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Clinical Timeline Vignette Powerpoint Template

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CLINICAL VIGNETTE...

Transcript: Symptoms: A rotator cuff tear is a common cause of pain and disability among adults in the US. Past History: History of present illness: CLINICAL VIGNETTE... Shoulder Tear rotator cuff Abduction A 70 year old female returns today for re-evaluation of her R and L shoulder. Her R shoulder is improving with phsical therapy. She does have some pain anteriorly. Her L shoulder is continuing to cause her severe discomfort and pain at night time primarily. Now, she has difficulty reaching, grasping, pulling, and pushing to the L shoulder. Her pain is worsend and at this time she would like to proceed with L shoulder surgery. Treatment Plan: 140 degrees 70 degrees 40 degrees 90 degrees Findings: Shoulder Motion is Restricted THANK YOU!!! There are different types of tears. Partial Tear. This type of tear damages the soft tissue, but does not completely sever it. Full-Thickness Tear. This type of tear is also called a complete tear. It splits the soft tissue into two pieces. In many cases, tendons tear off where they attach to the head of the humerus. With a full-thickness tear, there is basically a hole in the tendon. 90 degrees Right Left Normal Take home points: Laboratory Findings: History of present illness: Name: Caradaga, Adelaide DOB: April 26, 1968 DOI: June 26, 2014 Claim Number: 000690-006258-WC-01 History of present illness: 70 degrees 40 degrees 90 degrees ICD codes: 726.13 (L Partial Tear Rotatr Cuff) 726.2 (L Shoulder Region DIS NEC) External Rotation The most common symptoms of a rotator cuff tear include: Pain at rest and at night, particularly if lying on the affected shoulder Pain when lifting and lowering your arm or with specific movements Weakness when lifting or rotating your arm Crepitus or crackling sensation when moving your shoulder in certain positions Laboratory Findings: 180 degrees • The minimal invasiveness of the procedure will allow for quicker healing when compared to more serious surgeries. • Arthroscopy allows for less scarring and scar tissue so that you will have better movement in your arm and shoulder. • You will be able to regain more use from your arm and shoulder when compared to living with the damage or inflammation that was hindering it. • Arthroscopic procedures cause minimal blood loss. This allows for less bruising and pain during recovery. Acute Tear If you fall down on your outstretched arm or lift something too heavy with a jerking motion, you can tear your rotator cuff. This type of tear can occur with other shoulder injuries, such as a broken collarbone or dislocated shoulder. There are definite benefits to choosing shoulder arthroscopy. Not only will you gain the benefits of a repaired shoulder, but also the arthroscopic procedure itself is much more beneficial than choosing standard types of invasive surgeries. Statistics/Evidence based practice: Let's start!!!! Arthroscopy remains the safest form of surgery in treatment of shoulder tear rotator cuff Several factors contribute to degenerative, or chronic, rotator cuff tears. Repetitive stress. Repeating the same shoulder motions again and again can stress your rotator cuff muscles and tendons. Baseball, tennis, rowing, and weightlifting are examples of sports activities that can put you at risk for overuse tears. Many jobs and routine chores can cause overuse tears, as well. Lack of blood supply. As we get older, the blood supply in our rotator cuff tendons lessens. Without a good blood supply, the body's natural ability to repair tendon damage is impaired. This can ultimately lead to a tendon tear. Bone spurs. As we age, bone spurs (bone overgrowth) often develop on the underside of the acromion bone. When we lift our arms, the spurs rub on the rotator cuff tendon. This condition is called shoulder impingement, and over time will weaken the tendon and make it more likely to tear. 140 degrees 90 degrees 180 degrees ICD/CPT Codes: Past History: Case Study: Demographics Causes: CPT code: 29826 (L shoulder Arthroscopy with Subacromial decompression) Continue physical therapy for the R shoulder Home exercise program Candidate for L shoulder arthroscopy with subacromial decompression and debridement Requesting an Ultrasling, physical therapy 12 sessions post operatively and assistant surgical assist for the L shoulder A rotator cuff tear is a common cause of pain and disability among adults. In 2008, close to 2 million people in the United States went to their doctors because of a rotator cuff problem. A torn rotator cuff will weaken your shoulder. This means that many daily activities, like combing your hair or getting dressed, may become painful and difficult to do. Flexion Degenerative Tear Most tears are the result of a wearing down of the tendon that occurs slowly over time. This degeneration naturally occurs as we age. Rotator cuff tears are more common in the dominant arm. If you have a degenerative tear in one shoulder, there is a greater risk for a rotator cuff tear in the opposite shoulder -- even if you

Medical PowerPoint Template

Transcript: Medical PowerPoint Template Design Elements Color Schemes for Medical Presentations Font Selection for Readability Color schemes significantly affect audience understanding and retention. In medical presentations, using blue and green hues promotes calmness and trust, while contrasting colors can highlight key information and enhance visibility. Choosing the right font is crucial for comprehension. Sans-serif fonts like Arial or Helvetica are recommended as they are easier to read on screens. Always ensure that text is large enough to be legible from a distance. Incorporating Graphics and Images Layout and Structure Incorporating relevant graphics can enhance understanding and retention of complex ideas. Use high-quality images, charts, or diagrams that directly relate to the content to support the narrative without overcrowding the slide. A well-structured layout guides the audience’s eye and improves information flow. Utilize a grid system to maintain alignment and consistency, making sure to reserve space for visual elements. Balance text with images to avoid clutter. A Blank Canvas for Your Data Presentation Tips Best Practices for Delivery Content Organization in Medical Presentations Engaging Your Audience Practicing your presentation can lead to smoother delivery and reduced anxiety. Utilize appropriate body language, voice modulation, and eye contact to foster a connection with the audience, making your message more impactful. Audience engagement is critical for effective communication. Techniques include asking rhetorical questions, using relatable examples, and incorporating multimedia elements to maintain interest and encourage participation. Title Slides and Headings Introduction to Medical Presentations Title slides set the stage for your presentation and should include the topic, your name, and the date. Headings throughout the presentation guide the audience through the narrative and facilitate smooth transitions between topics, ensuring clarity and focus on key messages. Bullet Points vs. Paragraphs Handling Questions and Feedback Bullet points provide concise and digestible pieces of information, making it easier for the audience to follow along. In contrast, paragraphs may be necessary for complex concepts but should be used sparingly to maintain attention and avoid overwhelming the viewer. Practicing and Timing Your Presentation Using Tables and Charts Tables and charts effectively present quantitative data, making complex information more approachable. They facilitate quick understanding of trends and relationships within data, enhancing the audience’s ability to interpret clinical findings or statistical results. Rehearse your presentation multiple times to refine your delivery and timing. Understanding how long each section takes helps ensure that you cover all material without rushing or exceeding your allotted time. Encourage questions to create a dialogue with your audience. Responding thoughtfully to feedback shows respect for their input and enhances clarity for everyone involved, improving overall comprehension. Citing Sources and References Importance of Visual Aids Citing sources is crucial in maintaining credibility and allowing the audience to explore further. Proper referencing not only attributes the original work but also strengthens arguments presented in the medical content, supporting evidence-based practice. Visual aids play a crucial role in medical presentations by simplifying complex information. They help audiences grasp essential concepts quickly, improving retention and engagement through the use of charts, images, and videos. Overview of PowerPoint Features PowerPoint offers various features to enhance medical presentations, including templates specifically designed for medical content, the ability to incorporate multimedia, and options for animations that can illustrate processes or changes over time. Objectives of the Medical Template The medical PowerPoint template serves to streamline the creation of presentations by providing a standardized format. This ensures consistency in design and aids users in organizing their data effectively for clarity and impact.

Vignette Group PowerPoint

Transcript: Chapter Vignettes Group 4 Summary Born Bad -Esperanza and her friends, Lucy and Rachel, start mocking famous people. The game then turns into mocking her Aunt Lupe, who is blind. Her aunt then dies that day and she is ashamed. She then says that her Aunt made an impact on her because she always listened and encouraged her to keep writing. Characters Characters Esperanza: main character Lucy and Rachel: childhood best friends Aunt Lupe: blind aunt Conflicts Conflicts Man vs Self: "Most likely I will go to hell and most likely I deserve to be there." pg. 58 In Born Bad (italics), Esperanza learns to treat everyone with respect. Theme Theme Throughout the Vignette, Esperanza realizes she should not mock other people, especially the one's she loves. "And then we began to dream the dreams." Pg. 61 Coming of Age Coming of Age Summary Four Skinny Trees She is looking outside the window with her sister at four skinny trees and realizes the beauty surrounding her Esperanza: main character Nenny: Esperanza's sister Characters Characters Man vs Self "When i am too sad and too skinny to keep keeping, when i am a tiny thing against so many bricks, then it is I look at trees" pg. 75 -Even though she might struggle, she should still keep going with her life Conflicts Conflicts In Four Skinny Trees (Italics), Esperanza learns to look for the beauty in life. Theme Theme She learns to continue on in life when something gets in her way. "Four whose only reason is to be and be" pg. 75 Coming of Age Coming of age

ACP Clinical Vignette 2013

Transcript: Mr. HH is a 55 year old disabled, single, Caucasian male who presents with: 5 day history shortness of breath dizziness non-productive cough CYP3A4 CYP2E1 D-dimer - 2.06 Normal WBC - 13.9 At discharge: Bridged on enoxaparin Warfarin Stop EtOH use Follow-up with anti-coagulation clinic EtOH Troponin x 1 - negative Feb 2008 - 1st UIHC ETC visit intoxication chest pain dyspnea Past medical history: Coronary artery disease with stent placement 2010 COPD Alcohol dependence Hepatitis C Increased Anticoagulation April 2010 unstable angina bare metal stent placed RCA "I don't plan on drinking any longer." Over the next 2 weeks, readmitted x 2 with: depressed mood poor sleep poor concentration rumination of his PE intense fear that he would die from PE or "bleed to death" prominent active suicidal ideation suicide attempt by overdose alcohol intoxcation 2012 Discussion By: Andrea Ryan Mentor: Vicki Kijewski Feb 2008 - April 2010 10 ETC visits for: chest pain and/or dyspnea intoxication 5 ETC visits for: anxiety and/or depression suicidal or homicidal ideation INR 6-8 at admission Restarted and discharged on warfarin Drug (ie warfarin, argatroban, rivaroxaban) Past psychiatric history: Diagnosed depression age 17 after brother's death 1 suicide attempt by cutting (meth intoxication) Multiple hospitalizations Unreliable with follow-up Significant Imaging Studies Thank you! Vicki Kijewski Ravneet Dhaliwal Overall, anti-coagulation treatment must be individualized based on risks and benefits of therapy. Ability to maintain safety Reliable outpatient monitoring Other medical co-morbidities Psychosocial stressors Risk and severity of possible depressive episode Drug Moderate consumption Significant Laboratory Studies Chronic alcoholic 2008 Cardiac: Elevated rate Regular rhythm No rubs, murmurs, S3/S4 1. Depression has been shown to significantly increase morbidity and mortality in patients admitted with acute life-threatening illnesses, such as PE. CT Angiography: "There is evidence of scattered pulmonary emboli in the left lower lobe. No evidence of pulmonary thromboembolic disease in the right lung. No right ventricular strain." Anticoagulation 4. Many short depression questionnaires are accessible for discharge evaluation and may reduce discharge medical complications and readmissions. Vitals: HR 130 RR 14 BP 137/99 Not orthostatic SpO2 88% on RA 3. In studies of depressed cardiac patients, improvement in depression was associated with improved self-reported adherence to medications and lifestyle modifications. "I would rather kill myself..." Decreased Anticoagulation Drug EtOH Increased Anticoagulation Arterial blood gas (on 2L): pH 7.42 pCO2 40 HCO3 26 pO2 95 April 2010 - Nov 2012 10+ ETC visits for: chest pain and/or dyspnea intoxication 6+ ETC visits for: anxiety and/or depression suicidal or homicidal ideation November 6, 2012 dyspea lightheaded diagnosed with pulmonary emboli Nov 15 and 20, 2012: intoxication depressed mood poor sleep poor concentration rumination over PE suicidal ideation with attempt 2. Rumination was an independent predictor for the incidence and severity of depression 3 months after acute coronary syndrome (ACS), regardless of baseline depression scores or cardiovascular disease severity. Social history: Navy, dishonorable discharge Currently disabled Iowa Lodge, alone EtOH and IV drug use history 2010 Lungs: Increased effort of breathing Distant lung sounds Clear to auscultation No wheezing Drug Physical Exam 5. Oral anti-coagulation treatment in the context of alcohol dependence is a high risk factor for hemorrhagic complications. References Bauer et al. Effects of Depression and Anxiety Improvement on Adherence to Medication and Health Behaviors in Recently Hospitalized Cardiac Patients. Am J Cardiol 2012;109:1266 –1271. Denton, E.D. et al. Psychosocial vulnerabilities to depression after acute coronary syndrome: the pivotal role of rumination in predicting and maintaining depression. Frontiers in Psychology 2012; 289:1-9. Donze, J. et al. Risk of Falls and Major Bleeds in Patients on Oral Anticoagulation Therapy. The American Journal of Medicine 2012; 125: 773-778. Miller, C.S. et al. Meta-Analysis of Efficacy and Safety of New Oral Anticoagulants (Dabigatran, Rivaroxaban, Apixaban) Versus Warfarin in Patients With Atrial Fibrillation. Am J Cardiol 2012;110:453– 460. Prandoni, P. Anticoagulant treatment of pulmonary embolism: impact and implications of the EINSTEIN PE study. European Journal of Haematology 2012; 89:281-287. Silverstone, P.H. Depression Increases Mortality and Morbidity in Acute Life-Threatening Medical Illness. Journal of Psychosomatic Research 1990; 34:651- 657. Weathermon, R; Crabb, D. Alcohol and Medications Interactions. Alcohol Research and Health 1999; 23:40-54.

Clinical Case Vignette

Transcript: Age: 8 years old Gender: Male Ethnicity: Latino (Salvadorian) Religion: Catholic Leo attends a predominately African-American school in South Los Angeles. Leo's family is very supportive Leo tends to gravitate towards his siblings even while at school He has stopped interacting with students verbally What's my Diagnosis? Leonidas Garcia [Leo] When Symptoms Started: Stutter since speech began, his refusal to speak to others outside of immediate family is 3 months. What happened: Father was deported in December of 2016 since then his grades have dropped significantly. What changed: Students in his class have teased him over his accent and stutter. Trump's presidency and deportation raids of Latino undocumented. Presenting Symptoms Referral Client Symptom(s): (a)Stutters (b) absent speech to others outside of immediate family Onset: (a) since he began speaking (b) January 2017 [3 months] Frequency: (a) most noticeable when anxious or nervous (b) everyday at school and other settings outside of home Family Systems/Living Situation Who: 3rd Grade Teacher Why: Unable to participate in school activities and decrease in his interaction with peers Who: lives with mother, maternal grandparents, older sister and younger brother. *He is the middle child * Closest to his mother, and grandparents *Was close to father * Siblings are very protective of him Education/ Friends & Support System History Clinical Case Vignette

PowerPoint Portrayal Template

Transcript: huddle Mrs. Rossi huddle to crowd together crowd huddle separate

Clinical Assessment Vignette

Transcript: Clinical Assessment Alyssa Villa / UHV 5/2/20 Diagnosis Diagnosis George a 16-year-old male The Case of George The Case that I chose was about George, a 16-year-old male that has had multiple suicide attempts and substance use. He has used multiple substances (marijuana, LSD, etc) since 13. Ct has also had a 2 week history of depression and ended up in the hospital due to a suicide attempt while in a Juvenile detention center. He has had problems with his parents and principal. The Case of George Diagnosis After reading that Ct has used drugs since the age of 13 there are multiple drugs he has used during this time. When he is not using drugs, he is more productive. During the substance use he has attempted suicide, been in arguments and has been put in a juvenile detention center. He was put in a youth home, away from his parents. I have chosen the diagnosis of Substance Abuse Disorder after reading the DSM-5. Diagnosis Diagnostic Criteria Diagnosing George with Substance Abuse Disorder Diagnostic Criteria Deciding on Dx Deciding on the Dx Emotional/ Negative effects of substances. Depression Mood Changes Decreased appetite Decreased interest Suicidal thoughts Feelings of guilt Continued use of substance after consequences Using marijuana, LSD, non-opioid sedatives. Ruling out other Dx Ruling out other Dx Regarding other diagnosis, I was torn between a few. I believed that he displayed symptoms of depressive disorder. I also looked into Substance induced bipolar disorder. I felt that looking at the symptoms and the behavior he displayed, it made more of a connection to the Substance Abuse Disorder. I looked at the symptoms and felt that they established a connection to Sub Abuse. Specific Signs Beginning drugs at the age of 13 The signs of depression while using the substance. Behavior resulting in negative consequences while using the substance. Poor school behavior Lack of interest Withdrawn Specific Signs Children Vs. Adults Differences between Children & Adults Diagnosis verses adults Difference Difference There is a higher prevalence in drug use in the ages of 18-24, George is close to this age group. Marijuana, I saw a higher prevalence for male individuals that are from ages 12-17 With the adolescent range that George is in, he shows changes in his mood, energy and eating patterns that were listed in the DSM-5. Difference Cont'd . There are also social and school indiscretions that were noted as well. George shows behavior that relates more to the adolescent age group. Difference Continued Diagnostic Specifiers Diagnostic Specifier Additional symptoms Additional Specifiers Specifiers How long he went without the arguments with family or others Any signifier as to why he argues with his parents More about the length of his depression and the moods that he experiences What leads to the use of a substance. Any relation to suicidal thoughts

PowerPoint Presentation Template

Transcript: PowerPoint Presentation Template A Structured Approach for Effective Presentations Project Title Presentation This presentation outlines the project, including key details such as the presenter's name, roll number, registration number, guide, and the department or institution involved. Questions and Engagement We now open the floor for questions. Your insights and inquiries are valuable for deepening our understanding of the project's implications and findings. Significance of the Project Objective of the Project Problem Addressed This project is significant as it addresses [specific problem], which affects [target population or industry]. By tackling this issue, the project aims to contribute to [specific outcome or field]. The primary objective of this project is to analyze the impact of [specific factor] on [specific area]. This analysis aims to provide insights that can inform future decisions and strategies. The problem addressed in this project is [specific problem statement]. Understanding this problem is crucial for developing effective solutions and advancing knowledge in the field of [related field]. Project Overview Acknowledgments Peer Contributions Funding Support Guide's Contribution I appreciate the collaboration and input from my peers which enriched the research process and findings. Gratitude to [Funding Organization Name] for their financial support that made this project possible. Special thanks to my guide, Dr./Prof. [Full Name], for invaluable guidance and support throughout the project. Correlation Between Variables X and Y Research Methodology The primary outcome of this research indicates a significant correlation between the variables X and Y, suggesting that as X increases, Y also tends to increase. This finding could have implications for future studies in this area. Research Contributions and Future Directions The research highlights significant contributions to the field, addressing critical gaps and providing new insights. Future work will focus on expanding these findings and exploring further applications of the results. 25% Improvement in Performance Metrics Key Findings A secondary finding reveals that the intervention applied improved the performance metrics by approximately 25%, highlighting the effectiveness of the approach taken in this research. Notable Differences and Implications Alignments with Existing Literature Challenges in Data Collection The study also identified several key challenges faced during data collection, including participant engagement and data integrity issues, which may impact the validity of the results and should be addressed in future research. However, some differences were noted, particularly in the interpretation of data and the implications drawn. These divergences highlight the unique contributions of this study and suggest areas for further research and exploration. The findings of this research align closely with previous studies, showing similar trends and outcomes, particularly in areas such as methodology and results. This consistency strengthens the validity of the research and contributes to the existing body of knowledge. Data Collection Methods Qualitative Research Approach Analysis Techniques Data was collected through surveys and interviews, ensuring a diverse range of perspectives. Thematic analysis was used to interpret the data, identifying key themes and patterns relevant to the research question. The research employs a qualitative approach to gain in-depth insights into the topic.

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