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Anotomy and Physiology

Do case studies 1-8 the answer sheet is attached. I should have 8 separate answer sheets.
read the cases tp 8 and answer the sheet.Plaza College Anatomy and Physiology I&II- LS 195 and LS 6000
Case Study Applications: Integration of Anatomy and Physiology Case Analysis

MAERB COMPETENCY: Cognitive
I.C.1.Describe structural organization of the human body (BL 2)
I.C.2.Identify body system (BL 2)
I.C.3.Describe body planes, directional terms, quadrants, and cavities (BL 2)
I.C.4.List major organs in each body system (BL 1)
I.C.5.Identify the anatomical location of major organs in each body system (BL 2)
I.C.7. Describe the normal function of each of body system (BL 2)

Read the following 16 case studies on different body organs systems carefully. After having clear understanding about those case studies you have to answer six questions for each case mentioned in the separate answer sheet regarding the identification of the body organ/system related to that case study with their location and functions.

**(The students will submit Case no 1-8 in LS195 course and Case no 9-16 in LS6000 course)

Evaluation:

Each case study= 30 points (Each question 5 points X 6 questions in each case)

Total points= 240 points [30 points X 8 case studies]

Case 1. A patient with chest pain was admitted to rule out acute Ml. The enzymes and EKG were normal and the Ml was ruled out. The cause of the chest pain was determined to be costochondritis.

Case 2. The patient was admitted to the hospital with dysphagia that was secondary to malignant neoplasm of the soft palate in the mouth.

Case 3. This 62-year old male had heart failure due to acute systolic and diastolic failure. The patient was admitted to CCU.

Case 4. A 44-year old male presented with acute calf pain with a palpable defect, loss of ROM, and loss of strength after sustaining a soft tissue injury to the lower leg. The differential diagnosis of tear of the medial head of the gastrocnemius was confirmed by physical examination and diagnostic USG imaging.

Case 5. This 75-year-old female patient has been treated for progressive increase of pain in her back. She is to the point that she is unable to move. She was brought to the hospital and X-rays revealed compression fractures of the dorsal vertebrae due to osteoporosis. An injection of anesthetic was done into the spinal canal.

Case 6. Patient has left metatarsal fracture. The fracture was reduced. Then a minifixator external fixation device was attached and connected.

Case 7. Mr. V is a 55-year-old alcoholic who checked into a clinic, complaining that he has been experiencing a persistent cough and feeling more fatigued, nauseous, and irritable. In addition, he is experiencing more frequent memory lapses. His stomach is distended, but on palpation, his liver is

small in size and firm, indicating cirrhosis. Lab tests (including USG) indicate a decrease in hemoglobin, albumin, and prothrombin levels with elevated serum bilirubin and ammonia levels suggesting liver cirrhosis.

Case 8. This patient was admitted for gastrointestinal bleeding with melena. The EGD with biopsy reveals gastric carcinoma. The patient had a blood transfusion of packed cells for acute blood loss anemia.
Case 9. The patient has type II diabetes mellitus that has been uncontrolled and so she has been on insulin for several months. She has diabetic nephropathy and retinopathy.

Case 10. Ms. Towner, 38 years of age, is 18 weeks pregnant and has experienced no problems to date. However, she has gained almost 4 lb in the past week and her legs and hands are swollen. Her BP is 140/90 mm Hg and her urine sample contains significant protein. Further tests reveal elevated liver enzyme levels and CBC reveals a low platelet count. She is admitted to the hospital with a diagnosis of preeclampsia.

Case 11. This patient was admitted with shortness of breath and chest pain. The patient gave a history of adenocarcinoma of colon five years ago, without recurrent disease in the resected colon. A chest X-ray revealed large pleural effusion. A thoracentesis was performed to remove a large amount of fluid. The patient’s breathing and chest pain improved following the thoracentesis. Cytology revealed metastatic adenocarcinoma of the pleura. The patient was seen by an oncology consultant, who felt the patient was a candidate for chemotherapy. Initial treatment of 5FU, Methotrexate, and Cytoxan was given. The patient was discharged with a diagnosis of pleural effusion due to metastatic adenocarcinoma of the pleura.

Case 12. A 65-year-old man, was in an automobile accident in which he suffered a concussion. Soon after he was released, he noticed what he described as a “gray spot” in his field of vision. At first he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. He didn’t report any pain with the problem. On calling his physician, he was advised to go to the nearest hospital immediately. A detached retina was diagnosed.
Case 13. This elderly patient has been treated for hypertension for many years. He has had progressive worsening of kidney function with chronic renal failure. He was brought to the ER and admitted in acute renal failure.

Case 14. This patient was admitted to the hospital in acute urinary retention. A TURP was performed, and the diagnosis made of benign prostatic hypertrophy of the prostate. The pathology report revealed BPH with microscopic foci of carcinoma of the prostate, which was documented by the physician.

Case 15. Mr. Q, age 64 years, developed a severe headache several hours ago that has not responded to acetaminophen. Now his speech is slurred, and his right arm and the right side of his face feel numb. Mr. Q has a history of smoking and arteriosclerosis, and there is family history of CVA and diabetes. Assessment at the hospital indicated weakness on the right side, including facial asymmetry and a blood pressure of 220/110 Hg mm. An CT scan showed damaged tissue on the left side of the brain, and an angiogram indicated narrowing of the carotid arteries and middle cerebral arteries, with occlusion of the left middle cerebral artery.

Case 16. PM is a 15-year-old young woman who had her menstrual period at age 11. Recently, she has been experiencing double vision, headaches, and amenorrhea. A skull MRI indicates a pituitary adenoma. Blood tests indicate low estrogen, progesterone, and TSH levels.

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