Critical Pathway Hyperthyroidism. - 840 Words

Critical Pathway: Hyperthyroidism Introduction Mrs. J.P. is a 30-year-old African-American female who presents to the local health department for her annual women’s health exam and establishment of primary care. Mrs. J.P. requests that pregnancy testing be performed due to her recent absence of menses. Mrs. J.P. states she and her spouse have been attempting pregnancy for some time; however, with each missed cycle, pregnancy tests have been negative despite corresponding notable fatigue. Mrs. J.P. explains her current uninsured status and frustration with walk-in clinics stating recent use of multiple clinics for â€Å"simple things† without resolution. Mrs. J.P. lists her primary complaint as difficulty sleeping due to significant heart†¦show more content†¦Mrs. J.P. appears very irritable as initial assessments are completed requesting the clinic door be propped open and that the visit is expedited as her heat intolerance and inability to remain stationary for long periods are difficult to overcome. A ctive diaphoresis is noted as she fumbles through papers scattered throughout her belongings. As vitals and were needed, Mrs. J was advised to report to intake for objective assessments. After great difficulty, rising from the clinic chair, Mrs. J.P. reports to the lab with the following vital signs: Height: 5 feet 8 inches Weight: 165 pounds Body Mass Index (BMI): 25.08 Blood pressure (BP): Heart Rate (HR): 120 Respirations: 17 Temperature: 98.9 Physical assessment reveals intermittent heart palpitations with strong carotid and radial pulses, brisk deep tendon reflexes, 1+ non-pitting edema of bilateral ankles, hair thinning, onycholysis, orbital lid lag and an enlarged neck with positive audible bruit. Mrs. J.P. denies pain upon palpation of neck as slight thyroid enlargement is noted. Orders to perform complete blood count (CBC), complete metabolic panel (CMP), thyroid stimulating hormone (TSH), thyroxine index, free (T4), triiodothyroine (T3), and pregnancy test result in abnormal values including: Hemoglobin (Hgb): 11.0 g/dl TSH: 0.5 mU/L Free, T4: 5.0 ng/dl T3:

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Website Reviews - 1375 Words

1. National Park Service, Presidio of San Francisco, John Pershing: The Early Years http://www.nps.gov/prsf/historyculture/john-pershing-the-early-years.htm The National Park Service of the United States maintains a history and culture section for each of its parks. Presidio of San Francisco is part of the National Park Service, and has its website within the National Park Service domain. The Presidio of San Francisco has served as an army post for three different nations, the Spanish, the Mexicans, and finally, the Americans. The Americans used the Presidio as a military post for 148 yeas. The life of General John Pershing is linked up with the history of the Presidio. On the Presidio web site, there is a menu bar on the left where users can Explore this Park. The menu items include Park Home, Plan Your Visit, Photos Multimedia, History Culture, Nature Science, For Teachers, Support Your Park, and Bookstore. Each of these sections also has sub-sections. In the History Culture section is a sub-section for People. John Pershings page is located within this list, along with Concepcion Arguello, Juana Briones, Adelbert von Chamisso, Dana Crissy, Eda Blankart Funston, and IrvinMcDowell. The title of the John Pershing entry is John Pershing-The Early Years. The author offers a brief biography of John Pershing, who was born in Missouri and entered West Point in 1882. His leadership skills were immediately apparent. The remainder of the biography offers a helpfulShow MoreRelatedHr Website Reviews1407 Words   |  6 PagesHuman Resource Website Review For this website review of human resource websites, it will cover the websites www.shrm.org and www.ifebp.org. Each one of these websites is a great site to use as a resource for their own respective category inside of human resources. This review will compare the same questions to keep the measurements fair, and will provide screenshots to use as demonstrations to provide visions throughout the paper. The first website that will be reviewed is www.shrm.org.Read MoreWebsite Review Essay647 Words   |  3 PagesVisa banner going across the top. The advertising is very minimal and no where near overwhelming as some sites tend to be. The site consists of eleven different main sections. Each section is unique and consists of articles, games, links, and reviews. The majority of links offered are internal links. All of the links are relevant and up to date. Of all the sections, the PBS Kids section appears to be the most comprehensive. It is the most visited section on the site with more than 560,000Read MoreReview of Related Literature School Based Websites1537 Words   |  7 PagesWhy do schools have district websites? The benefits include the following: linking schools in the district, developing communication in classes, grade levels, and cultures, encouraging parental involvement, presenting information to visitors about the school and acquisition of technology skills (Miller, Adsit Miller, 2005). The digital divide holds with it a social justice goal to ensure that students regardless of socioeconomic status have equal access to new technologies both in the form of informationRead MoreThe Reviews On Different Websites1129 Words   |  5 PagesReading the reviews on different websites might be beneficial for the companies to understand what they should improve to satisfy various sectors of their audience. Howev er, there is still a lot of bias in those comments. Some websites express their preference for specifically one store and diminish the significance of another. Also, some of the reviews contradict with one another. For instance, on some websites I read that the customers are very satisfied with Sephora fast shipping, while at anotherRead MoreWebsite Review Essay1314 Words   |  6 PagesIf you’re looking for quality, in-depth reviews on a wide range of breast enlargement pills and creams, then Im glad youve discovered my site – because hopefully what I have to share with you is going to save you a lot of time, effort, and frustration. Nowadays, there really is a huge variety of natural breast enlargement products on the market, and many of them are very effective and useful. However, it’s also true that many of these products fail to live up to the hype – and on this site I aimRead MoreWebsite Review: www.ADHDScam.com666 Words   |  3 Pagesto get more money for the school. The father of a boy, who was being unfairly targeted by his school, decided to create a website to inform other parents about the scam surrounding school officials telling parents their children may have ADHD and need to be put on medication to control the symptoms. The author and webmaster of the site, Forest Cunningham Sr., created his website, www.ADHDScam.com, in 2009, after the failed attempt by his son’s school to diagnose Forest Jr. with ADHD. The boy wentRead MoreWebsite Review Paper1159 Words   |  5 PagesThe website that I will analyze is the university page for Media and communication studies. The reason why I would like to analyze this page for the reason that I am very curious about why a creative major have an unexciting layout that look very technological, why is it so difficult to find information on this page compared to other major at UMBC. In addition, I would like to know why certain links on the website have not been updated or have an error message. Furthermore, I would like to understandRead MoreWebsite Review and Summary Paper846 Words   |  4 PagesWebsite Review and Summary HCS/457 June 25, 2013 Website Review and Summary Through out the years people have relied on their health care providers for medical treatments. Now a day, people have the opportunity to research about any illness, medical concern, medical diagnosis and any type of disease in the Internet. There are many health care organizations that offer people around the world with information about drugs, illnesses, diseases, outbreaks, treatmentsRead MoreCollege Website Essay1061 Words   |  5 Pagesprofessor they will be taking for the semester. Having to choose what classes and professor to take for the semester can sometimes be stressful. To help relieve stress on students, there are websites that are created where students can view reviews left on different professors from their peers. 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Fraudulent Misrepresentation Lawyers - 3 types of misrepresentation

Question: Discuss about the Fraudulent Misrepresentation Lawyers. Answer: Introduction: As per the present case Don can hold Ports Hotel liable for the loss of his passport and gold chain as the hotel is responsible for safety of their customer and their valuable too. Hotel cant take an excuse that they have written it in every room that The Management will not be responsible for valuables lost if these are not given to the front desk for safe-keeping. Writing such statements cant take away your liability. It is hotels duty for the safety of their customer as well as his / her belongings. They must ensure that no customer should face any issue because of their act or negligence. In our case Dons passport and gold chain were stolen by a burglar in hotel premises only, this shows that hotel didnt have a good security system. Hotel can be held liable under the law of strict liability. Strict liability is a legal doctrine that says a person is liable for loss or damages caused by his / her act or any failure. In the above mentioned case hotel was liable for the safety and security of the guests staying at their hotel, but hotel authority lacked in providing security to the guests. As a result a burglar came inside the hotel and carried out the deed of theft of Mr. Dons passport and his gold chain. This clearly shows that hotel has failed in performing its duty of providing security to the guests (Essays, 2013). In Bass Anne Hendricks v Shangri-la Hotel Ltd (2011) it was said by the plaintiff that Hotel failed to provide effective security to safeguard plaintiffs personal property from defendants staff or other parties. Ring was removed from plaintiffs suit without his consent. No proper action was taken to find out the lost ring even after the complaint. Court held the hotel liable for the theft of plaintiffs ring and court ordered the hotel to pay the amount as compensation to the plaintiff for the loss of his ring from the hotel premises. In current scenario hotel has one possible defense that is of past dealings (Kelly, 2013). It states that Mr. Don was a regular customer of Ports Hotel, whenever he visited Singapore he used to stay at Ports hotel only. So he was already aware about the condition of keeping valuable with the front desk for safety, if kept in room or elsewhere then hotel wont be held liable for that loss. The theft had taken place from Mr. Dons room therefore hotel can this defense in their favor and can remove their liability. Their defense can make Mr. Don equally liable for the loss of his passport and his gold chain as it was his fault that he did not kept his valuable with hotels front desk (Lilly, Barrett, 2013). Ports Hotels Responsibility for injury Ports Hotel cant be held liable for injuries of Mr. Don because they have already applied a masking tape on the glass pane on a window which was damaged and written on it that Do not Open. Even after reading the warning Mr. Don opened that window and as a result of that glass of that window broke down and crashed on him causing him small marks on his forehead. This injury could be avoided if Mr. Don took that warning seriously and have not opened that window. If he wanted some fresh air because of suffocation then he could have called any of the hotel staff to help him out. Hotel is responsible for safety of its guests thats why they marked the broken part of the window and written down the warning on that. In this case negligence is on the part of Mr. Don that he ignored the warning and opened the window which caused him injury. In this situation hotel cant be held liable as they did their duty to inform guests about the broken window. In this situation negligence is done on the part of Mr. Don therefore he cant claim any compensation from the hotel (Essays, 2013) In Butterfield vs. Forrester (1809) defendant was residing in Durby and there he built a pole on middle of a public thoroughfare, no one has given him the right to do so. It was 8 O clock in the evening of August month, and plaintiff was riding on that way, it was dark at that time on the road but the pole was visible from approximately 100 yards. As the defendant was riding rashly and violently he smashed his horse on the pole as the result defendant and his horse both of them fell on the ground. In the judgment of the case court said that plaintiff cant claim damages because he was also negligent on his part. He saw the pole from appropriate distance from where he could stop his horse but because of his negligence the accident took place and loss has occurred. Similarly hotel took proper steps to avoid accidents but Mr. Don negligently did the act of opening the window and as the resulted he ended up causing hurt to himself. So by reading the above judgment passed by the Honorable Court we can come to a conclusion that here also plaintiff that is Mr. Don cannot claim any damages from the hotel. If the situation was slightly different like if the hotel authorities have not written down any warning about the glass and then if any accident had taken place in that case hotel could be held liable for being negligent on their part, for not providing safety for their guests (Findlaw, 2017) Liability of investment loss The investment made by Mr. Don was after seeing the accounts of the Tohs Gems Company. The auditors of the company showed him that they were earning profits from last two years. Relying upon their Mr. Don invested $ 5 million with the company. When after six month the company went into liquidation Mr. Don came to know that it was a fake audited account that was shown to him at the time of investment. The reality was that company was undergoing losses from last 2 years. For the above instance the auditors will be held liable for the fraud. Auditors of the company made a fraudulent representation of their company by showing up fake accounts which was absolutely wrong (Clarke, 2016). In With v O'Flanagan (1936) sale of medical practice took place and vedor demanded 2000 a year for that. When the purchaser signed the contract, the amount was brought down to 250 but the vendor did not told this to the purchaser because vendor was suffering through an illness. In this case Lord Wright MR said that if a statement which is true at the time it was made becomes untrue after certain time then it becomes an obligation for the person who knows it to disclose that to the person who is about to complete that transaction. So it was held that it was misrepresentation on the part of vendor in the above case. In this also auditors knew that they were misrepresenting Mr. Don but they did not disclose the facts to him. They just wanted that Mr. Don shall invest in the company and they could get money. Mr. Don was believing the statements made by the auditor as true and didnt researched about the company more (Essays, 2013). It is the duty of the party who is making an offer to disclose all the true facts about the product which you are selling. Here the company wanted Mr. Don to purchase its share, so we can say that here the company was selling the product to Mr. Don so its the duty of the company that it should disclose all the correct and true facts of the company to the person who is purchasing the share so that he can make up his mind that whether the shares are to be purchased or not. But here the scene was totally different and no true facts of the company was disclosed before Mr. Don which resulted in loss of $ 5 million to him. References Bass Anne Hendricks v Shangri-la Hotel Ltd 2011 SGHC 232 Butterfield v. Forrester, (1809) 11 East 60 Clarke, P. (2016). Fraudulent Misrepresentation Lawyers. Retrieved on 10th January 2017. Retrieved from https://www.legalmatch.com/law-library/article/fraudulent-misrepresentation.html Essays, UK. (2013). Contract Liability. Retrieved on 10th January 2017. Retrieved from https://www.lawteacher.net/free-law-essays/contract-law/contract-liability.php?cref=1 Essays, UK. (2013). Tort Of Negligence. Retrieved on 10th January 2017. Retrieved from https://www.lawteacher.net/free-law-essays/tort-law/tort-of-negligence.php?cref=1 Findlaw, (2017). Negligence. Retrieved on 10th January 2017. Retrieved from https://injury.findlaw.com/accident-injury-law/negligence.html Kelly, T. (2013). When will previous dealing lead to terms being incorporated in agreements. Retrieved on 10th January 2017. Retrieved from https://www.nortonrosefulbright.com/knowledge/publications/77406/when-will-previous-dealing-lead-to-terms-being-incorporated-in-agreements-a-case-note-on-la-rosa-v-nudrill-pt Lilly, R. Barrett, T. (2013). Prior dealings and contractual terms. Retrieved on 10th January 2017. Retrieved from https://www.jws.com.au/en/acumen/item/308-prior-dealings-and-contractual-terms