A patient's subjective description of feeling is known as a:
A. sequela.
B. manifestation.
C. symptom.
D. sign.
Answer: C
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A middle-aged male patient collapsed while shopping and now responds to verbal stimuli with confused speech. The primary assessment indicates no immediate life-threatening conditions. His pulse is 96, respirations 16 breaths/min, blood pressure 158/88 mmHg, SpO2 98% on room air, and blood glucose level 79 mg/dL. The patient is carrying a vial of nitroglycerin in his jacket pocket. What should you do next after determining the patient priority status?
A) Administer oral glucose B) Provide oxygen via nasal cannula at 2 lpm C) Administer sublingual nitroglycerin D) Perform a secondary assessment
Thomas is a 58-year-old male with ASHD, DM type 2, HTN, and GERD who presents with c/o rectal bleeding. He states, "There was blood in the toilet after I had a bowel movement." He admits he was straining a lot to pass the stool
PMH: As noted, the patient has ASHD, DM type 2, which is well controlled with metformin and Byetta, HTN—controlled by Norvasc. He also takes omeprazole, Simvistatin, and Neurontin for diabetic neuropathy. He reports the ASHD is "stable at this time, according to my cardiologist." Temp: 99 Pulse: 76 BP: 130/74 Blood sugar: 110 Physical Exam: ENT—PERRLA, no PND Neck: WNL—no lymphadenopathy Cardiovascular—RRR, no JVD, no carotid bruits Lungs—normal breath sounds; no rales or crackles Abdomen —normal bowel sounds Digital Rectal Exam—stool on glove was brown. No evidence of blood. Hemorrhoids were noted. Fecal occult blood test was negative. EKG—WNL CBC—both H&H are within normal limits I discussed my findings with the patient. Since the fecal occult blood test was negative, and the EKG and H&H are normal, I do not think he is bleeding internally. He has both internal and external hemorrhoids. What I believe happened is that one of the hemorrhoids "popped" as he was straining to defecate. I am discharging him home with instructions to return to the ED should he experience any additional rectal bleeding, or if he notes any blood in his stool. Otherwise, I would like him to follow up with Dr. Jason Kittridge at our GI clinic within the next week. Impression: ASHD, Hemorrhoids, DM with neuropathy, GERD What will be an ideal response?
List five factors that must be checked on a postoperative patient
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Indicate whether the statement is true or false