Profile jazzy_emoryRN
jazzy_emoryRN
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Mini #Mental-status exam for 82 y/o female with #Alzheimer-disease.. Patient was asked to draw 7:30 #cognitiveimpairement

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90+ y/o female with mild cognitive impairment instructed to draw the face of a clock and place hands at 8:20. Unilateral numbering 1-12, followed by a long pause. She then wrote the number 20 near the bottom and "8, o clock" in center before putting the pen down.
90+ y/o female with mild cognitive impairment instructed to draw the face of a clock and place hands at 8:20. Unilateral numbering 1-12, followed by a long pause. She then wrote the number 20 near the bottom and "8, o clock" in center before putting the pen down.
Patient with mild cognitive impairment instructed to draw a clock "set to ten after eleven" (image 1) and copying the same clock (image 2). Attempted to compensate for tendency to forget instructions by writing 11 10 in the top right of the paper, but later misinterpreted their own reminder as only needing to label 10 and 11
Patient with mild cognitive impairment instructed to draw a clock "set to ten after eleven" (image 1) and copying the same clock (image 2). Attempted to compensate for tendency to forget instructions by writing 11 10 in the top right of the paper, but later misinterpreted their own reminder as only needing to label 10 and 11
Individuals with Alzheimer's disease tend to be less aware of their own cognitive deficits as the disease progresses - here is an excerpt from a subjective memory questionnaire given to a patient with AD (image 1) and the patient's spouse (image 2). This patient had a Mini Mental State Exam score of 22/30 and a clinical dementia rating of 1.0 and had progressed from MCI to AD within the past year
Individuals with Alzheimer's disease tend to be less aware of their own cognitive deficits as the disease progresses - here is an excerpt from a subjective memory questionnaire given to a patient with AD (image 1) and the patient's spouse (image 2). This patient had a Mini Mental State Exam score of 22/30 and a clinical dementia rating of 1.0 and had progressed from MCI to AD within the past year
This is the clock-drawing section on the MOCA completed by a patient in his 70s who was recently diagnosed with #Dementia.
This is the clock-drawing section on the MOCA completed by a patient in his 70s who was recently diagnosed with #Dementia.
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She was started on cephalexin and topical mupirocin 3 days ago. The wound is less red, less painful. She is able to do her daily exercise without problems. No other medical problems. Would you stop the antibiotics at this stage or continue for full 10 days? Exam reveals healthy granulation tissue with minimal tenderness. Erythema is almost completely resolved.
She was started on cephalexin and topical mupirocin 3 days ago. The wound is less red, less painful. She is able to do her daily exercise without problems. No other medical problems. Would you stop the antibiotics at this stage or continue for full 10 days? Exam reveals healthy granulation tissue with minimal tenderness. Erythema is almost completely resolved.
A 22-year-old male with no prior significant medical or psychiatric history presented to his primary care physician with a chief complaint of breathlessness, described subjectively as “unable to fully expand my lungs.” The symptom occurred in the absence of hyperventilation, cough, or chest pain. On examination, the patient was tachycardic, with a heart rate of 110 bpm, and blood pressure of 140/90 mmHg. His temperature was normal. Auscultation of heart and lungs was unremarkable. A chest X-ray was performed and showed no abnormalities. The patient was empirically started on oral corticosteroids for presumed subclinical airway inflammation, but reported no improvement after one week. A chest CT scan was subsequently obtained, which was also completely normal. Given the context of recent psychosocial stressors—relocation to a new city and university pressures—the symptom was attributed to anxiety, and the patient was referred to a psychiatrist. One month later, the patient returned reporting a new symptom: an urgent need to defecate only when outside his home, although he reports that there's nothing in his stomach to defecate. Abdominal ultrasonography revealed excessive colonic gas, but no structural pathology. Stool analysis was normal. A diagnosis of irritable bowel syndrome (IBS) was made. The following month, the patient developed overactive bladder symptoms, characterized by urinary urgency without infection. The month after that, he presented with psychogenic dysphagia, reporting inability to swallow even liquids, which led to significant anxiety but resolved partially with SSRIs. Another month later, he described a disturbing cardiac symptom—a sudden sensation in the chest resembling a missed heartbeat, a thump, or fluttering like a bird, especially at rest. ECG and 24-hour Holter monitoring were done and showed only sinus tachycardia, without arrhythmias. The patient was started on Escitalopram 20 mg and Amisulpride 50 mg by his psychiatrist, which led to partial improvement in mood and gastrointestinal symptoms. However, the air hunger and missed heartbeat sensations persist. His blood pressure remains consistently elevated at 140/90 mmHg, despite his young age and lack of risk factors. All laboratory tests (CBC, metabolic panel, thyroid function, inflammatory markers) were within normal limits. I honestly don't know what's the link to this case, the patient is mentally stable, I am suspecting lyme disease or babesia. let me know
A 22-year-old male with no prior significant medical or psychiatric history presented to his primary care physician with a chief complaint of breathlessness, described subjectively as “unable to fully expand my lungs.” The symptom occurred in the absence of hyperventilation, cough, or chest pain. On examination, the patient was tachycardic, with a heart rate of 110 bpm, and blood pressure of 140/90 mmHg. His temperature was normal. Auscultation of heart and...
Patient with 1 year of reconstruction evolution with complete healing process.
Patient with 1 year of reconstruction evolution with complete healing process.
It's redish wich affected only the chest and above the umbilicus. It disappears just to appear again.
It's redish wich affected only the chest and above the umbilicus. It disappears just to appear again.