Assignment: The patient is a 30-year old woman from Charleston, South Carolina Assignment: The patient is a 30-year old woman from Charleston, South Carolina. She was admitted to the clinic for a sore throat and vomiting that she attributes to a medication she was recently prescribed following a laparoscopic hernia operation. The patient is an equestrian who earns her living teaching riding and performing at a local renaissance fair. She is in a monogamous relationship (3 years), and is sexually active (she uses oral contraceptives and condoms). She smokes cigarettes (roughly half a pack/day), but does not drink alcohol very often and denies any drug use. She keeps a dog and a cat at her home, and routinely cares for five horses and a goat at the stable she works at. She is allergic to shellfish, and has a family history of schizophrenia (fathers side). Five months ago, she traveled to South Africa, where she spent eight days at Kruger National Park. One week ago, she underwent a laparoscopic operation for a hernia, and was prescribed a liquid laxative to prevent straining and/or constipation during her recovery. Since she began taking the laxative, she has developed a worsening sore throat, and within the last few days has been vomiting following ingestion of the medicine. She reports feeling ?weak? with a headache, and has not been able to keep down many foods or liquids. Initial examination shows that the patient is dehydrated and appears to be nervous. When questioned about her emotional state, she responds that she has been under a lot of stress recently and has not been sleeping well for the past week. You administer intravenous fluids to treat her dehydration, and switch her laxative prescription. You discharge your patient; however, you ask her to come back in for a check-up in two days. The next day she calls you in a state of high alarm. Her right arm has been getting more and more painful and she insists that she is having a heart attack. You ask her to come in immediately. ORDER YOUR PROFESSIONAL PAPER HERE Differential Diagnoses Differential diagnosis is the process of identifying a disease from a list of possible diseases that fit the information derived from examining a patient. Your job will be to synthesize information from a patient whose main presenting symptoms are consistent with a microbial disease of the central nervous system (CNS). Use the ?Diseases in Focus Chapter 22 tables? and your knowledge about microbial diseases of the CNS to identify the patients risk factors and symptoms, evaluate diagnostic evidence, formulate and test a diagnosis about the pathogen responsible for the patients woes, and suggest a course of treatment. Part A ? Identify relevant information. Review the patients medical history, and then identify risks and concerns that are relevant to your diagnosis (and the patients treatment). Indicate ?YES? with a red checkmark, and ?NO? with a blue checkmark. Assignment: The patient is a 30-year old woman from Charleston, South Carolina. Order Now

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Laparoscopic hernia operation

Introduction

Hernia symptoms can range from a mild complaint like back pain to a severe obstructed bowel. Hernias are common in the abdomen and can occur anywhere along the digestive tract, including the stomach, small bowel, colon and large intestine. They usually come on suddenly but may also develop slowly over time. In general, hernias are caused by an opening in the abdominal wall that allows internal organs to protrude through it.

What is a hernia?

What is a hernia?

A hernia is an abdominal organ that projects outside the body through an opening in the skin or other tissues. The most common types of hernias are Hernia of the groin (inguinal) and umbilical hernia. These can be treated by surgery, but they can also be managed conservatively with lifestyle changes like wearing supportive underwear and kegels exercises to strengthen your abdominal muscles.

What causes them?

Hernia occur when tissue around an internal organ bulges through weak spots in connective tissue between muscle layers at the opening where two organs meet (e g., uterus). This allows for extra space between these two organs which may then push outward due to increased pressure within this space (resulting in protrusion).

Who has hernias?

The incidence of hernias is higher in men than women. Men who have had previous abdominal surgery are also at greater risk of developing a hernia, as are people with a family history of this condition.

People who work in jobs involving heavy lifting, such as construction workers or farmers, should be aware that they may be at increased risk for developing an abdominal wall defect called an inguinal hernia if they don’t take precautions to reduce their exposure to physical stressors like lifting heavy objects.

Hiatal hernia symptoms

If you have hiatal hernia symptoms, you may have trouble swallowing. This can lead to regurgitation and reflux. Regurgitation happens when food that has been swallowed ends up coming back up into the esophagus (food pipe) instead of going down into your stomach where it belongs. Reflux is when bile or acidic material moves back up towards your throat after being digested by enzymes in your small intestine.

• Heartburn: You may notice a burning sensation around the chest area and/or upper abdomen after eating certain foods like spicy foods or candy bars; this is called heartburn because it causes pain in the same spot where blood vessels meet muscle tissue in your neck region near where there are no nerves running through them.*

• Regurgitation: The sensation of regurgitating food feels like something has come back up into one’s mouth instead of going down into ones stomach for digestion.*

• Difficulties Swallowing: Some people find that they cannot swallow properly due to this condition; others experience choking sensations while eating certain types of foods such as meatballs made from ground beef without any liquid added during preparation time.*

Inguinal hernia symptoms

Inguinal hernias are common, but the symptoms of an inguinal hernia vary. The most common symptom is pain in the groin. Other symptoms include:

• Pain when lifting heavy objects

• Pain when coughing or sneezing

• Pain that gets worse when you are active – especially running, squatting and jumping up and down on a hard surface (like a basketball court). This can happen even if you don’t have an inguinal hernia! It’s called “runner’s knee.” If this happens to you, ask your doctor to check for an inguinal hernia!

Treatment options for an inguinal or hiatal hernia

The best treatment option for an inguinal or hiatal hernia is surgery. Surgery can be performed using a laparoscope, which means that less muscle is removed than traditional open surgery. In addition, it’s minimally invasive and done in an outpatient setting (meaning you don’t have to stay overnight). Finally, laparoscopic surgery offers many advantages over open incisional procedures, including faster recovery times and reduced risk of complications such as blood clots or infection.*

• Laparoscopic Hernia Repair: A Patient-Centered Perspective by Dr Andrew J.A Filby begins with this statement: “The goal of laparoscopic surgery is to provide patients who may be candidates for the procedure with information about its benefits and risks so they can make informed decisions about their health care options.”

Hernias are common, and are often treated during laparoscopic surgery.

Hernias are common, and are often treated during laparoscopic surgery. Laparoscopic hernia surgery is a minimally invasive procedure that can be performed under general anesthesia, or with local anesthesia only if the patient does not have an allergy to local anesthesia. The success rate of this type of surgery is high because it is performed using advanced technology in a surgical environment that has been specifically designed for this purpose.