patient history Articles
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Pressure Ulcer - Case study
Patient History Patient presented with a history of hypertension, hyperlipidemia, peripheral arterial disease, obesity, arterial fibrillation, and transient ischemic attack. Patient had total knee replacement surgery and developed a complication due to improper off-loading, developing pressure ulcer on the right heel. Patient was treated with collagen products and wet to dry dressings prior to ...
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Diabetic Foot Ulcer - Case study
Patient History Patient is a 40-year-old female with a history of type 2 diabetes. Patient presented to the Emergency Room with a diabetic foot ulcer and infection. The surgeon took the patient to the OR for debridement, drained the infection, and started antibiotics. The patient was treated with advanced modalities that included NPWT and a bioengineered skin substitute. Primary Diagnosis ...
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Dehisced Surgical Wound Post Ankle Fracture - Case study
Patient History Patient is a 35-year-old with obesity and venous insufficiency, status post-surgery for the repair of an ankle fracture. Surgical site dehisced and the patient was treated with Profore wraps, Unna boots, and standard wound care for two months. Primary Diagnosis Surgical dehiscence Treatment & Outcome Restrata was added to the treatment regimen and applied after wound ...
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Dehisced Surgical Wound Post Amputation - Case study
Patient History Patient is an 88-year-old female (post-BKA) who developed a large blister on the distal end of the stump within the first month post-op. It was treated with Kerlix and standard wound care at a LTCH. Three months later, the wound had a large area of eschar with purulent drainage. Patient taken to O/R for wound revision and primary closure with NPWT applied to the wound area. Wound ...
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Dehisced Surgical Wound Post Calcaneal Repair - Case study
Patient History Patient is a 54-year-old male who underwent surgery to remove implanted hardware and osteophytes following a calcaneal fracture repair. Post-operatively, the surgical incision dehisced. The resulting wound was open for a period of 4 weeks and was refractory to standard of care, wet-to-dry dressings, and an Unna boot. Patient was offered the option to be referred to a plastic ...
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Is deodorant causing this man’s underarm rash? Let’s diagnose
A 53-year-old man visited his doctor concerned about a spreading rash underneath his arms for the past 3 weeks. He initially thought it was an allergic reaction to a new deodorant, but it wasn’t itchy, and it persisted after stopping the deodorant. The patient had a history of type 2 diabetes. On examination, a broad, well-demarcated, thin, scaly plaque was seen extending from the ...
By VisualDx
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Infiltrating Ductal Carcinoma (IDC) - Case Study
Patient with positive family history of breast cancer and ovarian cancer. September 2003 mammogram reported benign micro calcifications. August 2007 patient presented with a palpable mass in lateral aspect of left ...
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Technology Helps Patients and Pharmacists Alike
Pharmacies have come a long way with the use of technology. From keeping better track of the medications being prescribed to patients, to called-in prescriptions, to safely identifying the medications, modern technology has helped this industry make huge strides. As with any type of company that sends or receives personal information over the internet, many pharmacies are using multi-factor ...
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Case Study: Leading Interventionalist Makes the Move to mild® and Helps Patient (67) Find Lasting Relief
mild® Provider, Dr. Shawn Puri | Double Board-Certified Anesthesiologist and Pain Medicine Specialist | Relievus Pain Management This case study highlights a female patient, age 67, with debilitating back pain that prevented her from completing tasks of daily living and decreased her quality of life. Despite multiple interventions, including epidural steroid injections (ESIs) and medication ...
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The Use of Imaging to Guide Treatment Decisions with Coronary Orbital Atherectomy – Case 2 of 2
Overview Dr. Brock Cookman describes this real-world case to demonstrate the importance of imaging to determine strategy and treatment in complex scenarios and how the unique dual-action mechanism of action (MOA) of the Diamondback 360® Coronary Orbital Atherectomy System sands superficial and fractures deep calcium. Patient History A 78-year-old female patient presented with ...
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The Use of Imaging to Guide Treatment Decisions with Coronary Orbital Atherectomy – Case 1 of 2
Overview Dr. Brock Cookman describes this real-world case to demonstrate the importance of imaging to determine strategy and treatment in complex scenarios and how the unique dual-action mechanism of action (MOA) of the Diamondback 360® Coronary Orbital Atherectomy System sands superficial and fractures deep calcium. Patient History A 77-year-old male patient presented with ...
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VLB for Surveillance - Case Study
Patient History This patient was a 69 year old man with long segment (Prague Criteria C10M10) Barrett's Esophagus (BE) with high grade dysplasia (HCD). Initial endoscopic mucosal resection (EMR) specimens were negative for dysplasia. For this procedure, a surveillance endoscopy was performed to localize abnormalities using the NvisionVLE Imaging ...
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VIE in Emerging Applications - Case Study
Patient History 83 year old male with no history of esophageal disease. The patient was referred to Dr. Singh after a possible esophageal mass was noted as an incidental finding during a CT scan for an unrelated ...
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VLE for Identification of Subsquamous Disease - Case Study
Patient History This patient was a 68 year old man referred with short segment Barrett's Esophagus (BE) with intramucosal carcinoma (IMC). At the referring center, previous resection of nodularity revealed Tla adenocarcinoma with negative margins. Subsequent surveillance biopsies yielded IMC, and triggered referral. For the procedures described here, standard endoscopy with the addition of ...
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VLE for Pre-Treatment Planning - Case Study
Patient History A 68 year old male being treated for short segment (1cm) Barrett's Esophagus (BE). During a prior exam, combination therapy for recurring non-dysplastic BE by Endoscopic Mucosal Resection (EMR) and Radiofrequency Ablation (RFA) was conducted. The intent for this procedure was to assess the treatment area, in part, using the NvisionVLE Imaging System, and to ablate any recurrence ...
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VLE for Pre-Treatment Planning using Real-time Targeting - Case Study
Patient History A 58 year old male presented with a history of gastroesophageal reflux disease (GERD) and long segment Barrett's Esophagus (BE). During a prior exam, pathology returned high grade dysplasia (HGD) and suspected intramucosal carcinoma (IMCA). The purpose of this procedure was to localize areas of HGD and suspected IMCA using the NvisionVLE Imaging System and then use Real-time ...
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VLE for Post-Treatment Assessment - Case Study
Patient History This patient was originally referred with nodular esophageal disease that was endoscopically visible at the Castro-Esophageal Junction (CEJ). The area was treated using combination Cryotherapy and Endoscopic Mucosal Resection (EMRJ. (Figures 1-3) Pathology of the EMR sample was positive for Adenocarcinoma (Figure 4) A subsequent surveillance ECD showed the previous EMR site, a ...
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Treatment of Non-Healing Surgical Wound with CDO - Case study
Patient: 48-Year-old male suffering from non-healing surgical wound Medical History: Diabetes, vascular issues, PVD, not a candidate for vascular interventions or HBO treatment Wound History: Patient initially had 2 blisters on great and second toe that lead to great toe amputation. Patient was scheduled for BKA, yet the wound showed enough improvement after one week of Continuous Diffusion of ...
By EO2 Concepts
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Chronic Total Occlusion – Left Anterior Descending Proximal to Mid Lesion - Case study
Overview Dr. Craig Rosen used the Teleport® Microcatheter and several Sapphire® II PRO and Sapphire® NC Plus PTCA Balloons to perform a proximal to mid left anterior descending coronary artery (LAD) revascularization of a chronic total occlusion using stents. Patient History A 60-year-old Caucasian male patient with a BMI of 29, so overweight but not obese, presented ...
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Virtual Triage: Do more questions lead to better patient outcomes?
One of the common misconceptions related to virtual triage / symptom checker tools is that the more questions the system asks, the more accurate the list of possible conditions / triage level recommendations will be and so, overall, the conclusion is that it is more thorough and, therefore, a better tool. If you are looking to provide your patients with a symptom checker/triage tool or are a ...
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