Contact Us
Sign In / Sign Up for FREE
Go to advanced search...

Clinical Examination of Mr Robinson - Case Study Example

Comments (0) Cite this document
The paper "Clinical Examination of Mr Robinson" highlights that generally speaking, the aortic and carotid receptors detect the loss of volume and increase the sympathetic activity which results in peripheral vasoconstriction and increased heart rate…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER91.5% of users find it useful
Clinical Examination of Mr Robinson
Read Text Preview

Extract of sample "Clinical Examination of Mr Robinson"

Download file to see previous pages 1. Mr Robinson presented to the Emergency unit after vomiting a massive amount of blood. His current status represents a state of hypovolemic shock which was caused by a large amount of blood in his vomit.
Mild to moderate hypovolemia only leads to resting tachycardia, however blood loss of at least 50 per cent results in supine hypotension (Saltzman & Fieldman 2013). The loss of blood leads to reduced intravascular volume and inadequate tissue perfusion. This causes a reduced arterial pressure and decreased tissue perfusion; hence the tissues are deprived of oxygen and nutrients (Lippincott Williams & Wilkins 2009). Mr Robinson presented with increased blood urea nitrogen suggesting renal failure due to “a large quantity of blood” in his vomiting, pointing out towards the massive reduction in intravascular volume leading to hypovolemia.
Mr. Robinson’s initial presentation is consistent with the signs of hypovolemic shock and presented to the Emergency room with cold and clammy skin, tachycardia and anxiousness. His pulse was 130 beats per minute which were weak and thread in nature, exhibiting hypovolemia. As a compensatory effect, the respiratory rate is increased leading to hyperventilation, in an attempt to increase the partial pressure of oxygen in arterial blood. Mr. Robinson’s respiratory rate was 36 breaths per minute, suggesting that he was hyperventilating as a compensatory response to the metabolic acidosis.
 Acute upper gastrointestinal bleeding can present either as blood in vomiting (hematemesis) or melena (blood in stool). In the given case, the patient presents with massive upper GI blood loss through vomiting which leads to a medically critical state of hypovolemia. Approach to diagnosis of a medical case first revolves around the history of the patient. ...Download file to see next pages Read More
Cite this document
  • APA
  • MLA
(Clinical Examination of Mr Robinson Case Study Example | Topics and Well Written Essays - 2000 words, n.d.)
Clinical Examination of Mr Robinson Case Study Example | Topics and Well Written Essays - 2000 words. Retrieved from
(Clinical Examination of Mr Robinson Case Study Example | Topics and Well Written Essays - 2000 Words)
Clinical Examination of Mr Robinson Case Study Example | Topics and Well Written Essays - 2000 Words.
“Clinical Examination of Mr Robinson Case Study Example | Topics and Well Written Essays - 2000 Words”.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Clinical Examination of Mr Robinson

Drug Administration in Objective Structured Clinical Examination

...?Reflections on my Drug Administration OSCE Drug administration is one of the major roles of nurses. However, as I found out in the objective structured clinical examination (OSCE) given to us, it entails much more than simply giving a patient a pill. It is an aggregate of all the principles and skills we learn as nursing students, and the application of theories into practice. In drug administration, we have to remember and practice patient safety, provide holistic and individualized patient care, have a solid foundation on knowledge about drugs and medication safety, and perform administration checks and documentation at all times. Much about the role of nurses in hospital can be learned from something as seemingly simple as a drug...
11 Pages (2750 words) Coursework

Chest Pain Clinical Examination

... was 200/120mm Hg. Palpation of abdomen did not reveal any abnormalities. Percussion ruled out fluid in the chest or abdomen. Auscultation elicited an irregular heart and tachypnea. During the general physical examination, I enumerated and eliminated non-cardiac causes; her symptom details helped me to distinguish her illness as cardiac in cause. Mrs. John did not have the non-cardiac causes of pain of musculo-skeletal pains involving the back, shoulder or arm. The examination of the vital signs of the cardiovascular and respiratory systems pointed to a cardiac cause. The typical dull chest pain with radiation to the back, the history of hypertension, diabetes mellitus, the unexplained exhaustion, the excessive sweating, the tachycardia...
6 Pages (1500 words) Essay

Clinical Examination

...Case study exploring a patient with cardiac and respiratory symptoms Introduction: This is the case study of a 56-year-old male. For reasons of confidentially and for ethical reasons his name will remain undisclosed in this assignment. This man's present complaint is increasing discomfort in breathing over the baseline and progressive increase in the swelling of his feet, specially the angle regions on both sides. It was decided a detailed history and clinical examination will be undertaken to reach a clinical diagnosis. In this study, the findings and a critical analysis of his findings are presented, which also includes evidence from literature as to how this clinician could reach a diagnosis from the available information. History...
13 Pages (3250 words) Case Study

Robinson Crusoe

...1. Essay Topic Robinson Crusoe and God's Providence Expediency or Salvation: Does Robinson Crusoe Believe in Divine Providence In Daniel Dafoe's Preface to 'The Life and Strange Surprising Adventures of Robinson Crusoe of York, Mariner...' he states that his intention is to ustify and honour the wisdom of Providence in all the variety of our circumstances.(xv). It is difficult to conclude that this is wholly fulfilled; the book may be interpreted on so many levels. On one, it seems to be a spiritual autobiography, showing the journey from sinner to saved, on another, a heroic adventure tale, and on yet another, a reflection on how to deal with the traumas of life and triumph over adversity. With so many facets, examining the book does...
2 Pages (500 words) Essay

Robinson Crusoe

...ROBINSON Daniel Defoe’s “Robinson Crusoe “stands alone in the array of literature of travel and adventure. This is the story of a human being who struggles hard for survival in an outlandish situation. Robinson’s decision to go away from his parents, against their will, was due to his weariness of the conventional profession and the fear of failure in future. This story tells about the diverse ways in which a man muddles through reality when hardship comes and shaping his own world in absolutely alien circumstances. The text fairly deals with the relation between man and nature, man and culture, and his relation with God. Daniel Defoe had done a good job to bring Robinson...
5 Pages (1250 words) Essay


...INSIDER TRADING Facts of the Case: Joan is a duly registered stock broker working for Good Hands People in New York. She has become close friends with Jake Johnson, owner of a media company, and Johnny Jones, VP of a company that manufactures ethanol/gas. The three spend much time together; on one occasion, Johnny relates to Joan and Jake that his company will expand into Iowa, in which case it will be able to avail of lower material costs. In the next six months the three accumulate stock on their portfolios. Johnny’s secretary Rita relates to the Justice Department agent about Johnny’s lunch dates with Joan and Jake, as a result of which ”they are going to become wealthy by buying company stock.” Issue: The legal question... TRADING Facts ...
2 Pages (500 words) Essay

Mr. Flood's Party by Edwin Arlington Robinson

... Assignment Mr. Flood’s Party by Edwin Arlington Robinson Introduction The poem Mr. Flood’s Party depicts the life scene of a lonely man with the aid of a collage that describes his past and present. The literary collage has no reference to his future, which suggests he has grown old and bitter experiences have filled up the vacuum of expectations and hopes. Question: In Mr. Flood’s Party, it is clear that Mr. Flood is not a mere “ne’er do well” drunk. There are details provided in the poem that give us a sense of his background and his former regard by others before he lost his place in society. Discuss the details that show the “before” and how they contrast with the “after” or “now”. Description of the “before” The “before” or past...
2 Pages (500 words) Essay

Examination of Clinical Psychology Paper

... Examination of Clinical Psychology History and Evolution of Clinical Psychology Clinical psychology is an aspect ofpsychological practice and science that entails analyzing, treating and preventing psychological disabilities in humans while enhancing individual adjustment and effectiveness (Plante, 2011). The history of helping people experiencing psychological distress did not start with clinical psychology. The functions of the modern day psychology began with institutions and individuals who existed before the emergency of the profession of psychology. Religious groups, the clergy, physicians and social welfare promoters have for long been responsible for taking care of people’s psychological needs (Benjamin, 2005). Treatment was based...
5 Pages (1250 words) Essay

Examination of clinical psychology

... The following task focuses on clinical psychology how it has evolved over time,It tries to understand the differences between clinical psychology, psychiatry and school psychology. Though most people have perceived all this to seem the same there are specific differences and this is what the study tries to explain and analyze. Clinical psychology can be defined as a study that deals with diagnosis and treatment of diseases of the brain, emotional disturbance and also behavioral problems. Clinical psychology often deals with two objectives it first deals with the well-being of the patient and also personal development of a person. Clinical psychology dates back to the 19th century in the year 1896 in the University...
4 Pages (1000 words) Essay

Clinical Examination of Prostate Cancer

... A 67 years old male complained of severe back pain of one week duration and increased frequency of urination and pain while urinating, of 2 weeks duration. Family history: his father is deceased, and had prostate cancer. Investigations: biopsy showed a well differentiated prostate adenocarcinoma. Computerized tomography showed an increased size of the prostate. There is a heterogeneous density and a small hypodense area, correspond to interior necrosis. Examination: blood pressure- 120/80; CVS: Clear S1, S2; Abdomen: Soft, nontender, nondistended, nontender, bowel sounds present; Back: Limited range of movement; Rectal exam: the sphincter tone is decreased, no blood. The prostate is enlarged and hard to palpation. Clinical...
7 Pages (1750 words) Case Study
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Case Study on topic Clinical Examination of Mr Robinson for FREE!

Contact Us