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Saúde e medicina

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Recent History
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Real quick, do any of these symptoms ring a bell?
Don’t worry,
we are always
here to help.
Burn
Pounding
Ache
Anxiety
Just let me talk to someone.

REVIEWS
Shelly Davis
Dr. Henry made me feel really comfortable and everything happen so quick! I wish I could use this service
for all of my health issues
Meryvn Carey
Liked them very much. Was very concerned about heart pain but not sure if I needed to spend the time
and money to go in to see someone. Called my doctor and got to talk to Dr. Henry who told me I was
alright and followed up with me the next day.
Amanda Hopkins
Com Vector Clip Art Online Royalty
2016/02/18Female Doctor
Com Vector Clip Art Online Royalty
2016/02/18Female Doctor
DR. JONES
Residency: Mayo Clinic
University of Maryland (1998)
Practicing for 16 years
NOTES
- Reports chest pain
- Took advil yesterday morning
- Has been monitoring symtoms
- Stresful week at work, didnt
get a lot of sleep

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1. Covid was the most collaborative care that come to my mind. Covid came and changed the world and healthcare as we had known it to be forever. Having to provide care to patients that were sick with a disease we knew little about. Starting of Covid it combined every level of healthcare professionals to care for the sick patients. That includes nurses, cna, doctors, dietary, environmental services, spiritual support and family. The care was coordinated as a team. The doctors made the ultimate decisions nurses and cna's did the hard part because the doctors didn't want to go into the rooms to access the patients. The nurses role was heavy. They had to stay up to date on covid numbers, l PPE, crash carts ready, staff properly wearing the protective gear needed, assessing patients, consulting with doctors, respiratory, deal with family and most of all scared patients. We one patient that was a frequent flyer he would come at lease twice a week stay a day and leave AMA. He suffered mental illness. Sadly, he was one that was very friendly. Would always come and make sure he spoke to us all. He was one of the first covid patients to come to the icu. We all worked together to do everything we could. He would spike fevers of 105 and higher, sweating, crying from the pain in his muscles. We as a team was still learning what covid was itself. So we all came together and agreed that we will take turns accessing him. He coded three times over the course of a week. We were down and devastated. We came together and bounced ideas of interventions that can ease the pain. The goal was keep the fever down and monitor very closely. Well we didn't think he would make it but he did. I wouldn't have done anything differently because that showed us that all levels of healthcare are important when making a decision on patient centered care. .

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SOAP NOTE SAMPLE FORMAT FOR MRC Name: LP Date: Time: 1315 Age: 30 Sex: F SUBJECTIVE CC: “I am having vaginal itching and pain in my lower abdomen.” HPI: Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx includes GERD. She reports that she has an Rx for Protonix, but she does not take it every day. Her family hx includes the presence of DM and HTN. Current Medications: Protonix 40mg PO Daily for GERD MTV OTC PO Daily Advil 200mg OTC PO PRN for pain PMHx: Allergies: NKA & NKDA Medication Intolerances: Denies Chronic Illnesses/Major traumas GERD Hospitalizations/Surgeries Denies Family History Father- DM & HTN; Mother- HTN; Older sister- DM & HTN; Maternal and paternal grandparents without known medical issues; 1 brother and 3 other sisters without known medical issues; No children. Social History Lives alone. Currently in a stable sexual relationship with one man. Works for DEFACS. Reports occasional alcohol use, but denies tobacco or illicit drug use. ROS General Denies weight change, fatigue, fever, night sweats Cardiovascular Denies chest pain and edema. Reports rare palpitations that are relieved by drinking water Skin Denies any wounds, rashes, bruising, bleeding or skin discolorations, any changes in lesions Respiratory Denies cough. Reports dyspnea that accompanies the rare palpitations and is also relieved by drinking water Eyes Denies corrective lenses, blurring, visual changes of an.

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Dr. Faiza delivers an insightful lecture on the distinguishing characteristics of skeletal, smooth, and cardiac muscles, offering a comprehensive understanding of their histology, physiological anatomy, electrophysiological properties, and contractile mechanisms. Through meticulous tabulation and comparison, she aims to equip learners with a detailed comprehension of the unique features and functionalities of each muscle type. Beginning with a detailed exploration of histological differences, Dr. Faiza outlines key distinctions such as multinucleation in skeletal muscle, mononucleation in smooth and cardiac muscles, and the presence of striations in skeletal and cardiac muscles. She meticulously elucidates the structural arrangement of each muscle type, highlighting their cellular morphology and organization within tissues. Transitioning to physiological anatomy, Dr. Faiza navigates through various aspects including innervation, level of control, initiation of contraction, and modification by hormones. By delineating the role of the somatic nervous system in skeletal muscle control, and contrasting it with the autonomic nervous system's influence on smooth and cardiac muscles, she offers a nuanced understanding of neural regulation in muscle physiology. Furthermore, Dr. Faiza delves into electrophysiological properties, elucidating the mechanisms underlying action potential generation, duration, and ionic basis in each muscle type. Through insightful analysis, she reveals how differences in action potential characteristics contribute to variations in muscle contraction speed, duration, and resistance to fatigue. Finally, Dr. Faiza meticulously examines the contractile mechanisms of skeletal, smooth, and cardiac muscles, shedding light on the sliding filament theory, mechanisms of calcium action, and speed of contraction. By comprehensively comparing these mechanisms, she provides learners with a deep understanding of the intricate processes governing muscle contraction and function. Through engaging presentation and meticulous analysis, Dr. Faiza's lecture serves as a valuable resource for students seeking a thorough understanding of the fundamental differences between skeletal, smooth, and cardiac muscles.

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