...lack of oxygen due to my undiagnosed heart condition. There were many signs during my youth that were indicative of my heart condition that could have been treated differently if the doctors had looked into it. I was always small in stature, I have several eye and vascular issues that were affected by the lack of oxygen, I always worked extra hard within athletics and was very slow to improve. My doctors and I now believe all of these issues could have been much less significant should my Congenital Heart Defect (CHD) have been discovered and repaired early in my life. A simple pulse oximetry test at my birth may have picked up my condition and proper treatment delivered but back in 1999 when I was born that test was not standard procedure after birth at the hospital in which I was born. Similar stories to mine are more common than...
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...has a congenital heart defect can be devastating news to a parent. Early detections and interventions are now in place to properly treat the children with some congenital defect. Just like any other disease, proper treatment and management should be taken into consideration to avoid further complications. When untreated, congenital heart defect would lead to another disease called Eisenmenger Syndrome. Eisenmenger Syndrome is a disease that has so many complications if left untreated. Is Eisenmenger Syndrome treatable or not? During the early years in history, treatment for patients with Eisenmenger Syndrome (ES) was limited. Beghetti & Galie (2009) describe ES as the most advanced form of pulmonary hypertension (PAH) that is associated with congenital heart disease. ES is a disease that is enormously devastating...
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...diomyopathy Topic presentation on Cardiomyopathy Topic presentation on Cardiomyopathy INDEX S.N | CONTENT | PG.NO | 1 | Introduction | 5 | 2 | Definition Cardiomyopathy | 5 | 3 | Classification | 6 | 4 | Risk Factors | 7 | 5 | Clinical Manifestations | 7 | 6 | Diagnostic Evaluation | 7-9 | 7 | Dilated CardiomyopathyDefinition,Charecteristics,Types , Causes,Diagnostic Evaluation,Pathophysiology,Clinical Manifestations,Medical Management | 10-17 | 8 | Hypertrophic CardiomyopathyIncidence,Causes,Charecteristics,Clinical Manifestations,Medical And Nursing Management | 18-21 | 9 | Restrictive Cardiomyopathy-Other Names,Causes,Pathophysiology,Clinical Manifestations,Diagnostic Evaluation,Medical Management | 23-26 | 10 | Surgical management | 27-32 | 11 | Prevention | | 12 | Nursing Management,Home Care Management | 32-40 | 13 | Complications | 40-42 | 14 | Conclusion | 42 | 15 | Research Abstract | 42-43 | 16 | References | 44 | GENERAL OBJECTIVE: On completion of the course the students aquires indepth knowledge regarding cardiomyopathy and able to apply this knowledge with a positive attitude. SPECIFIC OBJECTIVE: On completion of the course the students are able to ...
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...Cardiovascular The cardiovascular system is consists of the heart and network of arteries, veins, and capillaries that transport blood throughout the body. There are two primary circulatory loops in the human body: the pulmonary circulation loop and the systemic circulation loop. The heart is a muscular organ about the size of a closed fist that functions as the body’s circulatory pump. It takes in deoxygenated blood through the veins and delivers it to the lungs for oxygenation before pumping it into the various arteries. The condition marked by the heart’s inability to pump enough blood to the rest of the body is called a heart failure, although it is generally long term or chronic, it may have a sudden onset. In the case study presented here the client complains: “I have shortness of breath, fatigue, cough, and swelling in feet”. Based on the above information during the initial interview the examiner will collect an additional subjective data in order to gain in depth understanding of what is the cause of the exhibited symptoms, and to rule out certain issues. Subjective data: 1) Dyspnea. (Shortness of breath) What kind of activities and amounts bring on shortness of breath. Did these activities bring the shortness of breath 6 months ago? Does shortness of breath come on suddenly? Is it constant or comes and goes? Is it changed by the position change, for example lying down? Does it wake you up at night? Does the shortness of breath interfere with ADLs? 2) Fatigue...
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...From 1973-1978, 245 cases of FAS were reported. The average cost to take care of a child with FAS is around 800,000. (Armstrong, Elizabeth M. Conceiving Risk, Bearing Responsibility: Fetal Alcohol Syndrome and the Diagnosis of Moral Disorder: Baltimore, MD: John Hopkins University, 2003.) Fetal Alcohol Syndrome is a mental and physical defect that a fetus can suffer in association with high levels of alcohol consumption during pregnancy. FAS was named in the United States in 1973 by two dysmorpholosgists, Dr. Kenneth Lyons Jones and Dr. David Weyhe Smith of the University of Washington Medical School in Seattle. The article identifying FAS was first published in 1973, in the British Medical Journal, The Lancet. The two doctors helped to define the morphological defects and developmental delays that can affect children born to alcoholic mothers. These observations include prenatal and postnatal deficiencies, facial abnormalities, and damage to the brain that can cause learning, behavior, and cognitive abnormalities. FAS occurs when a pregnant mother consumes alcohol. The alcohol enters the blood stream and crosses the placenta. The alcohol could also interfere with the delivery of oxygen to the fetus's brain. The more alcohol that is consumed during pregnancy, the greater the risk of FAS. The first few weeks are the most critical weeks in the womb. During these weeks, the facial features, the heart, and other major organs are the most at risk studies show...
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...syndrome was specifically defined in 1965 when researchers reported cases of individuals with similar symptoms. After tests had been performed it was concluded that the defects occurred on chromosome 22 and the name Cat eye syndrome was given. Most of the features implicated with cat eye syndrome involve the eyes, ears, anal region, heart, and kidneys.More specifically, individuals with cat eye syndrome frequently have downwards slanting eyelids, widely spaced eyes, crossed eyes, or one eye noticeably smaller than the other. Because cat eye syndrome affects many different systems of the body, medical management is often provided by a team of doctors and other healthcare professionals. Treatment for this condition varies based on the signs and symptoms present in each person. For example, congenital heart defects; anal atresia; cleft lip and/or palate;...
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...European Journal of Echocardiography (2011) 12, 421–430 doi:10.1093/ejechocard/jeq175 REVIEW Left atrial function: physiology, assessment, and clinical implications Gustavo G. Blume 1, Christopher J. Mcleod 1, Marion E. Barnes 2, James B. Seward 1, Patricia A. Pellikka 1, Paul M. Bastiansen 1, and Teresa S.M. Tsang 2* 1 Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN, USA; and 2Division of Cardiology, University of British Columbia, 2775 Laurel Street, Vancouver, BC, Canada Online publish-ahead-of-print 12 May 2011 The interest in the left atrium (LA) has resurged over the recent years. In the early 1980s, multiple studies were conducted to determine the normal values of LA size. Over the past decade, LA size as an imaging biomarker has been consistently shown to be a powerful predictor of outcomes, including major public health problems such as atrial fibrillation, heart failure, stroke, and death. More recently, functional assessment of the LA has been shown to be, at least as, if not more robust, a marker of cardiovascular outcomes. Current available data suggest that the combined evaluation of LA size and LA function will augment prognostication. The aim of this review is to provide a critical appraisal of current echocardiographic techniques for the assessment of LA function and the implications of such assessment for prediction and disease prevention. ------------------------------------------------------------------...
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...Valvular Heart Disease Secondary to Rheumatic Heart Disease A case Presentation A Presented to: The Faculty College of Nursing Adventist University of the Philippines In Partial fulfillment Of the Course N303 Curative and Rehabilitative Nursing Care 1st Semester By: Tha Hnem Section F Presentation Date: September, 4, 2007 I. Introduction Heart failure, also called congestive heart failure (CHF), is a life-threatening condition in which the heart can no longer pump enough blood to the rest of the body. Heart failure is almost always a chronic, long-term condition, although it can sometimes develop suddenly. Rheumatic fever and Valvular Heart Disease also contributed to Heart Failure. This condition may affect the right side, the left side, or both sides of the heart. Rheumatic heart disease refers to the cardiac manifestations of rheumatic fever, including pancarditis (myocarditis, pericarditis, and endocarditis) during the early acute phase and chronic valvular disease later. Long-term antibiotic therapy can minimize recurrence of rheumatic fever, reducing the risk of permanent cardiac damage and eventual valvular deformity. In valvular heart disease, three types of mechanical disruption can occur; stenosis, or narrowing, of the valve opening: incomplete closure of the valve; or prolepses of the valve. They can result from such disorders as endocarditis (most common), congenital defects, and inflammation, and they can lead to heart failure. When the...
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...CV+ Blood What happens in MI- A heart attack (myocardial infarction) is usually caused by a blood clot, which stops the blood flowing to a part of your heart muscle. You should call for an ambulance immediately if you develop severe chest pain. Treatment with a clot-busting medicine or an emergency procedure to restore the blood flow through the blocked blood vessel are usually done as soon as possible. This is to prevent or minimise any damage to your heart muscle. Other treatments help to ease the pain and to prevent complications. Reducing various risk factors can help to prevent a myocardial infarction. If you have a myocardial infarction (heart attack), a coronary artery or one of its smaller branches is suddenly blocked. The part of the heart muscle supplied by this artery loses its blood (and oxygen) supply if the vessel is blocked. This part of the heart muscle is at risk of dying unless the blockage is quickly removed. When a part of the heart muscle is damaged it is said to be infarcted. The term myocardial infarction (MI) means damaged heart muscle. If a main coronary arteries is blocked, a large part of the heart muscle is affected. If a smaller branch artery is blocked, a smaller amount of heart muscle is affected. After an MI, if part of the heart muscle has died, it is replaced by scar tissue over the next few weeks. What happens in dysrhythmias- A cardiac dysrhythmia is an abnormal heart beat: the rhythm may be irregular in its pacing or the heart rate may...
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...dehydrationMod dehydrationSevere dehydrationReplacing ongoing losses | MAJOR TEACHING POINTS | NURSING CONSIDERATIONS | Teach parents at well childcare visits in first yearKeep 24 hour supply of ORT in homeBegin with first sign of diarrheaReplace with ½ cup ORT for each diarrheal stoolSeek medical attention prn signs or dehydrationAfter re-hydration resume breast/formula feeding or normal diet in the older childAdvise them never to try to formulate an OR solution themselves.Teach personal hygiene/ hand washingProper preparation and storage of breast milk or formulaCareful food preparationImmunization for RotavirusAvoid unnecessary antibiotic usage | Acute diarrhea is leading cause of illness in children <5 years (10’s of millions cases in US)65% of hospitalizations and 85% of...
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...Introduction Youth residential facilities all across America are filled with the future of our workforce. While in these facilities young people are taught to be functioning attributes to society, and the main way to do this is by obtaining employment. Often these youth are plagued by physical and mental disabilities that will give them a harder road than someone applying for the same position. The U.S. Census Bureau says that about 49.7 million Americans have a disability. Those with a physical disability were 9.4 percent, mental disability was 5.6 percent for people age 16 and older, and 6.9 percent had an employment disability (census.gov). When youth leave facilities were they have been groomed and ultimately institutionalized, they are stuck without skills that will help them obtain employment and be able to compete in today’s society. The research in this paper will explore the laws that protect those with disabilities and how they may be improved to provide them with equal employment opportunities. These youth put so much of their self-worth into having a job but are often discriminated against. Getting up and being involved in a working society puts forth an image of belonging as so many times in their past they have been shunned aside and made to feel inferior by those most important to them. Disability discrimination occurs when an employer or other entity covered by the Americans with Disabilities Act, as amended, or the Rehabilitation Act, as amended, treats...
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...Acquisitions Editor: Crystal Taylor Product Managers: Kelley A. Squazzo & Catherine A. Noonan Designer: Doug Smock Compositor: SPi Technologies First Edition © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business. 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the abovementioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market street, Philadelphia, PA 19103 USA, via email at permissions@lww.com, or via website at lww.com (products and services). Library of Congress Cataloging-in-Publication Data Lambert, Harold Wayne, 1972– Lippincott’s illustrated Q&A review of anatomy and embryology / H. Wayne Lambert, Lawrence E. Wineski ; with special contributions from Jeffery P. Hogg, Pat Abramson, Bruce Palmer. — 1st ed. p. ; cm. Includes index. ISBN 978-1-60547-315-4 1. Human anatomy—Examinations, questions, etc. I. Wineski, Lawrence E. II. Title. [DNLM: 1. Anatomy—Examination Questions...
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...Robotic Surgery Table of Contents Introduction 3 Historical Development of Robotics 4 Political and Legal Influences 6 Economic Considerations 8 Technology in Today’s Culture 10 Environmental Concerns 12 Moral and Ethical Implications 13 Psychological and Sociological Effects 17 Conclusion 18 References 20 Introduction Robotic surgery, or computer-assisted surgery, is the term used to describe the technology of using robotic systems to aid in surgical procedures. It was developed to help surgeons and medical health professionals overcome the human limitations of minimally-invasive surgery and enhance the abilities of the surgeons performing these procedures. It has many benefits to not only surgeons and medical facilities but for the patients as well. After years of development, training, and global awareness of the technology, medical manufacturers of the robots, surgeons, and medical professionals hope the technologies benefits will outweigh and overcome the environmental, financial, legal and ethical controversies. Dr. James McEwen, Dr. Brian Day and a team of engineering students, developed the very first surgical robot in 1983. It was used on March 12, 1984 for an orthopedic surgical procedure in Vancouver, Canada. Over sixty minimally invasive joint surgeries were performed in the first 12 months after the first successful surgery. After this, several other robotic devices were developed. A surgical scrub nurse was created...
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...life and your decision to pursue a career in medicine. Stanford Essays The following essays were written by real Stanford medical students in preparing their applications. We suggest that you read through all of the essays to get a diverse view of the types of themes and styles which have been successfully used for personal statements. Each personal statement is exactly that, personal. No one format or style will work for everyone. However, there are structures and themes which are common throughout. These essays are meant to give you an in depth look inside previous applicants’ writing and what has gone into their decisions to enter the field of medicine. All essays are presented in their original format, unaltered. In certain cases, personal identifiers have been removed to protect the privacy of the essay writer. These essays are meant to be a learning tool for you as well as...
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...For the exclusive use of K. HORTON 9-607-143 REV: SEPTEMBER 26, 2007 FRANCES X. FREI AMY C. EDMONDSON CHRISTINE HARRIS-VAN KEUREN ELIOT SHERMAN Cleveland Clinic Dr. Delos “Toby” Cosgrove, cardiothoracic surgeon and president and CEO of Cleveland Clinic, emerged from the operating room on a January afternoon in 1996 having just changed the way he, and subsequently the world, approached heart surgery. A trip to Stanford University Medical School had convinced him it was possible to operate on the valves of the heart through a three-inch incision instead of the nearly foot long incision that was standard practice before splitting the patient’s breastbone with a saw to reach the heart.1 After refining the technique in the lab, he had successfully performed the first such operation. Eight months later, Cosgrove performed two of these surgeries back-to-back, broadcasting his work live via satellite to 4,000 surgeons in 40 cities around the world. The Cleveland Clinic’s broadcasting capabilities facilitated this demonstration of the substantial benefits of his minimally invasive method of heart surgery, which reduced the risk of infection and involved less bleeding, pain, and trauma, significantly reduced the amount of time needed for recovery, and could be used in about three quarters of the heart valve surgeries performed in the United States.2 So compelling was this exhibition that within a year use of the technique had “exploded” throughout the medical community.3 Such...
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