Case Study Acute Coronary Syndrome and Myocardial Infarction Part 1

Case Study 4 – Peripheral Artery Disease Sherman is a 63-year old patient who has Peripheral Arterial Disease. He is coming to Phase III Cardiac Rehab after completing Phase II from a myocardial infarction. He has a stent placement to his Right Coronary Artery as of 5/14/21 and during the past three months in rehab, it was discovered he also has some Peripheral Arterial disease (he complained of burning, pain in his left calf that started with walking on the treadmill and was relieved when he stopped). His physician performed studies on him and decided he needs to continue exercise with your site’s supervision. His medications are: daily aspirin and Norvasc State what you will use to determine his exercise intensity. What type of exercise will you recommend? Use the FITT principle for PAD patients to guide you and state what precautions, considerations you will need to be aware of. What will be your ultimate goal for him?

Case Study #3 than one block. The chest discomfort is diffuse, and he cannot localize it; sometimes it radiates to his lower jaw. The discomfort is more severe when he walks after meals but is relieved within 2-3 minutes when he stops walking. A 74-year-old man presents with a history of anterior chest pressure whenever he walks more Questions: 1. Assuming that a diagnosis of classic angina is correct, what medical treatments should be implemented to reduce the acute pain of an attack, to prevent future attacks, and to reduce the chance of blood clotting?

Diagnostic tests for rheumatic heart disease?

HISTORY OF PRESENT ILLNESS: Edith Martens is a 66-year-old female who is recovering fromviral pneumonia. When her daughter came to check on her, she found Edith in bedcomplaining of weakness, constant fatigue and abdominal pain.For the past few days, Edith has been complaining of thirst and frequent urination. She alsoreports that she cannot see very well. Edith has lost approximately 4 lbs over the last week.Her daughter brought Edith to the ER. PAST HISTORY: There is a history of osteoarthritis that responds well to ASA. Edith wasdiagnosed with Type 2 diabetes approximately two years ago. She takes glyburide 10 mg everymorning before breakfast and is on an 1800 calorie diet, which she follows closely. SOCIAL HISTORY: Edith has lived alone since the death of her husband. She is not physicallyactive; her activities consist of light housework and occasional shopping trips. FAMILY HISTORY: Edith’s father had Type 2 diabetes complicated by peripheral vasculardisease. He died at the age of…

HISTORY OF PRESENT ILLNESS: Edith Martens is a 66-year-old female who is recovering fromviral pneumonia. When her daughter came to check on her, she found Edith in bedcomplaining of weakness, constant fatigue and abdominal pain.For the past few days, Edith has been complaining of thirst and frequent urination. She alsoreports that she cannot see very well. Edith has lost approximately 4 lbs over the last week.Her daughter brought Edith to the ER. PAST HISTORY: There is a history of osteoarthritis that responds well to ASA. Edith wasdiagnosed with Type 2 diabetes approximately two years ago. She takes glyburide 10 mg everymorning before breakfast and is on an 1800 calorie diet, which she follows closely. SOCIAL HISTORY: Edith has lived alone since the death of her husband. She is not physicallyactive; her activities consist of light housework and occasional shopping trips. FAMILY HISTORY: Edith’s father had Type 2 diabetes complicated by peripheral vasculardisease. He died at the age of…

Case study: Amelia is a 68-year-old woman who was brought into ED by herneighbour. She woke this morning at 0600 hours with a 5/10 headache.At 0700 she called her neighbour and asked her to bring her to hospitalwhen she began to feel weak, and her headache increased to 7/10. Atthis time, one side of her face began to “feel strange”.She has past medical history of Atrial fibrillation (AF), hypertension (HT)and dyslipidaemia which she manages with Apixaban 2.5mg BD, Sotolol80mg daily, Amlodipine 5mg daily, Irbesartan/hydrochlorothiazide300/25mg daily, Rosuvastatin 10mg daily.Amelia used to smoke 20 cigarettes/day but states she quit 5 years ago.When she was brought into ED, she told staff that she did not take hermedications this morning as she was too distracted by her increasingheadache.You are assigned to care for Amelia. As you are about to enter her room,you overhear Amelia crying to her neighbour, explaining that she isworried as her mother had died of a stroke.   Vital signs:•…

A Patient X., who suffers from arterial hypertension, came to clinic, he complains of periodic inspiratory short breath, especially by physical activity. Few days ago appeared the attack of inspiratory short breath with death anxiety. The ambulance was called, diagnose was “cardiac asthma”. On examination: arterial pressure: 155/120 millimeters of mercury, by roentgenoscopy- dilatation of left ventricle of heart. What forms of heart activity pathology has a patient? What caused its development? Is it connected with ventricular overload? What? Overload with volume or pressure? What is a trigger mechanism of contractile myocardial function by its overload?

Explain the typical signs associated with acute myocardial infarction.

Give three common locations of atheromas.

Compare the arterial peripheral vascular diseasesatherosclerosis and aneurysms.

Briefly explain the pathophysiology of rheumatic fever. How can this disease affect valvular function of the heart?

explain the pathophysiology of an Acute Myocardial Infarction

HISTORY OF PRESENT ILLNESS: Ms. Smith is a 43-year-old woman with past medical history that includes a pilonidal cyst. This was apparently removed when she was 18. Last July she presented with more pain in this area. On exam, it was apparently unclear if there was a recurrence. She was put on a course of Keflex and everything resolved. She presents to walk-in today saying that same thing has happened. She has had a couple days of increased swelling in this area. No fevers. Mild pain. Bowel movements are fine. PHYSICAL EXAMINATION: BP 122/74, pulse 82. She is afebrile. We had a female nurse chaperone in the room during the exam. In the upper aspect of her gluteal cleft there were several scars from her prior surgery. This area was mildly indurated. There was absolutely no erythema or fluctuance and it was not tender at all. No drainage. ASSESSMENT AND PLAN: Pilonidal cyst. We do not see any active evidence of an infection, but given her apparent response last July, we will give her…

Pathophysiology of myocardial infarction?

Case Study Amelia is a 68 years old woman who was brought in to ED by her neighbour. Amelia awoke this morning at 0600 hours with a 5/10 headache. At 0700 she called their neighbour and asked her to take her to hospital as she began to feel weak and her headache increased to 7/10.  Upon arrival to ED  one side of her face began to “feel strange”. Amelia has a past medical history of Atrial fibrillation (AF), hypertension (HT) and dyslipidaemia which she manages with Apixaban 2.5mg BD, Sotolol 80mg daily, Amlodipine 5mg daily, Irbesartan/hydrochlorothiazide 300/25mg daily, Rosuvastatin 10mg daily. Amelia used to smoke 20 cigarettes/day but states she quit 5 years ago. When she was brought in to ED, she told staff that she did not take her medications this morning as she was too distracted by her increasing headache. You are assigned to care for Amelia. As you are about to enter her room, you overhear Amelia crying to her neighbour, explaining that she is worried as her mother had died…

Describe the development and effects of the venousdisorders varicose veins, phlebothrombosis, andthrombophlebitis.

State the factors predisposing to atherosclerosis.

Describe the altered blood flow in the presence of anatrial septal defect. Include the direction of flow and thetype of blood present in each circulation.