Remember Mrs. DeStephano? When we last heard about her she was being admitted for further studies. Relative to her skeletal system, the following notes have been added to her chart. Mrs. DeStephano, a 45-year-old woman badly injured in a traffic accident, is being admitted for further studies after initial treatment in the ER. Among her injuries, several relate to her skeletal system, according to her chart:
Fracture of superior right tibia (shinbone of leg); skin lacerated; area cleaned and protruding bone fragments subjected to internal (open) reduction and casted
Nutrient artery of tibia damaged
Medial meniscus (fibrocartilage disc) of right knee joint crushed; knee joint inflamed and painful
Relative to these notes:
How likely is it that Mrs. DeStephano’s knee cartilage will regenerate? Why?
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Anatomy & Physiology (6th Edition)
- Mr. Luke, age 58 years was admitted to St. Paul’s Hospital with a medical diagnoses of osteoarthritis. He underwent a total left knee replacement (TKR) five days ago. This afternoon after completing physical therapy he complained that his left leg was unusually painful after walking. You complete an H & P collecting the following data: Retired 5 years ago from a job as a mechanic Not very active at home. Height 6’1, Weight 170 Ibs, History of hypertension, constipation last few years (no BM 3 days) Allergic to penicillin, Needs assistance to ambulate with walker, Smokes one pack of cigarettes per day. Physical Assessment V.S. 98-60-16 175/90 pulse ox 93%; Eyes PERRLA, Lungs: clear Abdomen: Firm with increased bowel sound, Urine clear, Redness skin 8 cm coccyx 2 cm open area in center; Complaint of pain to left calf 63 Left leg calf circumference measurement is ¾ inch larger than his right leg circumference; His left leg is warmer to the touch than his right leg Medications:…arrow_forwardJL, a 50-year-old woman, fell and broke the left tibia at the ankle. She is in the emergency department, waiting for the fracture to be immobilized. The leg hurts and she notes that the ankle is red and swollen. A diagnosis of a simple fracture and sprain (damage to ligaments) is made. Describe the pathophysiology of her pain and swelling as related to both the fracture and the strainarrow_forwardTypes of Fractures Using the X-RAYS at each station, answer the following questions: 1. A 23-year-old male comes to the ER with a gunshot wound in the distal femoral region. The x-ray reveals the bone is shattered into multiple pieces. Pieces of lead can be seen in the x-ray. The ER doctor recommends the patient see orthopedic doctor for surgical repair. What type of fracture is this? 2. A 24-month-old pediatric patient comes into the clinic. Mom states that the child was running on the concrete at the park and fell with her arms outstretched. Her frontal region has a hematoma and there is swelling in the lower arm. X-rays reveal an oblique fracture. What bone is broken? 3. 7-year-old girl comes into the ER with an injury cause from a four-wheeler accident. The patient was a rider not the driver of the vehicle. Patients states that "brother slung her off" and she tried to catch herself with an outstretched arm. Mom states that patient's arm was hyperextended at the elbow joint.…arrow_forward
- Look at the skeleton Patient Name: Patient Age: Scenario: You are a physician and your patient has broken a bone (chose the bone using proper A&P terminology) located in the (axil or appendage) skeletal system. The break is part of (compact bone and/or the joint system). The break is a (transverse fracture, greenstick, comminuted, oblique, spiral or avulsed). You need to decide how the break happened, the age of your patient, and what you will do to heal the bone. Today: Research the different types of bone breaks and pick a type of break. Then create a story of how the break happened. The story needs a date, place, time, and what the person was doing. Your to assessment is to fill out a doctor's report explaining the nature of the break Doctor's Report: Incident: (Movement happening and joint)arrow_forwardA fracture is a partial or complete break in the bone. Fractures range from small partial cracks to complete breaks and can occur in any bone. Give meanings for the below types of bone fractures: 1. Closed fracture - 2. Open fracture - 3. Comminuted fracture - 4. Greenstick fracture - 5. Stress fracture - 6. Pathologic fracture -arrow_forwardWhat are the following disorders of the skeletal system: osteoporosis fractures scoliosis kyphosis osteosarcomaarrow_forward
- JL, a 50-year-old woman, fell and broke the left tibia at the ankle. She is in the emergency department, waiting for the fracture to be immobilized. The leg hurts and she notes that the ankle is swelling. A diagnosis of a simple fracture and sprain (damage to ligaments) is made. What is the cause of pain and swelling? --- don't need this --- I need question #2 answered What can JL expect in the days to come as inflammation resolves and healing begins?arrow_forwardA 72-year-old female is brought to the emergency department due to severe pain in her left hip after a fall from stairs this morning. She has smoked one pack of cigarettes daily for the past 45 years. Her only medication is enalapril for hypertension. On physical examination, the left leg is externally rotated and appears shorter than her right leg. An x-ray of pelvis shows a fracture of the neck of femur. Which of the following changes in bone is the most likely underlying cause of the patient's condition? Answers A - E A Accumulation of unmineralized osteoid B Haphazard laying down of bony lamellae C Loss of cortical bone mass and thinning of the trabeculae D Overgrowth of cortical bone and reduced marrow space E Subperiosteal bone resorption and cystic degeneration O O Oarrow_forwardAnswer the following multiply choice questions don't need to explain? 1. This structure is responsible for the growth in length of long bones and is broken down into 4 different zones: reserve, proliferative, maturation and hypertrophy, and calcified matrix. It is called the: A. epiphyseal plate B. metaphysis C. diaphysis D. joint space 1A. Positioning of the lacunae within bone tissue helps classify the type of bone. Please complete the comparison: Osteon is to compact bone as ____________ is to spongy bone. A. periostium B. canaliculli C. central canal D. trabeculae (maybe) 1B. This part of the anatomy of long bone is the tubular shaft that lies between the proximal and distal ends of the bone. A. diaphysis (maybe) B. metaphysis C. articular region D. epiphysis 1C What kind of tissue is produced first during long bones formation and then replaced by bone tissue? A. fibrocartilage B. elastic connective tissue C. dense fibrous connective tissue D. hyaline cartilage (maybe)…arrow_forward
- In an accident, Felipe Valladares broke several bones in his fingers. The medical term for these injuries is fractured ______________________.arrow_forwardA 72-year-old man is brought to the emergency department 1 hour after he injured his right thigh when he fell off an all- terrain vehicle. Physical examination shows an offset displacement in the right thigh. An X-ray shows fracture of the right femur. During surgical repair, a metal plate attached with screws is used to align the bone during healing. Which of the following structures must be protected during the operation because it is the source of new bone formation? Bone marrow Cancellous bone Dense bone Joint cartilage Periosteumarrow_forwardPlease answer this following questions in your own words: Question 1: During the early years of space exploration our astronauts, who had been floating in space, would return to earth showing significant bone loss dependent on how long they were in space. Discuss how this might happen and what could be done to alleviate this condition? Question 2: An individual with very low levels of vitamin D presents themselves to you complaining of seemingly fragile bones. Explain how these might be connected? Question 3: Describe the effects caused when the parathyroid gland fails to respond to calcium bound to its receptors?arrow_forward
- Medical Terminology for Health Professions, Spira...Health & NutritionISBN:9781305634350Author:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. SchroederPublisher:Cengage Learning