Reflective Essay
- Submitted by: Adiza
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- Category: Other
- Date Submitted: 09/28/2016 03:27 AM
- Pages: 6
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11004Loc | Patient | Issues | Investigations/Results | Meds | Jobs/Plan |
| Inpatients |
ITU | Robert Sheppard 30364861 4/7/62 (53) | Chronic pancreatitis. Ileopsoas and splenic collections. ? neuritis | | WCC | Hb | Plts | PT | Na | K | Cr | Urea | ALT | ALP | Bili | Alb | CRP | Ca | PO | Mg |
2/7 | 13.8 | 92 | 335 | 14 | 137 | 4.0 | 46 | 7.5 | 13 | 358 | 12 | 18 | 150 | 2.35 | 1.62 | 0.75 |
3/7 | 31.1 | 89 | 284 | 14.3 | 137 | 3.3 | 45 | 7.8 | 8 | 287 | 11 | 17 | 101.7 | 2.39 | 1.19 | 0.69 |
4/7 | 17.7 | 8 | 273 | 14 | 136 | 4.3 | 43 | 7.8 | 10 | 262 | 10 | 17 | 144.5 | 2.37 | 1.55 | 0.76 |
5/7 | 14.9 | 80 | 219 | 13.0 | 136 | 4.5 | 44 | 7.9 | 9 | 276 | 7 | 18 | 89.4 | 2.48 | 1.48 | 0.74 |
MRI Spine lumbar & sacral with contrast 10.05.2016: 1Large left sided iliopsoas abscess with a likely complicating neuritis of the left L3 ventral nerve root. No epidural or foraminal disease. 2.Very mild enhancement of the cauda quine nerve roots may indicate a mild arachnoiditis, CSF analysis should be considered. CT Head 13.05.2016: No acute haemorrhage, extra-axial collection or evidence of an acute infarct is demonstrated. Aside from generalised volume loss and evidence of minimal small vessel disease, the intracranial appearances are within normal limits. There is no radiological contraindication to lumbar puncture. MRI brain / c spine / t spine 20/5/16:No pathological enhancement. There is asymmetric but bilateral abnormal signal within the dentate nuclei. No further focal parenchymal signal abnormality is shown and the appearances are suspicious for a metabolic/toxic effect. Is the patient been treated with metronidazole? There is mild cerebellar volume loss. I note the recent lumbar spine MRI of the 10/05/2016. Only a cervical and thoracic MRI has been performed on this occasion. There is considerable vertebral marrow...
| Inpatients |
ITU | Robert Sheppard 30364861 4/7/62 (53) | Chronic pancreatitis. Ileopsoas and splenic collections. ? neuritis | | WCC | Hb | Plts | PT | Na | K | Cr | Urea | ALT | ALP | Bili | Alb | CRP | Ca | PO | Mg |
2/7 | 13.8 | 92 | 335 | 14 | 137 | 4.0 | 46 | 7.5 | 13 | 358 | 12 | 18 | 150 | 2.35 | 1.62 | 0.75 |
3/7 | 31.1 | 89 | 284 | 14.3 | 137 | 3.3 | 45 | 7.8 | 8 | 287 | 11 | 17 | 101.7 | 2.39 | 1.19 | 0.69 |
4/7 | 17.7 | 8 | 273 | 14 | 136 | 4.3 | 43 | 7.8 | 10 | 262 | 10 | 17 | 144.5 | 2.37 | 1.55 | 0.76 |
5/7 | 14.9 | 80 | 219 | 13.0 | 136 | 4.5 | 44 | 7.9 | 9 | 276 | 7 | 18 | 89.4 | 2.48 | 1.48 | 0.74 |
MRI Spine lumbar & sacral with contrast 10.05.2016: 1Large left sided iliopsoas abscess with a likely complicating neuritis of the left L3 ventral nerve root. No epidural or foraminal disease. 2.Very mild enhancement of the cauda quine nerve roots may indicate a mild arachnoiditis, CSF analysis should be considered. CT Head 13.05.2016: No acute haemorrhage, extra-axial collection or evidence of an acute infarct is demonstrated. Aside from generalised volume loss and evidence of minimal small vessel disease, the intracranial appearances are within normal limits. There is no radiological contraindication to lumbar puncture. MRI brain / c spine / t spine 20/5/16:No pathological enhancement. There is asymmetric but bilateral abnormal signal within the dentate nuclei. No further focal parenchymal signal abnormality is shown and the appearances are suspicious for a metabolic/toxic effect. Is the patient been treated with metronidazole? There is mild cerebellar volume loss. I note the recent lumbar spine MRI of the 10/05/2016. Only a cervical and thoracic MRI has been performed on this occasion. There is considerable vertebral marrow...