Patient profile: synthesis, Summaries of Medicine

Download Patient profile: synthesis and more Summaries Medicine in PDF only on Docsity! lOMoARcPSD|39820385 A. Baldwin, Patient profile Question 1 What is the significance of the WBC count? • The elevated number of WBCs and neutrophils reflect an inflammatory response. Neutrophils are the first leukocytes to arrive at the site of inflammation. The finding of immature neutrophils (bands) is called a shift to the left and is a common finding in patients with acute bacterial infections. Question 2 Are Mr. Callihan’s manifestations of inflammation local or systemic? What information supports your response? Patient Profile Mr.Calihanisa68-year-oldmanwhogoestothehospitalemergencydepartmentwitha complaintofleftfotpain.Hehasa7-yearhistoryoftype2diabetesthatiscontroled withmetformin(Glucophage)50 mgoralytwicedaily. Subjective Data • States he stepped on “something” in the yard a few days ago States he is unable to bear weight on the left foot Has been nauseated and “just haven’t felt good” Objective Data Physical Examination o Blood pressure 160/90, pulse 110, respirations 24, temperature 99.8° F o Left foot swollen, red, and warm to touch o Open area on ball of left foot near first metatarsal, with tissue loss and irregular wound margins Measures 2 cm in diameter, with moderate amount of thick yellow drainage o Bilateral paresthesia in lower legs Diagnostic Studies o Blood glucose 350 mg/dL o White blood cell (WBC) count 19,200/µL; 80% neutrophils (12% bands)