Mrs. Jane Austin is a 59-year-old woman admitted to the operating theatre for a laparoscopic cholecystectomy under general anaesthetic following a diagnosis of cholelithiasis and cholecystitis.
Mrs. Austin has a past medical history of hyperlipidaemia, hypertension, a body mass index of 28 and is a smoker. She is compliant with her regular medications Lipitor and Perindopril, and her blood pressure is well controlled.
Mrs. Austin presented to the emergency department following several bouts of severe right upper quadrant abdominal pain associated with uncontrolled nausea and vomiting. On examination she was tachycardic, febrile (elevated c-reactive protein) and complained of right upper quadrant tenderness on palpation. Mrs. Austin also complains of a recent intolerance to fatty foods, resulting in nausea when ingested. A duel diagnosis of cholelithiasis and cholecystitis was made via ultrasound. A pre-operative chest X-ray is clear.
You are working in the PACU and receive Mrs. Austin following her surgery (laparoscopic cholecystectomy). The anaesthetist reports the patient had some mild haemodynamic instability during insufflation and maintenance of pneumoperitoneum, and that the procedure was slightly longer than usual because the surgeon had difficulty visualising the common bile duct due to the patient’s weight.
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more