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2023 Lyme Disease Case Study A 38 year old male had a 3 week history of
by adminNursing 2023 LYME DISEASE
Lyme Disease Case Study A 38 year old male had a 3 week history of 2023 Assignment
Lyme Disease Case Study
A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered:
Studies
Results
Lyme disease test,
Elevated IgM antibody titers against Borrelia burgdorferi (normal: low)
Erythrocyte sedimentation rate (ESR),
30 mm/hour (normal: ≤15 mm/hour)
Aspartate aminotransferase (AST),
32 units/L (normal: 8-20 units/L)
Hemoglobin (Hgb),
12 g/dL (normal: 14-18 g/dL)
Hematocrit (Hct),
36% (normal: 42%-52%)
Rheumatoid factor (RF),
Negative (normal: negative)
Antinuclear antibodies (ANA),
Negative (normal: negative)
Diagnostic Analysis
Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent.
Critical Thinking Questions
1. What is the cardinal sign of Lyme disease? (always on the boards)
2. At what stages of Lyme disease are the IgG and IgM antibodies elevated?
3. Why was the ESR elevated?
4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment.
Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.
Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
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2023 Peripheral Vascular Disease Case Studies A 52 year old man complained of pain and cramping in his right calf caused by walking
by adminNursing 2023 Peripheral Vascular Disease Studies
Peripheral Vascular Disease Case Studies A 52 year old man complained of pain and cramping in his right calf caused by walking 2023 Assignment
Peripheral Vascular Disease Case Studies
A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg.
Studies
Results
Routine laboratory work
Within normal limits (WNL)
Doppler ultrasound systolic pressures
Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure)
Arterial plethysmography
Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves
Femoral arteriography of right leg
Obstruction of the femoral artery at the midthigh level
Arterial duplex scan
Apparent arterial obstruction in the superficial femoral artery
Diagnostic Analysis
With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.
Critical Thinking Questions
1. What was the cause of this patient’s pain and cramping?
2. Why was there decreased hair on the patient’s right leg?
3. What would be the strategic physical assessments after surgery to determine the
adequacy of the patient’s circulation?
4. What would be the treatment of intermittent Claudication for non-occlusion?
Students much review the case study and answer all questions with a scholarly response using APA
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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.
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2023 Students are required to maintain weekly reflective narratives throughout the course to combine into one course long reflective journal
by adminNursing 2023 1.1
Students are required to maintain weekly reflective narratives throughout the course to combine into one course long reflective journal 2023 Assignment
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.
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2023 Discuss the concepts of role strain and role stress Relate these concepts
by adminNursing 2023 read below (too long)
Discuss the concepts of role strain and role stress Relate these concepts 2023 Assignment
Discuss the concepts of role strain and role stress. Relate these concepts to nurse managers with respect to their positive role modeling. Does the nurse manager understand the interrelationships of these concepts and present herself or himself as a role model for nurses on the unit? one page, make sure to answer all the questions /// APA style and references
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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.
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