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Tuesday, December 31, 2019

Essay on English composition - 917 Words

Dancing through the learning process. CR1. Inks define the learning process in this essay as: â€Å"†¦a complex process to define; people learn at different rates, with different approaches, and different levels of satisfaction.† She compares the learning process in school with the learning process of dance and how the behavior show in one can have positive influences in the other. During this comparison the author reflects qualities that the student can learn during both process that can be run-through his life. The students cannot see how steps in the process of learning can be compared to learning to read or write but those steps could help to achieve their purpose in school or personal life. CR2. Inks’s definition has the†¦show more content†¦For me, learning to speak French, help me develops new strategies to memorize words or phrases. Learn how to dance, to drive, to speak new languages, or even math, open your mind to know things and perceptions that you do not have before. All those knew experience gives you confidence, making you feels more prepare and ready to learn. Bring back the draft. Page 678. RC1. This essay gives me some knowledge that I din have before. I learn: What a draft is and the consequences of it. The armed service has had to double the starting pay to recruit at least half of the enlisted soldiers. It is not the best way to resolve economic problems. Has been an increase over 24% of young people that will not serve in the Army. CLI1. The thesis statement of this essay is about how the service in military has decrease in the last few years and how in response to that the Army has increase the opportunities of work in different position in the Army. The main idea is really explicit on the text: ‘‘†¦they could choose to serve in the military, in homeland security or in a civilian national service programs like AmeriCorps.’’ This idea reflects how the military try to attract those people how do not want to serve in the Army with homeland work positions. The author also recognizes how important the presence of new recruits, in order of facing terrorism, is. CLI2. The audience for this essay would be youngShow MoreRelatedMy Experience in English Composition1142 Words   |  5 PagesMy experiences in this six-week English Composition-I class have been challenging and rewarding, as well as educating and developing. As far as challenging, I have only been able to attend half of the classes and therefore have only learned half as much as I could have learned otherwise. Although extenuating circumstances have kept me from attending every class, it has been a pleasure sitting under the teaching of the course instructor. As far as rewarding, I have been able to gain knowledge, understandingRead MoreEnglish Composition : Valuable Tools885 Words   |  4 PagesEnglish Composition One: Valuable Tools Almost Eight weeks have elapsed since the start of English Composition and in these short eight weeks, I have absorbed a tremendous amount of information that I will be taking with me in my pursuit of a college degree. I have mentioned many times in this class that I have been absent from college for almost twenty-five years. Restarting the educational process has not been an easy undertaking. English Composition, in particular, has been a problematic areaRead MoreMy Experience Of English Composition972 Words   |  4 PagesMy experience in English Composition 1 this semester has been a tough one. From day one, I knew that this class was not going to be a â€Å"walk in the park†, so I tried to prepare myself for what was to come. Throughout this semester, I have recognized my strengths as well as my weaknesses , and I still continue to struggle with a lot of them to this day. Through it all, this class has been a journey that has taught me a lot. When we first began to write our descriptive essay, my confidence level wasRead MoreWhy I Started The English Composition851 Words   |  4 Pages When I started the English Composition course I expected an entirely different type of writing. I expected more of a story telling writing, novelist, story and screenplay writing. To my surprise, it was a different world of grammar, style, voice, sentence mechanics and structure guidelines. I was afraid of something new and challenging. I expected more of a three act structure to write a novel or a short story but the course was different. Different in a helpful way that it opened my eyesRead More My Struggles with English Composition Essay769 Words   |  4 PagesMy Struggles with English Composition â€Å"†¦As for all the seniors, I want you to challenge yourselves this year and don’t think you’re going to cruise through to graduation.†-Mrs. Smith, County High School. Although some seniors in high school refuse to take a hard schedule, I decided to take a challenging composition course my last year of high school and learned more than ever before from it. My teacher, Mr. Bacz, focused mostly on vocabulary, grammar, and how to right an essay. Each one ofRead MoreEnglish Composition : Valuable Tools Learned931 Words   |  4 PagesEnglish Composition One: Valuable Tools Learned Almost Eight weeks have elapsed since the start of English Composition One and in these short eight weeks, I have absorbed a tremendous amount of information on the subject of writing. Many times during this class I have mentioned my long absence from college. Restarting the educational process has not been an easy task. English Composition, in particular, has been a problematic area for me, currently and historically. Gratefully, throughout this classRead MorePersonal Experience: English Composition Course622 Words   |  3 Pages Focusing in self- evaluation to improve the learning process, help me to set goals and be aware of my own mistakes. When the English Composition course started, I wanted to be able to express my thoughts and my ideas in an effective way. The continuation of my education was very difficult, and I began to doubt myself when faced with the first couple of weeks. My first assignment was my most difficult assignment, and I found myself having trouble sticking to a thesis, because I had so manyRead MoreReflection Paper About English Composition930 Words   |  4 PagesEnglish Composition I has developed my style of writing and my skills analyzing and researching topics to write a piece about a topic. Throughout the course, I got better at analyzing articles and pieces to get the meaning of the topic. With that improved skill I was more able to use the information given from the text and install it into my essays, with proper citation if needed. Before taking the English Composit ion course, I was not one to organize my essays in an ordeal order to clearly stateRead MoreEssay on English composition Task1848 Words   |  4 Pageshelped me achieve a personal goal which is to work as a computer engineer for a multinational information technology organization like Hewlett Packard, Dell, Microsoft etc., One has to be fluent in English and technically competent in order to get through the interview and also to succeed at work. English is needed in every aspect of today’s modern world to communicate with people at work irrespective of their origin. Since my teenage I wanted to become a computer engineer andRead MoreMy First English Composition Class Essay1934 Words   |  8 PagesWhen I went into my first English composition class I was very intimidated by all the stories I heard about college. I heard about how stressful college was and how one had to write a lot of papers that had a high page length requirement, which I hadn’t done in high school except for one or two assignments. Once I got into the class and was assigned the first essay which was a narrative, I found it very daunting because it had to be at least three pages in length. â€Å"How could I ever write about one

Sunday, December 22, 2019

Identity, Double Consciousness, And Gender - 1811 Words

Martaya Hopkins Professor Willie Toliver English 325 21 November 2014 Identity, Double-Consciousness, and Gender: Passing, Autobiography of an Ex-Colored Man, and The Blacker the Berry According to W. E. B. Du Bois, activist and author of The Souls of Black Folks, â€Å"†¦ the Negro is a sort of seventh son, born with a veil, and gifted with second-sight in this American world, —a world which yields him no true self-consciousness, but only lets him see himself through the revelation of the other world (9).† This double-consciousness is present with in African American men and women. It is the result of always being reminded that you are Black before you are human, â€Å"It is a peculiar sensation, this double-consciousness, this sense of always looking at one’s self through the eyes of others, of measuring one’s soul by the tape of a world that looks on in amused contempt and pity (Du Bois 9).† The Du Boisean theory of double-consciousness can be seen in Nella Larson’s Passing, â€Å"She was caught between two allegiances, different, yet the same. Herself. Her race. Race! The thing that bound and suffocated her. Whatever steps she took, or if she took none at all, something would be crushed (98);† Wallace Thurman’s The Blacker the Berry, â€Å"More accurately than ever before Emma Lou began to feel that her luscious black complexion was somewhat of a liability, and that her marked color variation from that of other people In her environment was a decided curse (1);†and Weldon Johnson’sShow MoreRelatedAnalysis Of Double Eyes Were Watching God By Zora Neale Hurston And Invisible Man1335 Words   |  6 PagesDouble Consciousness in a Bildungsroman Self discovery is at the root of many stories. It is easily limited by external and internal factors. Tales about self discovery are often called a bildungsroman. A bildungsroman, essentially, is a coming of age novel. Both Their Eyes Were Watching God by Zora Neale Hurston and Invisible Man by Ralph Ellison are considered a bildungsroman. In the case of those two novels, there is one unique concept that contributes to their examples of self discovery. DoubleRead MoreThe Harlem Renaissance1209 Words   |  5 Pagesthe United States and even abroad, to regions with large numbers of former slaves or blacks needing to construct ethnic identities amid a dominant white culture. The primary means of cultural expression during the Harlem Renaissance were literature and poetry, although visual art, drama, and music also played a role in the development of the new, urban African-American identity. Urbanization and population migration prompted large numbers of blacks to move away from the J im Crow south, where slaveryRead MoreDouble-Consciousness Is Like A Person Staring At A Television1159 Words   |  5 PagesDouble-consciousness is like a person staring at a television screen, that person judging the actor and predicting each and every move. The actor need to unearth twoness because he or she have a true self they identify with, and a second form of consciousness that they display, because it is what others who view them expect. Authors like Nella Larsen, Sylvia Plath, and Chang-rae Lee experience their twoness through race and/or gender, and relates them to themselves. They use Du Bois’s double-consciousnessRead MoreThe Great American Indian Novel By Sherman Alexie1589 Words   |  7 PagesUnited States at one point decimated native people along with their identity and culture, simultaneously, exploiting them as individuals. In the novel â€Å"How to Write the Great American Indian Novel†, Sherman Alexie admonishes against toxic stereotypes held by white people against native people thus, showing hegemonic structures of them. This is because the dominance of white culture exploits people of other culture, race, identity and gender to acculturate to the white norms. The novels junctions are informedRead MoreIdenity Affected by Racism Essay1202 Words   |  5 Pageseffect society. I would explore how identity is affected by racism †¦ Vocabulary, defines identity as an individual characteristics by which a thing or person is recognized or known. In other words it’s how one view, look, see and define themself. Many people identity are influence from religion, environment, parents, culture, gender, teachers and textbooks. Media also shape one identity, which includes TV, news, movies, radio and etc. One’s identity can be shaped my many different thingsRead MoreIs Feminisms View On Dual Consciousness A Double Standard? Essay868 Words   |  4 PagesIs Feminisms View on Dual Consciousness a Double Standard? The content of information in the text, â€Å"Marriages, Families, and Relationships: Making Choices in a Diverse Society (Lamanna, M.A., Riedman, A., Stewart, and S., 2012) was filled with interesting information regarding todays cultural gender expectations. Most notably, the material on gender differentiation was thought-provoking. Somewhat entertaining might be a suitable way to describe the slightly archaic verbiage used to relateRead MoreEssay on Impact of Rasicm on Idenity in Ralph Ellison’s Invisible Man1293 Words   |  6 Pagesdisplay how it effect ones identity . Vocabulary, defines identity as an individual characteristic by which a thing or person is recognized or known. In other words it is how one views, look, sees and defines themselves. Many people identity are influenced by religion, environment, parents, culture, gender, teachers and textbooks. Media also can play a role in shaping one’s identity. This can include internet, news, movies, radio and etc. One’s identity can be shaped by many differentRead MoreThe Veil, And Double Consciousness1154 Words   |  5 PagesHurston, the Veil, and Double Consciousness â€Å"How It Feels to Be Colored Me† is an essay written in 1928 by Zora Neale Hurston, one of the most prominent writers of the Harlem Renaissance. Her essay replies to and attempts to deconstruct two concepts from an equally prominent Harlem Renaissance writer’s novel, W.E.B. DuBois’s The Souls of Black Folk. These concepts are â€Å"the veil† and â€Å"double consciousness†. Even though she does recognize the existence of the veil and double consciousness, Zora claims thatRead MoreThe Influence Of Social Change On My Life1721 Words   |  7 Pagesstruggles, and livelihoods. Once you put on the sociological glasses though, the picture begins to clear and we seem more alike than when you were blind. You begin to sharpen in on our similarities of social changes, gender problems and how the world perceives us, and our out-of-the-home identities we struggle to hold. Through multiple sociological concepts a chief and a student are able to seem more al ike than imaginable. Social change, a change in social structures over time, sparked the realization ofRead More`` Negroland And Fun Home `` By Margo Jefferson And Alison Bechdel929 Words   |  4 PagesIn Negroland and Fun Home, Margo Jefferson and Alison Bechdel both view their individual lives and identities as interacting with history. However, their perceptions of history differ vastly in that Jefferson identifies herself as both a spectator and player in a giant game of sociocultural history, while Bechdel perceives national history as a tape reeling alongside her life, shaping her worldview but serving as a backdrop amidst her individual life. In Negroland, Jefferson relates to and traces

Saturday, December 14, 2019

Most Important Mnemonics for Step 2 Cs Free Essays

HISTORY PHYSICAL EXAMINATION HPI (history of present illness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting, Diarrhea, constipation, cough, vaginal discharge) O Onset of the symptom + precipitating factors P Progression D Duration C Constant /Intermittent S Settings F Frequency L Location of the symptom (forehead, wrist†¦ ) I Intensity of the symptom (scale 1-10, 6/10) Q Quality of symptom.. BCDSPP(burning,Cramping,dull,Sharp,pulsating,pressure like) R Radiation of the symptom ( to left shoulder and arm) A Associated symptoms ( palpitations, shortness of breath) A Alleviating factors (sitting with my chest on my knees) A Aggravating factors (effort, smoking, large meals) A Amount B Blood C Color C Consistency C Content D Duration O Odor UG Hx: OPD-CSF-AAA + FINISH PUBC F Frequency (How frequent do u have to pass urine? ) I Incontinence (Do u have trouble holding Ux until u get to BR? ) N Nocturia ( do u have 2 wake up @ Night to go to BR? I Incomplete emptying (do u feel fullness even after Ux) S Stream (How is ur flow of urine? is it cont. We will write a custom essay sample on Most Important Mnemonics for Step 2 Cs or any similar topic only for you Order Now or is there any dribbling after Ux? ) Strain (Do u have to strain during Ux) Stone (have u passed stones in the past? ) H Hematuria (did u notice any blood), Hesitancy (do u have 2 wait b4 starting Ux) P Pyuria (was there any pus in ur Ux? ) U Urgency (do u have 2 rush to BR to Ux? ) B Burning (dysuria) (does it burn) C COLOR 1 drkhalilezekiel@yahoo. com PMH (past medical history) PAM HUGS FOSS P Previous presence of the symptom (same CC), Past Medical problems (^BP, ^BS,U , idney prob. Rhinitis,Sinusitis, sthma,) A Allergies (drugs, foods, chemicals, dust †¦ ) M Medicines (R U taking any prescription medications/any over-the-counter med. ), H Hospitalization for any illness in the past (Trauma, surgery) U Urinary changes ( esp if diabetic, elderly†¦ ) G Gastrointestinal complains (diet changes, bowel movements†¦ ) S Sleep pattern(difficulties falling/maintain asleep,wake up,snoring,med. to help sleep, how many hour, nightmares) F Family history (similar chief complai nts/serious illness)/ Fevers, Chills/ Fatigue O OB/GYN history (LMP, abortions, para†¦ LMP RTV CS PAP S Sexual habits (active/preferences/STD/no. of partners/contraception/pregnancy/ last pap smear) Q 1. â€Å"Mr. John, Are you Sexually Active? † Q 2. â€Å"How Many Partners are you active with? † Q 3. â€Å"Are your partners male or female or both? † [Unless the SP says wife or husband in Q 2] Q 4. â€Å"Do you use protection during intercourse? † Q 5. If yes in Q. 4 â€Å"What kind of protection do you use? † Q 6. Ask about anal intercourse in male homosexuals Q 7. h/o STD’s; Rx for STD’s S Social Hx (job/house/smoking/alcohol/recreational drugs/†¦.. ) WAD SAD TOES Social Hx WAD SAD TOES W Weight A Appetite D Diet S Smoke (cigarettes, marijuana, how much, how many years) A Alcohol (what type of alcohol, how often, how much ,consider doing CAGE question. ) D recreational Drugs (what drug, how do you use it, any IV drug use? ) T Travel /Trauma O Occupation (what do you do for living? ) E Exercise S Stress HEADACHE OPD CSF LIQRAA + DIAGRAM Head trauma/Seizure/Weak,Numb Tears / visual changes Flu Vomit/ Speech Neck stiffness 2 drkhalilezekiel@yahoo. com Ped Hx (Child with fever) CUB FEVERS + PAM IF BIG DEALS-T C Colds-runny nose,cough,chest pain, fast respirations,SOB-CRYâ€Å"how is ‘cry of ‘baby? U Urination-increased or decreased urination, # of diapers, any odour, colour of urine Ulcers in mouth B Bowel changes: Diarrhea-frequency, onset, mucus/pus/blood in stool, any crying during defecation Discharge Q’s (ABCD-O: Amount, Blood, Content, Consistency, Color, Constant/Intermittent, Duration, Odor/Onset) F Fever chills E Ear pulling V Vomiting E Ea r/eye discharge, Ear hearing, Eye vision R Rash S Seizure-any jerky movements, which part of body? Any leakage of urine or stool during fits, and postictal irritability or loss of consciousness. Stress (bet wet, DM) P Past medical/Past surgical Hx / Previous Hospitalizations. A Allergies, effect on child/parents (bet wet, DM), Activities M Medications, Menstruating (female child 10yo) I Ill contacts F family history B Birth Hx I Immunizations G Growth n development, ht, wt, milestones SSC-WTD: S(1), S(6),C(9),W(12),T(15), D(30) smile, sit, crawl, walk, talk, dress wks: 1,6,9,12,15,30 D Day care / Difficult swallowing E Eating habits, feeding of baby A Appetite L Look of the baby or appearance, Last check-up S Sleep T Travel recently Premenopause : H Hot flashes A Atrophy of vagina D Dryness of vagina O Osteoporosis (council) C Coronary artery disease HADOC drkhalilezekiel@yahoo. com ObGyn Hx : LMP RTV CS PAP L LMP (when was ur LMP? ) M Menarchae (how old were u when u had ur 1st period? P Period (how many days ur period last? ) R Reglarity ( R ur periods regular? ) T Tampoons (how many pads do u use in a heavy day? ) V Vaginal DID: discharge, itching , dryness (have u ever had any vag discharge? ABCDO. do u have any vag. Itching? ) C Cramps (Dysmenorrhea) do u have abd cramp with ur period? S Spotting ( intermenstrual / post coital ) have u ever bled (. ) ur cycles? Did u ever notice any bleeding after intercourse? P Pregnency ( Hx complications) have u ever been pregnant? How many times? A Abortion/miscarriage (Any miscarriages or abortions? In ? month of ur pregnancy? ) P PAP smear(have u been getting regular PAP sm ? when did u have the last PAP sm ) (any Female50 yo:ask about:1-R u taking vit D Ca,2-have u ever tried HRT? ) If suspect abuse SAFE GARDS S Safety inquiry (Do you feel safe at home? ), Sex ever forced? A Alcohol abuse (does your hubby abuses alchol? ), Attacked Children? F Friends/Family who are aware( Dos any1 f ur friend/Fam know of this) Fractures (Abuse ever resulted in fractures? ) E Emergency plan (u have emergency plan? ), Ever tried to leave/divorce? why not? G Guns at home (are there any weapons @ home? Attacked with it? ) A Afraid of husband R Relationships with husband (how is ur relationship with husband? do you feel Threatened when he is around? For how long? D Depression (lost wt/appetite/sleep), Drugs (does husband use recreational drugs) S Suicidal (idea/plan/attempt) (ever felt like ending it all up? ) 4 rkhalilezekiel@yahoo. com Diabetic pt â€Å"FU/Med Refill† D Duration of disease I Insulin regimen/ oral hypoglyemics regimen A A1c hg - Gluc. monitoring (fast, home, HgA1c) B Blurry vision (retinopathy) E Extremity (foot ulcer/infection T Tingling/numbness (neuropathy) I Infections (resp/urinary) C Cardio Risk Factors (HTN, CHOL, Heart disease) Counseling DM HTN M Medications (regularity) E Exercise ( for obese/sedentary lif e styles) D Diet Modification( Salt/Fatty foods) O Opthalmoscopic exams (annual routine) W Weight Management (/control) S Sugar Check ups DIABETIC MEDOWS Neuro cases â€Å"LOC† P Palpitations A Aura â€Å"b4 problem† S Shaking (duration) S Spinning/ lightheaded B Bladder incontinence / Bowel incontinence L Loss of consciousness (duration) T Tongue biting/ tinnitus hearing loss S Speech difficulties/ Sleep disturbance A Ataxia â€Å"gait† N Numbness/nausea vomit D Difficulty breathing W Weakness I Injury (trauma) fall C Confusion after the event / Visual disturbance H Headache PASS BLT SANDWICH -And to make sure you got it completely don’t forget the MinMental Stat. Exam 5 drkhalilezekiel@yahoo. com MINI MENTAL O Orientation X3 â€Å" time, place, persons† R Registration â€Å"I’m going to say 3 objects†Ã¢â‚¬ ¦ then repeat A Attention â€Å"spell world backwards† R Recall what were those 3 items again? L Language â€Å"Repeat after me.. â€Å"No, ifs, ands, or buts† 2 Identify two objects â€Å"what is this.. pen.. and this†¦ paper† 3 Obey 3 commands â€Å"take a piece of paper, fold in ? , put on floor† R â€Å"Read 3 commands on this paper and do what it says† W Write a sentence D Draw, copy the image ORARL23RWD Forgetfulness/ Memory Loss / Dementia/ Alzheimer’s FORGETS HIM + DEATH SHAFT F FAINTING / Flashes/ FHx of Alzheimer 0 ORTHOSTATIC HYPOTENSION R RUNNING URINE â€Å"INCONTINENCE† G GAIT E EYE[VISION] T TRAUMA, TINGLING S STRENGTH,SEIZURES H HEADACHE I INFECTION [SYPHILIS, MENINGITIS] M MOOD ADL – Activities of daily living D Dressing E Eating A Ambulation (can you find your way thru home) T Toiletry (do you manage your toiletry unassisted) H Hygiene IADL – Instrumental activities of daily living S Shopping H Housekeeping A Accounting F Food prep (do u do your cooking ) T Transportation (do you drive? How is your sight, hearing? 6 drkhalilezekiel@yahoo. com Foot / Heel / Knee / Back pain OPD-CSF-LIQORAAA +WET SURF-D -‘CIS’ W Work /Weakness / Walking habits /Wt loss E Eye infection redness T Trauma to foot /Tingling Numbness / Tender S Stifness in other joints/leg Swelling /long Standing hours/morning Stiff/sound U Urethral discharge /ulcer R Ras h/ Redness of skin of joint F Fever chills night sweat D Deformity / Dysurea IN CASE OF BACK PAIN ADD: CIS; Cancer Hx /IV DRUGS/ Steroids 4 long time Depression: (Psychiatric Hx Checklist) SIGME CAPS DHAT +2 (+MMSE: ORAL23RWD) S Sleep (difficulties falling/maintain asleep, wake up, snoring, med. o help sleep, how many hours, nightmares), Stress, Support I Interest, What do you do in your free time? How are you doing in your job? do you enjoy what you do? G Guilty M Mood. ( anxious, sad, hopeless, lonely? Memory problems E Energy C Concentration A Appetite, changes in your Weight P Psychomotor agitation/retardation (do you feel easily agitated or angry/do u feel not to do anything? ) S Suicide: thoughts, plan, attempts(do u have pills/guns @ home? D Delusions/Drugs H Hallucinations/Hopes A Attitude towards life (positive negative frame of mind) T Thyroid dysfunctions (ABCD HV for HYPOTHYROID) also need to ask : Do u realize that u have problem ? Do u want help? ( if patient was sent or asked by anyone to consult doc ) HYPOTHYROID APPETITE BOWEL-constipation COLD INTOLERANCE DEPRESSION HAIR FALL VOICE-Hoarseness 7 drkhalilezekiel@yahoo. com ABCD HV Hearing loss: P Pain D Discharge F FB I Imbalance N Noise R Ringing S Spinning T Trauma Dx ABD Signs PDF IN RST CKMG MIOR (MIOR assoc. ith Appendicitis) C Cullen $- periumbilical discoloration (Retroperitoneal He,pancreatitis, AAA rupture) K Kehr $ –sever Lt. Shoulder pain- Splenic rupture, ectopic pregnancy M Muphy’s $- Abrupt interruption of inspiration on palp of RUQ- acute cholecystitis G Gray-Turner $, Discoloration of flank (same as Cullen $) M Mc Burney’s $- Tenderness 2/3 from ASIS to Rt of umbilicus I Iliopsoas $, Hyperextention of R hip Cx ABD pain O Obturator $- Internal rotation of flexed R hip Cx ABD pain R Rovsing $- RLQ pain upon palpation of LLQ DD Nasuea Vomiting A Anorexia M Metabolic( DKA)/Meds O Obstruction (pyloric /Intestinal) P Pregnancy I Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID) N Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess G Gastroenteritis A MOPING 8 drkhalilezekiel@yahoo. com Cranial Nerves: 2 optic 3 4 6 5 7 Oculomotor Trochlear Abducent Trigeminal -Test visual acuity -Test pupillary reflexes (direct) -Test accommodation reflexes -Assess pupillary reactions to light -Assess corneal reflection -Perform H-test for EOM -Sensory: close eyes,touch face where? Motor: Assess strength of muscles of mastication;bite down and palpate masseter Ask patient to; -smile -wrinkle forehead, -blow out cheeks -close eyes -whisper, -Weber -Rinne tests Assess movements of the soft palate; swallow and palpate neck Assess strength of trapezius sternocleidomastoid muscles; -shrug shoulders up -move neck to side against resistance Ask patient to protrude tongue (assess for fasciculation, atrophy Deviations) -stick your tongue up -move it side to side facial 8 Vestibulocochlear 10 vagus 11 accessory 12 hypoglossal 9 rkhalilezekiel@yahoo. com – Mr. ? – Good morning Mr. , I am Dr. Khalil, an attending physician in this hospital. SHAKE HANDS First I’ll ask u few Qs. and do brief physical exam. Meanwhile if u have any Qs, feel free to ask me, ok? – Let me make u more comfortable DRAP PT. – I’ll be sitting writing some notes while we’re talking, is that ok? †¦THANK U. – Please tell me what brought u in today Mr. ? †¦Ã¢â‚¬ ¦.. – I. C. , can u tell me more about †¦Ã¢â‚¬ ¦.. â€Å"c. c. † Mr. I’d like to ask u few Qs. about ur health in the past, is that ok? Mr. now I’d like to ask u few Qs. bout ur habits, is that ok? Now I’d like to ask u few personal Qs. I assure u that all info. Will be kept confed. ok? Now, let me ask u few Qs. about health of your family members, ok? Does any body in ur family have any med. Conditions? Mr. thank u. I am done e history, let me summarize for it, As u mentioned, u have †¦.. Do u have any Qs. for me? Mr. Now I need to examine u. may I proceed? But 1st let me wash my hands. Ok? Mr. Thank u for ur cooperation. I am done e phys. Exam let me give my impression. Based on ur Hx my PE, it seems that u might have†¦.. ut it could be something else/ †¦or†¦, so to arrive at right D, I ‘ll run some tests order imaging studies such as †¦.. once I’ve result we’ll meet again discuss various ttt. Options. – Do u have any Qs. for me? SHAKE HANDS LEAVE ROOM 10 drkhalilezekiel@yahoo. com HISTORY HPI: OB/GYN: LMP†¦, regular periods every†¦.. Weeks ,lasting†¦.. Days. Menarche at age†¦ Uncomplicated NSVD at full term.. Years ago. ROS: negative except as above. Allergies: NKDA Medications: none PMH: PSH: SH: smoke /alcohol / illicit drugs/sex / job /exercise FH: noncontributory PHYSICAL EXAM Patient is in no acute distress OR looks .. anxious,tired, †¦) ( The source of information is the patient’s mother. the mother of a †¦. -month/year-old female/male c/o her child having †¦.. ) VS: WNL (except for temp. Of †¦) HEENT: NC/AT, PERRLA, no conjunctival pallor. No fundoscopic abnormalities. Nose,mouth and pharynx WNL Neck: Supple, No LAD, thyroid normal, no carotid bruits. Chest: no tenderness, clear breath sounds bilaterally. Heart: RRR, normal S1/S2, no murmurs, rubs or gallops Abdomen: soft, non-tender, non-distended, +BS, no guarding, no hepatosplenomegally Extremities: no edema, normal DTR in lower extremities Skin: no rash Neuro: MMSE: AOx3, spells backward, recalls 3 objects, Cranial nerves: 2-12 grossly intact, Motor: strength 5/5 throughout -sensory: intact to soft touch and pinprick, DTR: symmetric 2+ in all extremities (or lower extremities), – Babinski bilateral, Gait: normal, Cerebellar: – Romberg, rapid alternating movement and heel to chin test normal and symmetric 11 drkhalilezekiel@yahoo. com UWShort UWLong 1 16-31-37 2 1-13-1925-35-39 24 25 4-5-1822-24 29 15 28 20 21-40 12 7 43 10 FA Full 19 1-2 38 6 3 FA Mini CASE 23-24 Urine problem Alcoholism 19 Abd pain Heel pain Chest pain 13 8 31 5 6 7 4 6-26 10 38 42 34 11 UL pain 31 Shoulder pain 21 Knee pain 27 32 Back pain 37 Calf pain Vomiting â€Å"adult† 18 Vomiting â€Å"child-TEL† 7-8 33 Fever â€Å"child† 5-28 20-22 Diarrhea Rectal bleeding Constipation 9 Night sweat 21 Hemoptysis 9-10-40 12 Chronic cough 15-16-17 8 Fatigue 15 Wt loss 16 Wt gain 17 dysphagia 18 1 Headache 3 Depression 4 psychosis Anxiety Seizure à ¢â‚¬â€œnew onset Amenorrhea Menopause 25 26 Menstrual problems 26 Vaginal discharge 12 drkhalilezekiel@yahoo. com 12 23 13 30 9 33 14 16 17 18 19 20 21 22 23 12 36 13 27 23 6 2 22 41 30 36 41 3 17 32 34 14 11 39 30 14 15 30 10 5 7 6 27 28 14 8 32 27 29 11 2 drkhalilezekiel@yahoo. com 35 33 26 31 4 29 29 11 25 34 Forgetfulness Frequent falls DM New DM drug refill BA drug refill HTN drug refill HIV drug refill Vaginal bleeding Obesity Spells â€Å"LOC† Terminal cancer Confusion Tremors Pre-employment Domestic violence Sexual assault Insomnia Dizziness Numbness-weakness Jaundice â€Å"adult† Jaundice â€Å"Neonate† Enuresis Palpitations SOB Smoking cessation Hallucinations +ve Pregnancy test Pain with sex MVA Sore throat Difficult swallowing Hearing loss Blurred vision Erectile dysfunction Behavioral problem â€Å"child† Skin rash 3 FA cases GIT Trauma Resp Cardio Ped Neuro Endo Psych Renal ObGyn Pain DM/HTN Jaundice Fever Fatigue 1-2-5-11 3-21-27-31-37-38 4 -9-10-41 6-20 7-8-28-30-36-39-40 12-14-18-22-23-29 13-24 15-16-17-34-35 19 25-26-32-33 FA cases 1-2-3-21-38-6-27-37 13-20-36 11-39 7-8 15-16-17 14 drkhalilezekiel@yahoo. com How to cite Most Important Mnemonics for Step 2 Cs, Essay examples

Friday, December 6, 2019

Influence Paper free essay sample

The persons who has a positive influence in my life are my parents. They influence me by being a strong minded role models and never given up hope through my teenager stage and helping me choosing the right path. My parents are originally from a country of communist and had fled to find freedom. They went through a lot of conflicts and was held captive in refugee camp before they came to America. When they arrive in America with no knowledge and not even fluent with English language, they still manage to survive In a country that their not familiar with and still uphold o raise a family.Since I was a kid my parents had told me story about how they struggle to come to America . One of the story that really touch me so much was how my parents was held captive In the refugee camps with my sister when she was about 4 years old at the time. We will write a custom essay sample on Influence Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The camp was with fill with people with Illness and disease and where survival for food was really not much for each family. They were Like slaves where they had to do a lot of manual hard labor work. They stay In the camp for 4 months before they were release to come to America.How the story was base and told by my parents really influence me to do well and to be a strong minded person like them that will help me make the right choices in life. During my teenager years I was going through life like as some teenager would go through. Peer pressure was among myself where I was hitting rock bottom. Things wasnt really looking great at the time. I was hanging with the wrong crowd that almost cost me to drop out during my Junior year in high school.I still can remember when me and my mother and brother was in the principle office where we was going to my a choice that would effects our lives forever. She had looked at both of us and ask if we just wanted to Just drop out and I can see in her eyes that she was really disappointed with us. While I was sitting there thinking and remembering how much struggle my parents had went through without any educational background really woke me from the choice I was about to make.It seems at that point I could have en my future flash through my eyes which made me decide to stay and finish up my school years. When I was stepping out of my teenager stage into my adult hood my parents had sat me down and ask me where I was going with my life. I told them that I didnt know at the time and wanted to take a break since I Just graduated from high school. They would Just mention that they came to America with nothing and had to build everything from scratch. They really didnt want to see any of there kids struggling the same way they did.Looking at everything that my parents went through In the pass and now really made me choose a path which I would consider myself lucky because I wasnt in a situation where I was getting myself Into trouble or Into drugs Like some of my friends that I have known. Influence Paper By playfully they still manage to survive in a country that their not familiar with and still uphold held captive in the refugee camps with my sister when she was about 4 years old at the time. The camp was with fill with people with illness and disease and where arrival for food was really not much for each family.They were like slaves where they had to do a lot of manual hard labor work. They stay in the camp for 4 months ask if we Just wanted to Just drop out and I can see in her eyes that she was really sat me down and ask me where I was going with my life. I told them that I didnt know the same way they did. Looking at everything that my parents went through in the because I wasnt in a situation where I was getting myself into trouble or into drugs like some of my friends that I have known.