medical report

Write a comprehensive medical report on a disease we have studied up to this point. Be sure to include all relevant medical history, testing/diagnostics, treatment options, and recommended plan of action. Paper should be in APA format and 4 pages submitted to the Submissions Area.
Here is an example for assignment 2:
First you can introduce a patient report-case study.
“DATE OF CONSULTATION:  MM/DD/YYYY
REFERRING PHYSICIAN:  John Doe, MD
CONSULTING PHYSICIAN:  Jane Doe, MD
REASON FOR CONSULTATION:  Surgical evaluation for coronary artery disease.
HISTORY OF PRESENT ILLNESS:  The patient is a (XX)-year-old female who has a known history of coronary artery disease.  She underwent previous PTCA and stenting procedures in December and most recently in August.  Since that time, she has been relatively stable with medical management.  However, in the past several weeks, she started to notice some exertional dyspnea with chest pain.  For the most part, the pain subsides with rest.  For this reason, she was re-evaluated with a cardiac catheterization.  This demonstrated 3-vessel coronary artery disease with a 70% lesion to the right coronary artery; this was a proximal lesion.  The left main had a 70% stenosis.  The circumflex also had a 99% stenosis.  Overall left ventricular function was mildly reduced with an ejection fraction of about 45%.  The left ventriculogram did note some apical hypokinesis.  In view of these findings, surgical consultation was requested and the patient was seen and evaluated by Dr. Doe.
PAST MEDICAL HISTORY:
1.  Coronary artery disease as described above with previous PTCA and stenting procedures.
2.  Dyslipidemia.
3.  Hypertension.
4.  Status post breast lumpectomy for cancer with followup radiation therapy to the chest.
ALLERGIES:  None.
MEDICATIONS:  Aspirin 81 mg daily, Plavix 75 mg daily, Altace 2.5 mg daily, metoprolol 50 mg b.i.d. and Lipitor 10 mg q.h.s.
SOCIAL HISTORY:  She quit smoking approximately 8 months ago.  Prior to that time, she had about a 35- to 40-pack-year history.  She does not abuse alcohol.
FAMILY MEDICAL HISTORY:  Mother died prematurely of breast cancer.  Her father died prematurely of gastric carcinoma.
REVIEW OF SYSTEMS:  There is no history of any CVAs, TIAs or seizures.  No chronic headaches.  No asthma, TB, hemoptysis or productive cough.  There is no congenital heart abnormality or rheumatic fever history.  She has no palpitations.  She notes no nausea, vomiting, constipation, diarrhea, but immediately prior to admission, she did develop some diffuse abdominal discomfort.  She says that since then, this has resolved.  No diabetes or thyroid problem.  There is no depression or psychiatric problems.  There is no musculoskeletal disorders or history of gout. There are no hematologic problems or blood dyscrasias.  No bleeding tendencies.  Again, she had a history of breast cancer and underwent lumpectomy procedures for this with followup radiation therapy.  She has been followed in the past 10 years and mammography shows no evidence of any recurrent problems.  There is no recent fevers, malaise, changes in appetite or changes in weight.
PHYSICAL EXAMINATION:  Her blood pressure is 120/70, pulse is 80.  She is in a sinus rhythm on the EKG monitor.  Respirations are 18 and unlabored. Temperature is 98.2 degrees Fahrenheit.  She weighs 160 pounds, she is 5 feet 4 inches.  In general, this was an elderly-appearing, pleasant female who currently is not in acute distress.  Skin color and turgor are good.  Pupils were equal and reactive to light.  Conjunctivae clear.  Throat is benign. Mucosa was moist and noncyanotic.  Neck veins not distended at 90 degrees.  Carotids had 2+ upstrokes bilaterally without bruits.  No lymphadenopathy was appreciated.  Chest had a normal AP diameter. The lungs were clear in the apices and bases, no wheezing or egophony appreciated.  The heart had a normal S1, S2.  No murmurs, clicks or gallops.  The abdomen was soft, nontender, nondistended.  Good bowel sounds present.  No hepatosplenomegaly was appreciated.  No pulsatile masses were felt.  No abdominal bruits were heard.  Her pulses are 2+ and equal bilaterally in the upper and lower extremities.  No clubbing is appreciated.  She is oriented x3.  Demonstrated a good amount of strength in the upper and lower extremities.  Face was symmetrical.  She had a normal gait.
IMPRESSION:  This is a (XX)-year-old female with significant multivessel coronary artery disease.  The patient also has a left main lesion.  She has undergone several PTCA and stenting procedures within the last year to year and a half.  At this point, in order to reduce the risk of any possible ischemia in the future, surgical myocardial revascularization is recommended.
PLAN:  We will plan to proceed with surgical myocardial revascularization.  The risks and benefits of this procedure were explained to the patient.  All questions pertaining to this procedure were answered.”
References:  Cardiology Consultation Transcribed Medical Transcription Sample Reports. (n.d.). Retrieved from Medical Transcription Samples
Note: Add the diagnostic tests before impression in your paper.
Take time to write about the disease. It can be described in more details  after your case study or integrated within it. Add more details regarding pathophysiology, differential diagnoses, explanation of testing methods, Add prognosis/potential outcome as well.
Your paper will look like a history and physical but with emphasis on discussing the disease, diagnostic tests, diagnosis(differential diagnoses) and treatments
You need to create a story about a patient with an illness we have looked at so far.
For your paper, you need to follow APA Style guidelines and must include the following standardized elements:
· Title page
· Main body
· In-text citations for paraphrased and quoted material
· References page
· Minimum number of credible, academic sources
· Running head
· Page numbers
· Double spaced on standard sized paper (8.5” x 11”)
· 1” margins
· 12 pt. Times New Roman
· Indent each new paragraph (tab ½” or 5 spaces)
AFTER ASSIGNMENT IS COMPLETED PLEASE ATTACH A TURNITIN REPORT. THIS ASSIGNMENT HAS TO BE SUBMITTED THROUGH TURNITIN! ALSO, CHECK YOUR GRAMMAR, SPELLING, AND PROUNCIATION ONCE EVERYTHING IS DONE!

SAVE MORE FOR TOMORROW

CHAPTER SIX: SAVE MORE FOR TOMORROW
Summary
This chapter talks about the major decisions people make in there working days involving the savings they have to put in place for their retirement and security when they will be no longer working for any organization or even their own enterprise.
According to a research conducted in the US, many American households spent more than they earned and borrowed more than they saved. In this chapter it is clear that majority of the employed society lack a good platform for saving their incomes and putting down a well resourceful retirement benefit plan. It is by this action that led to the famous Tony snow to resign at the age of 52 as the white house secretary in 2007.despite the good employment background, Tony snow retired without making any relevant saving for he ignored a retirement benefit plan. Actually he even confessed that he was too reluctant to get in on a 401(k).
The government has passed laws to encourage personal savings to make solvent the social security system by creating tax favoured savings account such as IRAS and 401(k)s. despite this effort by the government many Americans who are eligible for this plan fail to take full advantage of them. This chapter mentions about how to help this case. It offers two suggestions, one, is automatic enrolment in saving plans and secondly is the save more for tomorrow program.
Automatic enrolment has been put into the lime light since it offers a platform whereby the eligible employees make decisions on their savings. This is a saving plan which was adopted by most organizations to enrol a number of employees into the plan. Here workers are supposed to fill a form upon employment and get enrolled automatically into the plan.s

Plant Transpiration

Unit VIII Homework
Plant Transpiration
Introduction
If you have not already, you or someone you know will try to grow a variety of plants either inside your house or outside in a garden. What type of soil do you need? How often should you water the plants? Should you plant them in full sun? Why do some plants need less water and some more? These are questions that many people have about plants. In this activity, you will have a chance to manipulate different variables to see how much water some plants use and how much some lose through transpiration.
Objectives
1. Conduct virtual experiments to determine factors that affect transpiration.
2. Compare and contrast sustainable and unsustainable farming practices.
Materials
Computer with internet access
Directions
1. Go to: http://glencoe.mcgraw-hill.com/sites/dl/free/0078695104/383946/BL_10.html
2. Read the PURPOSE and OBJECTIVES.
3. Read and follow the information under PROCEDURES, and complete the lab for all 4 plants and all 3 variables.
4. Reset the lab and complete the lab for the next set of 4 plants and 3 variables.
5. Record your information in the Results Table provided on this sheet.
6. During and after the lab, answer the questions below.
7. Type all answers directly on the data sheet.
8. Select Save As, and use your last name and student ID as a file name.
9. Upload the data sheet as a .doc, .docx, or .rtf file when finished.
Questions 1 – 10 are short answer questions and should be answered in two to three words or one to two complete sentences. Total: 40 points
1. Explain how the heater, the fan and the lamp are being used to test environmental factors as they relate to plant transpiration. (4 points)
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2. State a scientific question you have based on what you know of the experiment. (4 points)
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3. State your hypothesis. (4 points)
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4. In your own words, explain the process of transpiration. (4 points)
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5. Which environmental factors that you tested increased the rate of transpiration? Did the rate of transpiration increase for all plants tested? Explain. (4 points)  SHAPE \* MERGEFORMAT
1. Of the environmental factors tested, did any affect the transpiration rate more than the others? Explain. (4 points)  SHAPE \* MERGEFORMAT
2. Which species of plants that you tested had the highest transpiration rates? Why do you think different species of plants transpire at different rates? (4 points)  SHAPE \* MERGEFORMAT
3. What is your conclusion? (4 points)
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1. Did your results support your hypothesis? If so, how? If not, why not? (4 points)
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2. State another question about transpiration that you would like to have answered that you did not answer in this lab activity. (4 points)
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Results Table: You should include data for eight different plants. Make sure you reset the lab (upper right corner) to receive four more plants. Total: 20 points
Amount of water transpired after 1 hour (mL)

Plant Normal Fan Heater Lamp

Question 11 is a short essay. Your response should be at least 200 words in length. Total: 40 points
3. You want to reduce the amount of money that you are spending at the grocery store. You and your family decide to plant a small garden to provide a variety of foods. Since you completed the activity above, you know that plants require certain nutrients in order to survive.
Read the information in the textbook concerning the future of agriculture (pages 586 – 592). What are some methods that you would implement into your garden? What would you try to avoid? In addition to your textbook, locate at least one article in the CSU Online Library that provides further information on your chosen methods. Make sure you provide a detailed response.
 

 

Identify the primary functions of blood, its fluid and cellular components, and its physical characteristics

CHAPTER 18

• Identify the primary functions of blood, its fluid and cellular components, and its physical characteristics

• Identify the most important proteins and other solutes present in blood plasma

• Describe the formation of the formed element components of blood

• Discuss the structure and function of red blood cells and hemoglobin

• Classify and characterize white blood cells

• Describe the structure of platelets and explain the process of hemostasis

• Explain the significance of AB and Rh blood groups in blood transfusions

• Discuss a variety of blood disorders

CHAPTER 19

• Identify and describe the interior and exterior parts of the human heart

• Describe the path of blood through the cardiac circuits

• Describe the size, shape, and location of the heart

• Compare cardiac muscle to skeletal and smooth muscle

• Explain the cardiac conduction system

• Describe the process and purpose of an electrocardiogram

• Explain the cardiac cycle

• Calculate cardiac output

CHAPTER 20

• Compare and contrast the anatomical structure of arteries, arterioles, capillaries, venules, and veins

• Accurately describe the forces that account for capillary exchange

• List the major factors affecting blood flow, blood pressure, and resistance

• Describe how blood flow, blood pressure, and resistance interrelate

• Discuss how the neural and endocrine mechanisms maintain homeostasis within the blood vessels

• Describe the interaction of the cardiovascular system with other body systems

• Label the major blood vessels of the pulmonary and systemic circulations

• Identify and describe the hepatic portal system

• Describe the development of blood vessels and fetal circulation

• Compare fetal circulation to that of an individual after birth

CHAPTER 21

• Identify the components and anatomy of the lymphatic system

• Discuss the role of the innate immune response against pathogens

• Describe the power of the adaptive immune response to cure disease

• Explain immunological deficiencies and over-reactions of the immune system

• Discuss the role of the immune response in transplantation and cancer

• Describe the interaction of the immune and lymphatic systems with other body systems

CHAPTER 22

• List the structures of the respiratory system

• List the major functions of the respiratory system

• Outline the forces that allow for air movement into and out of the lungs

• Outline the process of gas exchange

• Summarize the process of oxygen and carbon dioxide transport within the respiratory system

• Create a flow chart illustrating how respiration is controlled

• Discuss how the respiratory system responds to exercise

• Describe the development of the respiratory system in the embryo

CHAPTER 23

• List and describe the functional anatomy of the organs and accessory organs of the digestive system

• Discuss the processes and control of ingestion, propulsion, mechanical digestion, chemical digestion,

absorption, and defecation

• Discuss the roles of the liver, pancreas, and gallbladder in digestion

• Compare and contrast the digestion of the three macronutrients