Case Conference Intern 曾順承. Patient Profile Chart No.: 23584715 Chart No.: 23584715 Name: 林 x 麗 Name: 林 x 麗 Gender: female Gender: female Age: 49 Age:

Slides:

Advertisements

Similar presentations

What is he doing?.

Advertisements

History of Present Illness 9 months Terminal pain during urination UTI – cefuroxime 250mg/5mL BIDx7 days 6 months Fever and loss of appetite; U/A - WBC:

Prepared by: Tristan Villanueva Arcibal BSN-RN Presented on: July 16, 2013 A CASE PRESENTATION OF A PATIENT WITH DIABETIC KETOACIDOCIS (DKA)

A baby with cloverleaf skull anomaly R 3 羅永邦 Supervisors: Drs. 許瓊心, 林炫沛 & 邱南昌.

Case 1 CR2 莊景勛 2007/08/28. Patient’s Profile Name: 林 X 琪 Gender: female Age: 14 years old Chart number: Arrival time: 2007/07/1, 16:42.

GOING TO THE DOCTOR Prof. Teresita Rojas González.

Case present By Intern 劉一璋. Patient data Name: 陳 ○ 富 Sex: 男 Age: 71 歲 Date of admission: 96/08/09 Chart No:

PROGRESS NOTE (SOAP Notes)

A 2 year old boy with Acute Otitis Media – Case Presentation

Clinical Treatment Planning Treating Clinician:. Patient Name: Gender: Date of Birth: Age: Marital Status: Race: Date of Initial Examination: Occupation:

ER case conference 報告者：溫聖辰. Patient profile Chart No.: Name: 巫 X 緯 Gender: male Age: 18 Date of visiting: 19:04,May 3, 2007.

CASE REPORT Intern 呂佾欣. Profile Name: 劉ｘ珍 Name: 劉ｘ珍 Chart No.: Chart No.: Gender: female Gender: female Age: 49 y/o Age: 49 y/o Admission.

E and M Audit Forms M. Cremers NOTE: Doctor must have asked / noted at least one of the above listed 10 components in the patient’s chart note.

Department of General Practice Aarhus University Diagnostic delay in cancer in primary health care Before and after introducing urgent referrals for suspected.

國泰馬偕聯合病例討論會Ｒ郭馨仁Ｖｓ吳志仁. Basic datas Name: 蔡ｘ峯 Age: 61 y/o Sex: female Chart no: Date of admission: Date of renal biopsy: (

Emergency Medicine Resident. 1. What is the practical use of this? 30``

JCM--OSCE KWH 3 August Question 1 A 45 years old man with good past health complained of severe sore throat and odynophagia for 2 days. He had low.

Case Report by intern 莊凱峻. Patient profile Name: 李 X 焜 Gender: male Age: 80 y/o Chart No.: Date: pm4:50.

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings The Digestive System  Digestion  _________________ of ingested food  _______________.

CV 3: Valvular Heart Disease Lab September 19, 2011.

© 2009 The McGraw-Hill Companies, Inc. All rights reserved 38-1 Purpose of General Physical Examination  To confirm an overall state of health Baseline.

Trauma Case Conference Intern 賴柔吟. Patient Profile 彭 ○ 惠， 30y/o ， Female 彭 ○ 惠， 30y/o ， Female Chart No. ： Chart No. ： Date.

Case presentation Intern 黃毓琦. Personal profile  Name : 簡 X 涵  Gender : female  Age : 49 years old  Chart number :  Arrival date.

腫瘤科案例 -- Hypercalcemia 案例簡介 Mrs. Lee, a 50-year-old female patient, was diagnosed with left breast cancer T2N1M1,ER(+),PR(+),HER2 (1+) with bone, liver.

Presented by F1 林立原 Instructed by Dr. 許景瑋 2011/11/11.

Patient History  TO  14 year old male  Lives in Palau  Right-handed  Informant: Patient, good reliability Chief Complaint: Wrist Injury.

NYU Medical Grand Rounds Clinical Vignette Denise Pate MD, PGY-2 January 27, 2010 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

Case Conference Intern 陳姝蓉. Patient profile Name: 鍾高 O 錦 79 year-old female Occupation: unknown Chart number: Arrival time: AM08:38.

CASE DISCUSSION 醫學六王家泰醫學六王家泰. History Name : 陳 XX Ward ： 11A 9-2 Date of Admission : 92/03/22 Age : 33 y/o Sex : Female.

Mohammed Al-Naami FRCSC, FACS, M Ed. Department of Surgery - Course 351 Surgery.

Medical Terminology Medical Specialist List 12 Chapter 5.

NYU Medicine Grand Rounds Clinical Vignette David Altszuler, MD PGY-2 December 11, 2013 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

Respiration System.

Painful swelling back of leg  28 year old male in his normal state of health presented with acute painful swelling of the back of his right leg. 1.What.

Purpose of General Physical Examination

Case #92: Say Ahhhh! BY AMI ALANIZ. Gross Overview Note the: Soft palate: general appearence Tonsil: size and general appearance.

Abdominal Pain Scenario 1 Skills Practicum. You Are working in the ER as a nurse.

 IR  45 years old, female  Right handed  Manila  Chief complaint: purulent discharge from surgical wound.

Case Conference Intern 溫千瑩. Patient profile 王 X 銘, 39y/o, male Occupation : 自由業 Chart No.: 1266XXXX Admission to ER date: , 04:44 Way of admission:

호흡 곤란을 주소로 내원한 44 세 여자 환자 호흡기 내과 R1 이지훈 / Prof. 박명재.

Gallbladder anatomy. Bilirubin metabolism Haemoglobin is ingested by reticuloendothelial cells HaemGlobinAmino acids BiliverdinFe 3+ & CO Unconjugated.

Case Conference Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea R2 임효석 / Prof. 장재영.

1 MGR 내분비 대사 내과 R2 황연희. 2 주소 전신적인 무기력증 발병시기 : 약 7 개월 전 현병력 특이 병력과 약물 복용력 없는 62 세 여자 환자로 7 개월 전부터 쉽게 지치고, 일상생활 유지 못할 정도로 전신 무기력감 지속되어 건강검진 시행 받았으며 당시 혈청.

건강 검진에서 발견된 위선종 73/M 소화기 내과 R 3 김혁 / Prof. 장영운 MGR.

Medical Grand Round 순환기 내과 R1 이윤정. Chief complaint Chest pain onset) 내원 30 분전 양상 : 2nd attack ( 1 st : 2000 년, 2 nd : 내원 30 분전 ) character – squeezing.

Polygrandular Autoimmune Syndrome 내분비대사 내과 R1 권성진.

Case of Week 감염면역 내과 Prof. 이미숙 / R2 이윤정. Chief complaint Rt. Facial pain onset) 내원 10 일전 Present illness 특별한 medical Hx. 와 약물 복용력 없는 63 세 여자 환자로 내원 10.

CASE PRESENTATION 영동 세브란스 병원 응급의학과 R1 김민정 32/F Chief Complaint : 중화제를 먹었어요. Duration : 내원 30 분 전 Past History DM / HTN / Pul.Tbc / Hepatitis (-/-/-/-)

CW Chapter 1: Assessing the Patient’s Health Course Work 107.

Echo- Conference R2 조경민. History 강 O 은 (F/77) Chief Complaint Chief Complaint Chest pain o/s) On the day hospitalization Chest pain o/s) On the.

Echo-Conference R2 조경민. History 박 O 화 (F/31) Chief Complaint Chief Complaint Fever.chilling & Chest discomfort O/S) 10 days ago Fever.chilling.

Case I. Chief complain : dyspnea o/s) 2 days ago Present illness : a 67 years old man with hypertension, MVP and atrial fibrillation had taken medicine.

Case II. Chief complain : RUQ pain o/s) 2 days ago Present illness : a 45 years old woman with hypertension and ASD had taken medicine at local clinic.

Echo-Conference R2 조경민. History 송 O 규 Chief Complaint Lt.side weakness O/S) Recent onset 3-4 days ago Present illness A 75 year old woman had.

Angio Conference 김 O 동 (M/50) Admission: Chief complaint - Chest Pain (recent o/s: 내원 2 주전, remote o/s: 내원 1 년전 ) squeezing type Ant.

Presented by Int. 楊為傑 Int. 吳建霆

GI-GS-RAD.-PATH. conference

Stevens-Johnson Syndrome

Arm Injury A Case Discussion

OSCE 2016 April RH AED.

Case 3 Headache & Slurred Speech Case Presentation

The Complete Health Assessment: Putting It All Together

SHORT CASE HISTORY By Dr. Zahoor.

The Complete Health Assessment: Putting It All Together

Name of Hospital Presenter: Consultant Physician: Presentation Date:

Case Presentation R3 謝旻玲 / VS 王玠能.

Ped case conference ~ foreign body ~~2008/06/25

Health Assessment (NUR 230) The Head and Neck Lecture 3

Three patients with incidental thyroid nodules that were similar in size but were reported differently. Three patients with incidental thyroid nodules.

Presentation transcript:

Case Conference Intern 曾順承

Patient Profile Chart No.: Chart No.: Name: 林 x 麗 Name: 林 x 麗 Gender: female Gender: female Age: 49 Age: 49 Date of visiting: May 16, 2007 Date of visiting: May 16, 2007

Chief Complaint Foreign body over left neck Foreign body over left neck

Present Illness This 49-year-old female denied any systemic disease. This 49-year-old female denied any systemic disease. She had had sore throat after swallowing a fishbone since April 27, 2007 She had had sore throat after swallowing a fishbone since April 27, 2007 She had visited our ER on April 27, and a fishbone stuck in the pharynx was noticed. She had visited our ER on April 27, and a fishbone stuck in the pharynx was noticed. On May 16, a foreign body over left neck was noticed, and then she went to ER for help. On May 16, a foreign body over left neck was noticed, and then she went to ER for help.

Physical Examination 1 Consciousness: clear Consciousness: clear Head: Head: Conjunctiva: not pale Conjunctiva: not pale Sclerae: n.p. Sclerae: n.p. Oral mucosa: n.p. Oral mucosa: n.p. Throat: congested Throat: congested

Physical Examination 2 Neck: a fishbone like foreign body penetrating skin over left neck Neck: a fishbone like foreign body penetrating skin over left neck

Physical Examination 3 Chest: Chest: H.S.: regular heart beat H.S.: regular heart beat B.S.: no adventitious sound B.S.: no adventitious sound Abdomen: n.p. Abdomen: n.p. Extremities: n.p. Extremities: n.p.

Image 1 04/24 (X-ray) 04/24 (X-ray)

Image 2 5/16 (CT) 5/16 (CT)

Treatment Consult ENT to remove it Consult ENT to remove it Under Laryngealscope: Under Laryngealscope:

Diagnostic Imaging 1 Thyroid cartilage calcifications Thyroid cartilage calcifications

Diagnostic Imaging 2 cartilage calcifications Cricoid cartilage calcifications

Diagnostic Imaging 3 cartilage calcifications Arytenoid cartilage calcifications

Diagnostic Imaging 4 Styloid processes and ligament calcifications Styloid processes and ligament calcifications

Diagnostic Imaging 5 Osteophytes Osteophytes

Similar Case Reports 1 Case 1: Case 1: A 71-year-old man had a migrated fish bone A 71-year-old man had a migrated fish bone

Similar Case Reports 2 Case 2: Case 2: A 66 year old woman had an ingested fish bone migrating into the common hepatic duct, without perforation. A 66 year old woman had an ingested fish bone migrating into the common hepatic duct, without perforation.

Similar Case Reports 3 Case 3: Case 3: A 61-year-old woman had a migratory fish bone in the thyroid gland A 61-year-old woman had a migratory fish bone in the thyroid gland

Similar Case Reports 4 Case 4: Case 4: A 2-year and 6-month-old boy had 2 fishbones that perforated than ileum loop and were discovered as foreign bodies surrounded by omentum in the inguinal canal A 2-year and 6-month-old boy had 2 fishbones that perforated than ileum loop and were discovered as foreign bodies surrounded by omentum in the inguinal canal Case 5: Case 5: A 13-year-old girl had a migratory fishbone which was found in the omentum during a laparotomy for suspected acute appendicitis. A 13-year-old girl had a migratory fishbone which was found in the omentum during a laparotomy for suspected acute appendicitis.

Thank you for attention!