Call light within reach. 

 Bed in low position with alarm activated. 

. Will continue to reassess.

medical terminology

 VSS, Vital Sign Score.

What blood tests for bruising?

How should I investigate a person with bruising?

A very urgent full blood count including platelet count (within 48 hours) and blood film.

Clotting screen (prothrombin time [PT], activated partial thromboplastin time [aPTT], and international normalized ratio [INR] if the person is taking warfarin).

 On a darker note, people say we are heading towards another depression, and I don’t doubt it. So I asked myself the question: “Can we learn something from the past to help us with where we might be going?” Well of course the answer is YES! I wonder what some of my relatives did who actually lived through the Great Depression…

article notes from retroflexion

 Fast-forward to May 2020, and we are living in strange times indeed. Society has been “on pause” for the past 2 months due to the coronavirus pandemic. Family budgets are growing tight and it’s no longer a good idea to make frequent trips to the grocery store every time you need an ingredient. Many restaurants are closed, and most people are rediscovering home cooking by necessity. Like many people, I used to really enjoy cooking when I had the time to experiment and there was no real pressure. After all, it was just my wife and I: We were happy to eat whatever, whenever!

LVH test and diagnosis

 Diagnosis

Your health care provider does a physical exam and asks questions about your symptoms and family's health history. The care provider checks your blood pressure and listens to your heart with a device called a stethoscope.

Tests 

If your health care provider thinks you have left ventricular hypertrophy, imaging tests may be done to look at the heart.

Tests used to diagnose left ventricular hypertrophy may include:

Lab tests. Blood and urine tests may be done to check for conditions that affect heart health. Tests may be done to check blood sugar, cholesterol levels, and liver and kidney function.

Electrocardiogram. Also called an ECG or EKG, this quick and painless test measures the electrical activity of the heart. During an ECG, sensors called electrodes are attached to the chest and sometimes to the arms or legs. Wires connect the sensors to a machine, which displays or prints results. An ECG can show how well the heart is beating. Your care provider can look for signal patterns that suggest thickened heart muscle tissue.

Echocardiogram. An echocardiogram uses sound waves to create pictures of the heart in motion. This test shows blood flow through the heart and heart valves. It can show thickened heart muscle tissue and heart valve problems related to left ventricular hypertrophy.

Heart MRI. This test, also called a cardiac MRI, uses magnetic fields and radio waves to create detailed images of the heart.

Left ventricular overload

LVH is usually caused by high blood pressure. It may also be caused by a heart problem, such as hypertrophic cardiomyopathy or a heart valve problem like aortic valve stenosis. 

What causes left ventricular volume overload? High blood pressure.

LV pressure overload frequently results from hypertension and arteriosclerosis, and occasionally from aortic stenosis. Pressure overload causes increased wall stress during systole, rising cardiomyocyte proliferation and wall thickening with preservation, or reduction of cavity volume (concentric hypertrophy). 

What causes ventricular overload?

High blood pressure.

Also called hypertension, this is the most common cause of left ventricular hypertrophy. Long-term high blood pressure strains the left side of the heart, causing it to grow bigger. Treating high blood pressure can help reduce left ventricular hypertrophy symptoms and may even reverse

Massive PE- Massive pulmonary embolism

 Massive pulmonary embolism is defined as obstruction of the pulmonary arterial tree that exceeds 50% of the cross-sectional area, causing acute and severe cardiopulmonary failure from right ventricular overload.

Lactic Acid (blood test )

 What is a lactic acid test? This test measures the level of lactic acid, also known as lactate, in your blood. Lactic acid is a substance made by muscle tissue and by red blood cells, which carry oxygen from your lungs to other parts of your body. Normally, the level of lactic acid in the blood is low. 

What blood test checks lactic acid?

The lactate blood test is primarily ordered to help determine if someone has lactic acidosis, a level of lactate that is high enough to disrupt a person's acid-base (pH) balance. Lactic acidosis is most commonly caused by an inadequate amount of oxygen in cells and tissues (hypoxia).

medical terminology

 (Glossary for the uninitiated: BIBA, brought in by ambulance; 

LGFTD, looks good from the door;

BBPR, bright blood per rectum; 

SP/TUR, status post-transurethral resection of prostate; 

GOK, God only knows; 

NYD, not yet diagnosed;

 hd, headache; 

sz, seizures; 

cp, chest pain; 

ccu, coronary care unit; 

dm, diabetes mellitus.

penile bleeding.

 post L femoral neck fracture and s/p L hip arthroplasty 

Dried  scabbed lesion to left  elbow

behavioral problem

 grabbing/scratching and pulling at lines

require frequent reorientation 

Dried scabbed lesion

1.   Dried  scabbed lesion
2. abrasion