4. What other causes except myocardial infarction can cause this type of TPP? 5. Describe the mechanism of development of this TPP in the patient. CTDDO
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- Patient B., 60 years old, was hospitalized with the diagnosis "Myocardial infarction". On examination: cold and cyanotic skin. Respiration is frequent, superficial, arterial pressure 90/60 mm Hg, pulse - 110 beats / min (normal 60-90 beats per minute). The patient is transferred to the intensive care unit. Questions: 1. What kind of typical pathological process (TPP) develops with myocardial infarction? 2. Define this TPP. 3. Describe the TPP, developed in the patient, according to the speed of its development, prevalence, cause of occurrence.21) Female,35 years old. She came to the clinic because of persistent precordial pain for 2 days. Physical examination: frictional sounds can be heard in the fourth rib space on the left side of the sternum,which can still be heard after holding the breath. The ECG suggests bow-dorsal downward elevation of the ST seament in the conventionai leads. What is her most likely clinical diagnosis? A Acute myocardial infarction() B Variant angina C Acute pleurisy D Acute pericarditis E Acute pulmonary embolismCase study: Acute Coronary Syndrome non ST elevation MI Possible diagnoses (differential diagnosis) (50 points). After analyzing the patient’s case, you need to make 3 (minimum) to 4 (maximum) possible diagnoses (rank by the most possible to the least possible). You need to be specific: e.g. a diagnoses of anemia is not specific enough, you need to elaborate: which type of anemia. If you make less than 3 differential diagnosis, your points will bededucted. Explanation of Pathophysiology of each of differential diagnoses (30 points). You need to write all of the pathophysiology thoroughlyof each of your differential diagnoses you write on the first part. This has to be detail enough so that you can explain all the signs, symptoms, patient’s history and all diagnostic tests results. There are no minimum or maximum number of pages you need to write, but comprehensive pathophysiology shouldsuffice. Your suggestions of what extra work-up/laboratory/diagnostic tests/information needed to…
- 19) Male,30 years old, came to the clinic with paroxysmal palpitations for 2 days. Physical examination BP:125/70 mmHg. HR: 190 bpm, the heart rhythms and the sounds are normal. 1 minute later his heart rate suddeniy decreased to 80 bpm with the normal heart rhythm. What is his most likely clinical diagnosis? A Sinus tachycardia B Paroxysmal atrial fibrillation C Paroxysmal supraventricular tachycardia D Paroxysmal atrial flutter E Third degree atrioventricular block20) Female,40years old. Ventricular septal defect was found for 38 years and persistent fever since the tooth extraction 3 months ago. Physical examination: temperature:37.6°c, petechiae on the skin, systolic murmur can be heard in the aortic valve auscultation area, and eniarged spleen. What is the most likely clinical diagnosis for this patient? A Myocarditis B Pericarditis C Left heart failure D Infective endocarditis E None of the aboveTopic: Myocardial Infarction - describe important details about Myocardial Infarction - describe various care measures (such as medical treatment, safety measures, or spiritual care, etc) to a person who has that condition
- Match the following terms with their meanings below: coronary arteries normal sinus rhythm mitral valve deoxygenated blood pacemaker murmur myocardium electrocardiogram pericardium endothelium 1. Double-layered membrane surrounding the heart - 2. Muscular, middle layer of the heart - 3. Positioned between the left upper and lower heart chambers 4. Innermost lining of blood vessels - 5. Resting rate of 60 to 100 beats per minute - 6. Blood lacking in oxygen - 7. Blood vessels that carry oxygen-rich blood to the heart muscle - 8. Abnormal heart sound – 9. Specialized nervous tissue in the right atrium that begins the heartbeat; sinoatrial node - 10. Record of the electricity flowing through the heart -1. Mr. Garcia had a myocardial infarction. Explain what happened to his heart muscle and vascular system. What is a STEMII? 2. Mr. Garcia's chest pain resolved after two sublingual NTF at 3-minute intervals and 2 mg of IV morphine. In the cardiac catheterization lab he was "found to have a totally occluded distal right coronary artery and a 70% occlusion in the left circumflex coronary artery. The left anterior descending artery was patent. Angioplasty of the distal right coronary artery resulted in a patent infarct- related artery with near normal flow. A stent was left in place to stabilize the patient and limit infarct size. Left ventricular ejection fraction was normal at 42%, and a posterobasilar scar was present with hypokinesis." a. Explain angioplasty and stent placement. Define occluded occlusion. b. What is the purpose of this medical procedure?Font Ad 11 Heart Failure MI of left ventricle fatigue and exercise intolerance orthopnea hemoptysis secondary polycythemia daytime oliguria 11 left heart failure || || Paragraph Instructions: Highlight (use paint bucket) the etiologies (cause) and manifestations below as being either related to right heart failure (blue), left heart failure (red), or both (purple). Next, after each item put a (e) if it is the etiology (cause), a (m) if it is a manifestation, and a (c) if it is a manifestation that is also a compensation. One has been done as an example. Right Heart Failure Both Right and Left-Sided Heart Failure pulmonary valve stenosis rales Fi ascites edema of feet, legs and ankles tachycardia jugular vein distension hepatosplenomegaly Styles Drawing Left Heart Failure COPD systemic hypertension (e) pulmonary edema cough pallor (m) peripheral vasoconstriction aortic valve stenosis cold intolerance Select v Editing
- 75-year-old male with long-standing hypertension and angina due to coronary heart disease presents with ankle edema, nocturia, increased shortness of breath with activity, and a chronic nonproductive cough. He has a past history of smoking two packs per day and is an ex-alcoholic. His blood pressure is 170/80 and his heart rate is 100. Electrocardiography and chest radiography indicate the presence of left ventricular hypertrophy. Relate the presence of uncontrolled hypertension and coronary artery disease to the development of heart failure in this man.Patient B., 60 years old, was hospitalized with the diagnosis "Myocardial infarction". On examination: cold and cyanotic skin. Respiration is frequent, superficial, arterial pressure 90/60 mm Hg, pulse - 110 beats / min (normal 60-90 beats per minute). The patient is transferred to the intensive care unit. Question 2. Define this TPP. 3. Describe the TPP, developed in the patient, according to the speed of its development, prevalence, cause of occurrence.Match the following terms: _________refers to the blood flow force that stretches the ventricle at the end of diastole. __________is the force of ventricular contraction. 3.__________is the resistance to ventricular ejection of blood, which is caused by opposing pressures in the aorta and systemic circulation. __________the heart pumps deoxygenated blood from the right ventricle through the pulmonary artery to the lungs. _________the heart pumps blood from the left ventricle to the aorta and into the general circulation. a. Contractility b. Preload c. Afterload d. Pulmonic Circulation e. Systemic Circulation