Please help with this case study. Most all 21 questions are just 1 word answers
ID: 3523037 • Letter: P
Question
Please help with this case study. Most all 21 questions are just 1 word answers
It was 5:00 PM on a hot summer afternoon. Eight-year-old Jim Morris, wading in the warm current off Florida's Gulf Coast, swam easily toward his sister Amy and his uncle Robert. But the kids' fun in the shoulder-deep water was cut short by Jim's shouts of "Get it off me! Get it off me!" Amy's screams sliced through the peacefully rolling breakers like a knife, "Help! A shark has bitten off my brother's arm! Call 911!" Nearby swimmers heard the cries as Uncle Robert yelled, "Help us get the shark. It swallowed the arm!"
The swimmers converged on the spot, grabbing the six-and-a-half-foot bull shark by the tail and holding on for dear life. The twitching shark was hauled ashore barehanded by the group of men and shot. They pried open the shark's mouth while Robert pulled Jim's right arm out from between its jaws. As the boy's blood soaked into the white sand, lifeguards began CPR and applied a tourniquet. Paramedics arrived to stabilize Jim for transport to nearby Coastal Hospital. His arm was packed in ice and taken along. In the emergency room, Dr. Elaine Rogers, the physician on duty, quickly ordered multiple transfusions to restore the boy's blood supply as the ER team began stabilizing his vital signs.
Dr. Rogers began assembling the operating room team that would attempt to reattach Jim's arm. She called Ronan McBane, a microvascular surgeon, at his home. "Ronan, we have an arm cleanly severed above the elbow due to a shark bite. It looks like it was just chopped off, with not much shredding of the tissue. The sharp-edged teeth of the shark bit through the boy's arm so cleanly it almost seems to have been severed by a cleaver. The boy is eight years old and, although he is still in pretty bad shape, we think that since the arm was recovered and is in reasonably good condition, we have a good chance at success." Further conversation convinced Ronan that reattachment was possible.
Twelve hours of surgery reconnected the organs of the arm, including the blood vessels. Blood flow was restored to the arm, and Jim was sent to recovery. The doctor advised his parents that the arm was saved, but Jim would not regain total function of the arm.
1. What is the major cardiovascular issue for Jim with the severed arm? Think simple and obvious. Type answer as 1 clinical term in lowercase letters. (1 point)
2. Why did the paramedics apply a tourniquet to the severed arm? Type your answer in your own simple words. (1 point)
3. What major artery in this region would have been severed? Type your answer as the 1 word name of this artery in lowercase letters. (1 point)
4. This artery divides to form what major artery on the thumb side of the forearm? Type your answer as 1 word in lowercase letters. (1 point)
5. This artery divides to form what major artery on the pinky side of the forearm? Type your answer as 1 word in lowercase letters. (1 point)
6. If Jim had been 80, instead of 8, years old, would you expect the surgery to have been as successful- yes or no? Type your answer as 1 of the 2 word choices given in lowercase letters. (1 point)
7. Explain your answer to question 7. Use your own simple words to answer this question. (2 points)
Mrs. Smith came in through the front door of her house with an armful of groceries. She put the bag down on the kitchen counter and called to her husband. “Honey, I’m home! Are you ready for lunch?” She didn’t get an answer, so she walked to the living room and found Mr. Smith lying on the floor. “Honey! Are you okay?” she asked as she grabbed his shoulder. Mr. Smith responded weakly while clutching his chest. Mrs. Smith frantically called 911. It only took EMS a few minutes to arrive and the paramedics transported Mr. Smith to the hospital. Upon admission to the hospital, Mr. Smiths’ vital signs were recorded as follows:
7. For each value, indicate whether Mr. Smiths’ vitals were: Normal, Low or High. (1 point each)
8. What does an irregular heart rate mean? I do not want a diagnosis. Just explain what makes it irregular in your own simple terms. (1 point)
9. What is the two word name of the condition that caused Mr. Smith to clutch his chest? Type your answer as the two words, separated by one space and using lowercase letters. (1 point)
10. Chest pain is caused by a lack of what molecule, essential to sustain life? Type your answer as 1 word in lowercase letters. (1 point)
11. Which of the 3 tissues layers of the heart is affected by the lack of this molecule to result in the chest pain symptom? Be sure to use the 1 word clinical term for this cardiac tissue layer and type in lowercase letters. (1 point)
12. What diagnostic procedure could the ER doctor order to diagnose this malfunction? Type the abbreviation for this procedure in all Capital letters. (1 point)
After reviewing the procedure ordered, the ER doctor ordered an echocardiogram to gather more information. The ER doctor then spoke with Mrs. Smith. “I’m very sorry, but your husband has had a heart attack due to a blocked coronary artery and minor damage to the Atrioventricular (AV) Node of the heart. He also has a calcified aortic valve. He is being taken to surgery for cardiac bypass and valve replacement.”
13. Explain what an echocardiogram does. Explain using your own, simple terms. (1 point)
14. The aortic valve is which type of the 2 types of valves found in the heart? Type answer
as 1 word using lowercase letters. No abbreviations. (1 point)
15. If most of the calcification of the aortic valve was located on the right side of the valve, it
would disrupt blood flow through which of the two major coronary blood vessels? Type
answer as 3 words in lowercase letters and separated by one space. (1 point)
16. This major coronary blood vessel divides to form this coronary blood vessel down the side of the right atrium. Type answer as 2 words in lowercase letters and separated by
one space. (1 point)
Mr. Smith
Normal, Low or High
Systolic BP (mmHg)
90
(8)
Diastolic BP (mmHg)
52
(9)
Oral Temperature (oF)
98.9
normal
Heart Rate (beats/min)
120, irregular
(10)
17. This same major coronary blood vessel divides to form another coronary blood vessel that runs down the back of the heart. Type answer as 3 words in lowercase letters and separated by one space. (1 point)
18. Minor damage to the AV node would cause which cardiac arrhythmia? Use the general arrhythmia diagnosis for this answer. Type answer as 2 words in lowercase letters separated by one space. (1 point)
19. Assuming the least severe form of this arrhythmia, what problem would have shown up in the EKG? (1 point)
20. Using your own words and simple terms, describe what cardiac bypass does that would improve coronary blood flow. (1 point)
21. What large diameter, low pressure blood vessel is most often used in cardiac bypass surgery? Type answer as 2 words using lowercase letters and separated by one space. (1 point)
Mr. Smith
Normal, Low or High
Systolic BP (mmHg)
90
(8)
Diastolic BP (mmHg)
52
(9)
Oral Temperature (oF)
98.9
normal
Heart Rate (beats/min)
120, irregular
(10)
Explanation / Answer
1:- damaged arteries.
2:- the paramedics applied tourniquet to stop blood loss.
3:- brachial artery
4:- radial
5:- ulnar
6:- no
8:- heart bpm not normal , either low or high
9:- heart attack
10:- oxygen
11:- myocardium
12:- ELECTROCARDIOGRAM
13:- sonography of heart.
14:- semilunar
15:- right coronary artery
remarks - too many questions asked.