cardiac case study 1

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Instructions: Please create a case study based on the template attached and as good as the paper attached for the following patient. Please, please reword and use plenty of in text citations. Thank you.

A 53 year old African American man is in for follow up of his elevated blood pressure. He was seen last week in your office for a Department of Transportation commercial driver’s examination where his blood pressure was 176/92. Subjective questioning is negative. BP today is 174/94.

His physical exam is remarkable for a loud S2, sustained PMI at 5icslmcl, an S4 gallop is present. The remainder of his physical exam is unremarkable.

Family history is remarkable for high blood pressure.

Self describes his lifestyle as pretty sedentary due to driving long hours every day. Diet is often fast food with many cups of coffee.

  • EKG – NSR with LVH by voltage
  • CBC – normal
  • CBP – normal except for glucose 154 (fasting). Fingerstick last week was 152
  • A1C – 7.8

1.List 5 subjective questions it would be very important to know about this patient.

2.Explain the significance of the loud S2 finding.

3.What does the finding of his PMI indicate?

4.Explain the significance of the PMI in the normal location.

5.Explain the significance of the S4 finding.

6.Explain the finding of LVH given his current circumstances.

7.What additional diagnostics or testing (if any) you would like to order?

8.What are the top two diagnoses you are going to address at this time?

9.What is your pharmacologic plan for this man? Why did you choose the agent you did? Be sure to state your rationale and references.

10.Identify 5 lifestyle modifications to improve his health that he could implement in his current situation.

 

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ACC420 M5A2 Discussion – Applying Capital BudgetingAssignment 2: Applying Capital BudgetingFor your

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ACC420 M5A2 Discussion – Applying Capital BudgetingAssignment 2: Applying Capital BudgetingFor your final discussion assignment, respond to the following questions.Is it realistic to assume that the economic concept of operating at the point where marginal revenue and marginal cost are equal can be applied to real-world strategic planning while at the same time marrying this concept to the capital budgeting process? If so, how can that be done? If the concept is applied, how confident should we be that the firm will achieve the point where marginal cost and marginal revenue are equal?Your initial response should be two or three paragraphs in length. After you have posted your initial response, read all of your classmates’ responses and comment on at least two other postings.Write your response as a one-page memo. Post your memo in the discussion forum and solicit feedback from your classmates.****** Please this is important that you have the two question comment on how would address differing views. *****

 

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44092

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analyze two prose passages in a selected reading from the Gutenberg website. Choose both passages from the same story. For the first passage, break the passage down, and determine its effectiveness. Pay close attention to the descriptive writing, word cho

 

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finance help needed asap 1

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Assume that you are planning to purchase a business in 10 years. You anticipate the purchase price will be $500,000 and you will need a 20% down payment.

At a 6% rate of return, how much do you need to save each year to accumulate the down payment?
If you need 25%, and the rate of return is 5%, how much do you need to save each year?
For the percentage of the price you need to borrow, and considering the current phase of the business cycle, would you prefer a fixed or variable rate loan, assuming that you will have a 10 year payoff? Why?
Now assume that you will own the business for 15 years, and that it will grow at an annualized rate of 12%. Using the same $500,000 purchase price, what will be your selling price at the end of 10 years?

Thoroughly explain and answer the questions above in a Word document.

 
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