Week 1- Case Study 1

Question 1

Fever
Severe throbbing pain behind knee

Exam shows - area and distal extremity is swollen, reddened, warm to touch.

Gave kanamycin (broad-spectrum antibiotic), heparin (anticoagulant), and demoral (for the pain)

Patient collapses - has bluish lips, SAT O2 = 60

Answer 1

Deep Vein Thrombophlebitis

Antibiotic in case of infection

Anticoagulant to thin blood

Question 2

What blood vessels was initially involved?

Answer 2

popliteal vein

Question 3

Initial condition progressed to what life-threatening condition?

Answer 3

progressed to pulmonary embolism

Question 4

STROKE -
Brain - frontal lobe (motor deficit - right hemisphere

Track the movement of the clot originating in the left atrium to its terminal location resulting in left side deficit.

Answer 4

Left side deficit crosses over and affects right hemisphere of frontal lobe.

1. Left atrium (chamber)
2. Left Ventricle (Chamber)
3. Ascending Aorta
4. Aortic Arch
5. R. Subclavian Artery
6. R. Internal Carotid Artery
7. Middle Carotid Artery

Question 5

Explain why injuries resulting in left side motor losses are more common than those resulting in right-side motor losses.

Is it equally probable that a clot will travel in the right or left carotid artery?

Answer 5

First opportunity for blood flow to head to the (through the):
1. Right Subclavian Artery
2. Right side feeds first as it travels from the
3. Let Ventricle
4. Ascending Aorta
5. Aortic Arch
6. Brachiocephalic Artery
7. Right Internal Carotid Artery