Posted: December 20th, 2021

APU SCIN360 Assignment #1: Case Study Assignment #1

Case
Studies Weeks 1-4
Advanced Anatomy and Physiology

Name:
Student ID#:

Case
Studies –Instructions: Type your
answers IN RED and
use your textbook and other resources such as the ones listed below to help you
answer the questions.
Merck Manual of Diagnosis and Therapy: .merck.com/mmpe/index.html”>https://monkessays.com/write-my-essay/merck.com/mmpe/index.html
.nlm.nih.gov/medlineplus/mplusdictionary.html”>MedlinePlus:
Medical Dictionary: http://.nlm.nih.gov/medlineplus/mplusdictionary.html”>www.nlm.nih.gov/medlineplus/mplusdictionary.html
E-medicine from WebMD: .medscape.com/”>http://emedicine.medscape.com/

Case #1:
Jim
and Jane Magnolia have tried for years to conceive a child, with no success. So
instead, they have decided to adopt a child. They have found a beautiful little
girl named Emma who has been given up by her mother. The child, only two weeks
old, was born at the mother’s home and has not received any medical attention
beyond that given by EMS during the birth.
1.
Should the parents be particularly concerned with Emma’s lack of medical
attention?
2.
What perinatal tests should Jim and Jane inquire about?
3.
Should Jim and Jane be concerned about PKU?
4.
What is PKU?
5.
How is PKU screened for?
6.
If Emma has PKU, what is the treatment?

Case #2:
Stacey
fell down and hurt her knee two days ago. Today she is at the orthopedic
surgeon’s office with her knee tender and extremely swollen. The physician
tells Stacey that she needs to have the fluid drained from her knee and have an
injection to reduce the inflammation. The fluid he drains is watery and bloody.
1.
What is the normal fluid in the knee joint?
2. What is the clinical term for the bloody
fluid the physician drained?
3. How did this fluid form?
4. Which signs of inflammation is Stacey clearly
showing?
5. When
the physician gives the “injection to reduce the inflammation,” what is likely
in the injection?
6. If the surgeon prescribes a nonselective COX
inhibitor for the pain, how does it work?
7. How is a selective COX-2 inhibitor different
from a nonselective COX inhibitor?

Case #3:
In
September of 2006 Chris Simms, quarterback of the Tampa Bay Buccaneers was rushed
to the emergency room after a traumatic collision on the football field. Remarkably,
Chris finished the game before going to the hospital. He presented with moderate
abrasions to several areas of his body and severe upper left quadrant pain.
After full workup it was determined that he had to have emergency surgery to
remove his spleen. Fortunately, with modern medical advances, the spleen was
removed laparoscopically. Chris lost five pints of blood prior to surgery.
1. What is the name of the surgery to remove the
spleen?
2.
How is laparoscopy different from normal surgery?
3.
What is the classification for the type of healing the abrasions will
use to heal?
4.
What is the classification for the type of healing the surgical wounds
will use to heal?
5.
Which wound will be most likely to produce scarring, the abrasions or
surgical wounds?
6.
Why did Chris lose so much blood without any open wounds?

Case #4:
John, an obese 54-year-old Caucasian male, has gotten a recent yearly checkup
at the doctor’s office. He was told that he has elevated blood pressure and
several risk factors for atherosclerosis. His urinalysis showed glucosuria, and
his LDL levels are elevated.
1.
What is the technical term for elevated blood pressure?
2.
What is an acceptable range for blood pressure for John?
3.
What is atherosclerosis?
4.
How are macrophages involved in the formation of atherosclerosis?
5.
Why is the glucosuria relevant?
6.
What are John’s apparent risk factors for atherosclerosis?
7.
What type of pharmacologic treatment would be recommended?
8.
What type of lifestyle therapy would be recommended?

Case #5:
Bill Anderson, a 60-year-old Caucasian male of normal build, presents in the
emergency room with severely labored breathing. He reports progressively
worsening shortness of breath over the past three days. He has been lethargic
and has been just “lying around” because of the shortness of breath. The
patient also has hypertension and is sweating, but without fever. Upon
examining the patient’s medical history, the emergency room doctor learns that
Bill has multiple myeloma and has undergone several cycles of chemotherapy, including
steroid and high dose thalidomide therapy. The emergency room doctor orders a
chest X-ray and echocardiography.
1.
What is multiple myeloma?
2.
What side effects do multiple myeloma, chemotherapy, immobility,
steroids, and thalidomide have in common that could be an issue here?
3. The
emergency room doctor suspects a fairly obvious problem, what condition is the doctor
trying to confirm?
4.
Why is the echocardiogram important?
5. How has the condition caused high blood
pressure?
6.
Is the heart at risk of failing? If so, what side of the heart, and is
it acute or chronic?
7.
What is the recommended therapy?

Case #6:
A 53-year-old woman of normal build is having her normal yearly checkup. She
has a history of hypertension, arthritis, and skin rashes. Today her physician
notices a diastolic murmur with a snap-like opening sound, as well as a
systolic murmur. The physician asks the woman if she has ever had strep throat,
even as a child.
1.
What heart valve typically has the diastolic murmur?
2.
What heart valve typically has the systolic murmur?
3.
What is the most common type of valvular stenosis?
4.
Why did the physician ask about strep throat?
5.
Is the arthritis relevant? Why/why not?
6.
Are the skin rashes relevant? Why/why not?
7.
Is the hypertension relevant? Why/why not?
8.
What is it that the physician suspects?
9.
What course of treatment is suggested?

Case #7:
Charles is a 56-year-old male who has smoked nearly a pack of cigarettes a day
for about 30 years. Today he is having a cardiopulmonary stress test because he
has been complaining of exercise-induced dyspnea that is alleviated by an
inhaler. Charles will also be receiving the results of prior CBC and arterial
blood gas readings. Charles coughs up some mucus before the test. After the
test, Charles coughs violently and spits up blood.
1.
What is dyspnea?
2.
What is the cardiopulmonary stress test going to measure?
3.
Does the patient have risk factors for chronic bronchitis?
4. Does the patient have risk factors for
emphysema?
5. What
would you expect the values for spirometry, cardiac function, and lung
elasticity (compliance) to show if this patient has chronic bronchitis?
6.
What would you expect the values for spirometry, cardiac function, and
lung elasticity (compliance) to show if this patient has emphysema?
7.
Which presentation do you expect for Charles? Why?
8.
What do you expect the CBC and ABG results to show for this patient?

Case #8:
Sharon is visiting her doctor today, complaining of heartburn. She is a smoker
and drinker. Upon taking a history the doctor learns that she and her friends
often go out for margaritas and spicy foods, which intensifies the heartburn.
However, the heartburn is there almost daily.
1.
What is the first and most obvious initial problem the doctor might
suspect?
2.
What are Sharon’s warning signs for this problem?
3.
What type of therapy will likely be suggested?
4.
What type of therapy would be suggested if Sharon had the problem only with
the spicy food, rather than daily?
5. What problem might Sharon also have in her
stomach?
6. Would the same therapy work for this other
problem in the stomach?

Case #9:
Heidi, a 43-year-old female, has been an avid triathlete for over 20 years.
However, one of the consequences of her extreme athleticism is the chronic pain
associated with her training and competition. Therefore, she has taken over-the-counter
pain medication daily for years. Five days ago, in the final kick of a race,
she rolled her ankle. As a result, she rested in bed for several days. Now she
is weak, short of breath, and has general swelling of her entire body. She
reports to the hospital and is admitted for renal failure.
1.
Did the competition five days ago contribute to the renal failure?
2.
Define interstitial nephritis.
3. Did her chronic analgesic use contribute to
the renal failure?
4.
Define rhabdomyolysis.
5. How is rhabdomyolysis consistent with the
facts in Heidi’s case?
6. Since
Heidi has gotten prompt medical attention, do you expect treatment to bring
about a full recovery? Why/why not?

Case #10:
Richard is a 17-year-old male with type I diabetes mellitus. Today he presented
to the emergency room with abdominal pain, weakness, lethargy, and rapid, deep
respirations. He reports that he can’t remember if he took his insulin shot
that day. The initial thought on triage is diabetic ketoacidosis.
1.
Define acidosis.
2.
What classification of acidosis is diabetic ketoacidosis?
3.
What is the name for the breathing patterns that Richard is having?
4.
Why is Richard breathing like this?
5. What
do you expect the arterial blood gas measurements to show for pH, carbon
dioxide levels, and bicarbonate levels?
6. What will the treatment be for Richard?

Order | Check Discount

Tags: #1 Assignment Help Online Service for Students in the USA, AI Plagiarism free essay writing tool, Australian best tutors, best trans tutors, buy essay uk