What Diagnosis Did your First Patient in Clinicals Have?

Nurses General Nursing

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Mine was a woman with a severe case of cellulitis in her good leg. It was ulcerated, and wet to dry dressings were applied. The reason I say; "Her good leg," is because her bad leg was one with skin stretched over bone. I asked her how it got that way, and she said when she was an 11 yo, she was hit by a car, and her mom pulled her free before it ran over her entire body, removing the skin from the bone. The skin and the fatty tissue never grew back.

Specializes in LTC, CPR instructor, First aid instructor..
Good heavens you are asking me a question that is over 27yrs old LOL

Ummmmm let me think about this.... $@### Ummmm errrrrrrrrr heck I cannot remember :lol2:

Oh oh oh I think it was a guy with gross fresh gastric bleeding. Ugghhhh :( Hmmm thanks for the memories NOT hahahahahaha

:rotfl:The pleasure is all mine, dear.
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Specializes in LTC, CPR instructor, First aid instructor..
It was back in 1977, so it's hard to remember all but, I I recall they actually took her to OR and used various sized specs. There is a clinical DX of this but, if I remember, she was just afraid of painful sex. Back then D&C's were hospitalized for 2 days and people came in the hospital just to "rest". Can you imagine turning a claim like that into the insurance co. now. Heck, that Dr would be on the 6:00 news. :idea:
This really isn't funny. I heard a story a few years ago about a couple who got divorced a few months after they got married because her husband's member was too large for her, and he hurt her every time they tried to have intercourse.:uhoh21:
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Specializes in Day program consultant DD/MR.

my 1st clinicals where at a SNF and I think Dementia was the 1st pt. I had. The 1st I really remember and that had for a week on my med-surg rotation was a 20yo s/p MVA. She had been in hosp for almost 6mo by the time I had her as a pt. the 1st 3 were in ICU.

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Specializes in LTC, CPR instructor, First aid instructor..
end stage renal failure, anascara,CHF, COPD.he died the week after I took care of him, young too...maybe late 40s. Was in comatose the second day I had him. It is funny looking back, I had no real understanding of what was happening with him.
I have endstage COPD with CHF and was in renal failure my last serious hospitalization, but that was about 18 months ago now, and is the longest period I have been able to stay out of the hospital since 2000. I owe it all to my new doc. He's is definitely a professional. But I have no clue what's anascara?
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Specializes in LTC, CPR instructor, First aid instructor..
Pacytopenia first day on the floor from ICU reverse isolation. I was afraid he was going to catch something everytime I went into the room. I swear I washed my hands about 200 times in 4 1/2 hours.
All I know is it's a lack of something in the body. What is it though?
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Specializes in LTC, CPR instructor, First aid instructor..
my 1st clinicals where at a SNF and I think Dementia was the 1st pt. I had. The 1st I really remember and that had for a week on my med-surg rotation was a 20yo s/p MVA. She had been in hosp for almost 6mo by the time I had her as a pt. the 1st 3 were in ICU.
Curious, did she have chest injuries?
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Specializes in LTC, CPR instructor, First aid instructor..

My second patient is the one I remember the most. Her name was Mary. She was postmenopausal, but suddenly got her period. She had not seen a physician in 30 years. But knowing that was not normal, she went to the doctor, who hospitalized her. The tests revealed stage 4 uterine cancer. When I had her, she was on an ng tube for her feeding, foley cath, IVs galore, and a chest tube insertion. She was huge due to fluid backup in her abdomen, and a blocked foley cath. When her cath was irrigated, a bunch of large clots came out, and her skin was breaking down. The thing that got to me was what she said. She first told her doctor to get her off of all the tubes, she knew she was dying. She also asked them not to notify her only child, a daughter. How sad. Then she asked me to tell her about God. I told her, but the memory still remains fresh in my mind, and I graduated in 1997.

In fact, I wrote a paper on her.

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Specializes in Med/Surg, Tele, IM, OB/GYN, neuro, GI.
But I have no clue what's anascara?

Big fancy word for generalized severe edema.

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Specializes in Med/Surg, Tele, IM, OB/GYN, neuro, GI.
All I know is it's a lack of something in the body. What is it though?

Pancytopenia is low RBC's, WBC's, and platelets. His levels were so low that his mouth would start to bleed everytime he ate. He got is from being on long term methotrexate injections for his RA.

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My first clinical patient was a woman with Von Willenbrand's disease. I thought that disease was specific to males but I guess not. She was really nice and easy to care for.

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Specializes in ICU, SDU, OR, RR, Ortho, Hospice RN.
Big fancy word for generalized severe edema.

Psssttttt I thought it was spelt anasarca?? ;)

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Specializes in LTC, CPR instructor, First aid instructor..

Thanks all for clearing these up for me, and Sabby, I spelled it right. Look at the whole word again. I spelled anascera. It's just the a is in bold lettering.

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