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Reading a Health Record - Coursework Example

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Dare is a patient 73 years of age female diagnosed with Congestive heart failure, left pleural effusion and pneumonia. The patient has a history of Atrial Fibrillation severe regurgitation from tricuspid and mitral valve dysfunction. No family history record is…
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Reading a Health Record
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Reading a Health Record

Abdomen: Benign, Genitalia: normal with red sacral area. Extremities 3+ pitting edema to the knees. Neurological: good and on track. The patient doesn’t sleep well, has increased pedal edema and no symptoms of coughing or fever. X-ray displays Left pleural effusion, congestive heart failure and pneumonia.
In the case of patient assessment with cognitive heart failure, left pleural effusion and pneumonia a dosage of Diurese was administered, four antibiotics, blood cultures and sputum test. The patient is admitted and put on bed rest with oxygen mask.
Behavioral problem – patient constantly complaining of poor living conditions of the facility, staff and food. She doesn’t want to sleep in her room. Causal factor appears to having trouble with anger or adjustment problem and severe end-stage cardiomyopathy.
Cardiomyopathy is caused by hardening of the arteries responsible for bringing blood into the heart. As the arteries narrow the heart lacks oxygen and gradually it becomes difficult for the heart to pump blood.
This condition is diagnosed when heart has irregular heartbeat and fractional ejection is lower. Fractional ejection can be tested through MRI of heart, echocardiogram, cardiac blood pooling image and gated SPECT.
Change of certain lifestyle habits that lead to heart failure. Introduction of a Pacemaker to help the heart beat slow down or beat normally. There are surgery procedures like angioplasty and cardiac catheterization that helps good flow of blood in the veins. If a patient fails all treatment then heart transplant would be the only alternative left. (Libby & Braunwald, 2008)
The patient was put under the right diagnosis given her symptoms and the treatment of the disease. The patient tested positive for Ischemic cardiomyopathy. The patient displayed all symptoms as projected in the hospital records that matched the ... Read More
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