, on behalf of your new CEO, Sidney Jones, and myself, we want to thank you for your commitment and dedication to Cousin Eddie’s throughout the years. As the company grows, it is important that our company values and culture move forward as well. As the Vice President of Internal Strategy, it is my role to inform you of any changes to the company in this regard. Over the next few weeks, we will be introducing new strategies to ensure all employees understand and practice our values and culture, and we apologize in advance for any complications that these will create for you.
– Radiographic or CT evidence of instability with or without associated or potential localized or central neurologic
is characterized by “deterioration in the level of consciousness, with lethargy, decrease in arousal and headache. The timing of the development of cerebral edema is variable, within most cases occurring 4 to 12 hours after starting treatment. Several case reports showed the presence of cerebral edema before the initiation of therapy. A method of clinical diagnosis based on bedside evaluation of a neurological state in DKA have been developed” (Pandey).
The purpose of this paper is to analyze, diagnose, and to determine a proper treatment plan to work toward the beneficial prognosis for the individual indicated within the case study.