Case
\nStudies Weeks 1-4
\nAdvanced Anatomy and Physiology<\/p>\n
Name:
\nStudent ID#:<\/p>\n
Case
\nStudies \u00e2\u0080\u0093Instructions: Type your
\nanswers IN RED and
\nuse your textbook and other resources such as the ones listed below to help you
\nanswer the questions.
\nMerck Manual of Diagnosis and Therapy: .merck.com\/mmpe\/index.html”>https:\/\/monkessays.com\/write-my-essay\/merck.com\/mmpe\/index.html
\n.nlm.nih.gov\/medlineplus\/mplusdictionary.html”>MedlinePlus:
\nMedical Dictionary: http:\/\/.nlm.nih.gov\/medlineplus\/mplusdictionary.html”>www.nlm.nih.gov\/medlineplus\/mplusdictionary.html
\nE-medicine from WebMD: .medscape.com\/”>http:\/\/emedicine.medscape.com\/<\/p>\n
Case #1:
\nJim
\nand Jane Magnolia have tried for years to conceive a child, with no success. So
\ninstead, they have decided to adopt a child. They have found a beautiful little
\ngirl named Emma who has been given up by her mother. The child, only two weeks
\nold, was born at the mother\u00e2\u0080\u0099s home and has not received any medical attention
\nbeyond that given by EMS during the birth.
\n 1.
\nShould the parents be particularly concerned with Emma\u00e2\u0080\u0099s lack of medical
\nattention?
\n 2.
\nWhat perinatal tests should Jim and Jane inquire about?
\n 3.
\nShould Jim and Jane be concerned about PKU?
\n 4.
\nWhat is PKU?
\n 5.
\nHow is PKU screened for?
\n 6.
\nIf Emma has PKU, what is the treatment?<\/p>\n
Case #2:
\nStacey
\nfell down and hurt her knee two days ago. Today she is at the orthopedic
\nsurgeon\u00e2\u0080\u0099s office with her knee tender and extremely swollen. The physician
\ntells Stacey that she needs to have the fluid drained from her knee and have an
\ninjection to reduce the inflammation. The fluid he drains is watery and bloody.
\n 1.
\nWhat is the normal fluid in the knee joint?
\n2. What is the clinical term for the bloody
\nfluid the physician drained?
\n3. How did this fluid form?
\n4. Which signs of inflammation is Stacey clearly
\nshowing?
\n5. When
\nthe physician gives the \u00e2\u0080\u009cinjection to reduce the inflammation,\u00e2\u0080\u009d what is likely
\nin the injection?
\n6. If the surgeon prescribes a nonselective COX
\ninhibitor for the pain, how does it work?
\n7. How is a selective COX-2 inhibitor different
\nfrom a nonselective COX inhibitor?<\/p>\n
Case #3:
\nIn
\nSeptember of 2006 Chris Simms, quarterback of the Tampa Bay Buccaneers was rushed
\nto the emergency room after a traumatic collision on the football field. Remarkably,
\nChris finished the game before going to the hospital. He presented with moderate
\nabrasions to several areas of his body and severe upper left quadrant pain.
\nAfter full workup it was determined that he had to have emergency surgery to
\nremove his spleen. Fortunately, with modern medical advances, the spleen was
\nremoved laparoscopically. Chris lost five pints of blood prior to surgery.
\n1. What is the name of the surgery to remove the
\nspleen?
\n 2.
\nHow is laparoscopy different from normal surgery?
\n 3.
\nWhat is the classification for the type of healing the abrasions will
\nuse to heal?
\n 4.
\nWhat is the classification for the type of healing the surgical wounds
\nwill use to heal?
\n 5.
\nWhich wound will be most likely to produce scarring, the abrasions or
\nsurgical wounds?
\n 6.
\nWhy did Chris lose so much blood without any open wounds?<\/p>\n
Case #4:
\nJohn, an obese 54-year-old Caucasian male, has gotten a recent yearly checkup
\nat the doctor\u00e2\u0080\u0099s office. He was told that he has elevated blood pressure and
\nseveral risk factors for atherosclerosis. His urinalysis showed glucosuria, and
\nhis LDL levels are elevated.
\n 1.
\nWhat is the technical term for elevated blood pressure?
\n 2.
\nWhat is an acceptable range for blood pressure for John?
\n 3.
\nWhat is atherosclerosis?
\n 4.
\nHow are macrophages involved in the formation of atherosclerosis?
\n 5.
\nWhy is the glucosuria relevant?
\n 6.
\nWhat are John\u00e2\u0080\u0099s apparent risk factors for atherosclerosis?
\n 7.
\nWhat type of pharmacologic treatment would be recommended?
\n 8.
\nWhat type of lifestyle therapy would be recommended?<\/p>\n
Case #5:
\nBill Anderson, a 60-year-old Caucasian male of normal build, presents in the
\nemergency room with severely labored breathing. He reports progressively
\nworsening shortness of breath over the past three days. He has been lethargic
\nand has been just \u00e2\u0080\u009clying around\u00e2\u0080\u009d because of the shortness of breath. The
\npatient also has hypertension and is sweating, but without fever. Upon
\nexamining the patient\u00e2\u0080\u0099s medical history, the emergency room doctor learns that
\nBill has multiple myeloma and has undergone several cycles of chemotherapy, including
\nsteroid and high dose thalidomide therapy. The emergency room doctor orders a
\nchest X-ray and echocardiography.
\n 1.
\nWhat is multiple myeloma?
\n2.
\nWhat side effects do multiple myeloma, chemotherapy, immobility,
\nsteroids, and thalidomide have in common that could be an issue here?
\n3. The
\nemergency room doctor suspects a fairly obvious problem, what condition is the doctor
\ntrying to confirm?
\n 4.
\nWhy is the echocardiogram important?
\n5. How has the condition caused high blood
\npressure?
\n 6.
\nIs the heart at risk of failing? If so, what side of the heart, and is
\nit acute or chronic?
\n 7.
\nWhat is the recommended therapy?<\/p>\n
Case #6:
\nA 53-year-old woman of normal build is having her normal yearly checkup. She
\nhas a history of hypertension, arthritis, and skin rashes. Today her physician
\nnotices a diastolic murmur with a snap-like opening sound, as well as a
\nsystolic murmur. The physician asks the woman if she has ever had strep throat,
\neven as a child.
\n 1.
\nWhat heart valve typically has the diastolic murmur?
\n 2.
\nWhat heart valve typically has the systolic murmur?
\n 3.
\nWhat is the most common type of valvular stenosis?
\n 4.
\nWhy did the physician ask about strep throat?
\n 5.
\nIs the arthritis relevant? Why\/why not?
\n 6.
\nAre the skin rashes relevant? Why\/why not?
\n 7.
\nIs the hypertension relevant? Why\/why not?
\n 8.
\nWhat is it that the physician suspects?
\n 9.
\nWhat course of treatment is suggested?<\/p>\n
Case #7:
\nCharles is a 56-year-old male who has smoked nearly a pack of cigarettes a day
\nfor about 30 years. Today he is having a cardiopulmonary stress test because he
\nhas been complaining of exercise-induced dyspnea that is alleviated by an
\ninhaler. Charles will also be receiving the results of prior CBC and arterial
\nblood gas readings. Charles coughs up some mucus before the test. After the
\ntest, Charles coughs violently and spits up blood.
\n 1.
\nWhat is dyspnea?
\n 2.
\nWhat is the cardiopulmonary stress test going to measure?
\n 3.
\nDoes the patient have risk factors for chronic bronchitis?
\n4. Does the patient have risk factors for
\nemphysema?
\n5. What
\nwould you expect the values for spirometry, cardiac function, and lung
\nelasticity (compliance) to show if this patient has chronic bronchitis?
\n6.
\nWhat would you expect the values for spirometry, cardiac function, and
\nlung elasticity (compliance) to show if this patient has emphysema?
\n 7.
\nWhich presentation do you expect for Charles? Why?
\n 8.
\nWhat do you expect the CBC and ABG results to show for this patient?<\/p>\n
Case #8:
\nSharon is visiting her doctor today, complaining of heartburn. She is a smoker
\nand drinker. Upon taking a history the doctor learns that she and her friends
\noften go out for margaritas and spicy foods, which intensifies the heartburn.
\nHowever, the heartburn is there almost daily.
\n 1.
\nWhat is the first and most obvious initial problem the doctor might
\nsuspect?
\n 2.
\nWhat are Sharon\u00e2\u0080\u0099s warning signs for this problem?
\n 3.
\nWhat type of therapy will likely be suggested?
\n4.
\nWhat type of therapy would be suggested if Sharon had the problem only with
\nthe spicy food, rather than daily?
\n5. What problem might Sharon also have in her
\nstomach?
\n6. Would the same therapy work for this other
\nproblem in the stomach?<\/p>\n
Case #9:
\nHeidi, a 43-year-old female, has been an avid triathlete for over 20 years.
\nHowever, one of the consequences of her extreme athleticism is the chronic pain
\nassociated with her training and competition. Therefore, she has taken over-the-counter
\npain medication daily for years. Five days ago, in the final kick of a race,
\nshe rolled her ankle. As a result, she rested in bed for several days. Now she
\nis weak, short of breath, and has general swelling of her entire body. She
\nreports to the hospital and is admitted for renal failure.
\n 1.
\nDid the competition five days ago contribute to the renal failure?
\n 2.
\nDefine interstitial nephritis.
\n3. Did her chronic analgesic use contribute to
\nthe renal failure?
\n 4.
\nDefine rhabdomyolysis.
\n5. How is rhabdomyolysis consistent with the
\nfacts in Heidi\u00e2\u0080\u0099s case?
\n6. Since
\nHeidi has gotten prompt medical attention, do you expect treatment to bring
\nabout a full recovery? Why\/why not?<\/p>\n
Case #10:
\nRichard is a 17-year-old male with type I diabetes mellitus. Today he presented
\nto the emergency room with abdominal pain, weakness, lethargy, and rapid, deep
\nrespirations. He reports that he can\u00e2\u0080\u0099t remember if he took his insulin shot
\nthat day. The initial thought on triage is diabetic ketoacidosis.
\n 1.
\nDefine acidosis.
\n 2.
\nWhat classification of acidosis is diabetic ketoacidosis?
\n 3.
\nWhat is the name for the breathing patterns that Richard is having?
\n 4.
\nWhy is Richard breathing like this?
\n5. What
\ndo you expect the arterial blood gas measurements to show for pH, carbon
\ndioxide levels, and bicarbonate levels?
\n6. What will the treatment be for Richard?<\/p>\n","protected":false},"excerpt":{"rendered":"
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