Hillcrest Case 7 Essays

Hillcrest Case 7 Essays Hillcrest Case 7 Paper Hillcrest Case 7 Paper This is a 44 year old Hispanic male who I was kindly asked to admit by Dr. Max Hirsch. The patient is status post arthrodesis of the left ankle and has newly diagnosed diabetes and hypertension. PAST MEDICAL HISTORY: Pre-op blood glucose was noted to be greater than 200. The patent asked for a medicine consult/admission for further evaluation. Currently he denies chest pain and shortness of breath. No dysuria, or increased urinary frequency. Past history is significant for hearing loss in the right ear subsequent to an assault several years ago. PAST SURGICAL HISTORY: Lower back surgery and a left ankle surgery. SOCIAL HISTORY: Patient admits to drinking beer on the weekends, some tobacco use, but no illicit drug use, is divorced with four children, is a long haul truck driver, lives with his fiancee. MEDICATIONS: Patient is to provide a list, admits to taking no diabetes meds. PHSYICAL EXAMINATION: VITAL SIGNS: afebrile BLOOD PRESSURE: 155/98. HEART RATE: 69. In general he is in no acute distress, alert and oriented X4. HEENT: Mucus membranes moist. No facial asymmetry. Left ear : WNL, Right ear: with profound hearing loss. LUNGS: clear to auscultation and percussion bilaterally. CV: Normal. S1, S2 without murmurs or rubs. GI: soft, non-tender, non-distended. No HSM. Positive Bowel sounds. GENITALIA: deferred. EXTREMEITIES: No edema. He has been admitted for left ankle surgery. NEUROLOGIC: intact with the exception on cranial nerve on the right. LABS: CBC within normal range. Pre-op glucose 239. BUN and creatinine of 8 and 0. 5. Pre-op UA with 3+ glucose. HISTORY AND PHYSICAL EXAM Patient: T. J. Moreno. Patient ID: 110497 DOB: 02/15 Age: 44 Sex: M Room No. : 502 Page: 2 ASSESSMENT AND PLAN: Â  Status post ankle arthrodesis: tolerated procedure well, will continue to monitor. Diabetes: patient with elevated glucose and blood in urine. We will start sliding scale for now. Likely needs Lantus. Possible candidate for Metformin. Hypertension: We will start lisinopril. Pain: we will continue to monitor pain post-op and provide adequate pain control.

Writing a Research Proposal

Writing a Research Proposal Writing a Research Proposal Writing a Research Proposal: How to Write It Correctly? When the person is asked to write this or that written task the first thing to do is to think about the concluding result and about the impact of this task on future process of study. That is why it is quite necessary not only to think about the results beforehand, but also to consider the present field of investigation to be correctly acknowledged with the process of writing and with the chosen topic. Writing a Research Proposal: Essential Steps For the proper implementation of the process of writing a research proposal, it is necessary to take into account the necessary structure and to follow the necessary steps.Find the necessary information and literature for writing a research proposal; use as many sources as possible in the process of writing the research. Compare different points of view and opinions of different scientists, as this can be quite helpful for the future research and for the proper implementation o f the material collected. Some people may be interested where to find the necessary information and facts? It is advisable to search the Internet and also in different libraries, though some people forgot nowadays such institutions and are satisfied with online books and articles. The next step is to collect all the information together and the people in this or that sphere should be professionals and should be quite confident with the process of writing a research proposal. The person should think about such necessary steps in this process as the introduction and conclusion, as this is quite important and form these two sections the reader got to know about the problem of the present research and about the results. Writing a Research Proposal: Professional Support The role of professional support in the present work is quite high and the person should be sure and confident that in case of some problems the student can get the support they need. As for the persons w ho can provide this or that support, here we can enumerate professional tutors, masters or teachers on this subject. It is quite necessary to have some professional person, as you can address to and ask everything you need and what is not understandable to you. The role of this or that professional support is quite high and the person should be quite confident with this process, as this is quite important for the future dissertation. Professional Support With A Research Proposal Writing The process of writing a research proposal is quite time and effort consuming and in this case the person should not only take into account the difficulty of the topic, but also the professional support.