Answer:
The answer is Cardiogenic shock.
Explanation:
This is a 58-year-old patient, aware that she has acute chest pain and shortness of breath. She is very anxious and says she will die. The physical examination is cold, pale, sweaty and with a weak, rapid and irregular pulse. SOP: 90% .92 / 60. Crepites in both lung fields. It is a cardiogenic shock. Urgent handling.
I think that the physician and the medical assistant, Meredith, have an equal part of responsibility. Meredith because you are trained and know that you should always document the correct vital signs every time and for every patient, especially blood pressure. If she was having a problem getting a correct reading, she should have asked for help from another assistant in the office or have tried another sphygmomanometer. Also she did not review Mr. Wallace's file and I assume she didn't ask what was the cause of visit.
Answer:
Anorexia nervosa
Explanation:
Anorexia nervosa is an eating disorder characterized by excessive weight loss. The patient usually eliminates foods that he believes to be more caloric and progressively excludes several others. Food issues become fundamental in the patient's life, who becomes obsessed with weight gain. People with this type of problem have extreme thinness, dry skin and lanugo on their arms and shoulders, as well as various health problems due to lack of efficient nutrition.
Due to the physical appearance of the patient shown in the above question, we can state that the nurse may suspect that the patient is suffering from anorexia nervosa.
