Personal Information
Name: Mrs. Paula Johnson
Age: 65 years old
Gender: Female
Description
Mrs. Paula Johnson is a 65-year-old white woman with a previous history of a sedentary lifestyle, hypertension, hypercholesterolemia, and diabetes mellitus type II. She is a heavy smoker since she was 20 years old. She was brought to the emergency room because her family found her unresponsive on the floor. She was diaphoretic. Her family thought she had her diabetes decompensated. Mrs. Johnsonâs daughter indicated her mother was complaining of nausea and epigastric pain the day before. Also, her blood pressure was high.
On the physical examination we found:
Remarkable Signs on Physical Exam by Regions
Chest: Palpitation
Remarkable Signs on Physical Exam by Systems
Integumentary system: Profuse diaphoresis, coldness, and pallor
Respiratory system: Tachypnea
Cardiovascular system: Weak pulse, tachycardia, and hypotension
Nervous system: Unconsciousness. No other neurologic signs.
Lab Tests
Complete blood count (CBC)
Cardiac enzymes
Glucose level
Lipid panel
EKG
Cardiac catheterization
Diagnosis
Silent myocardial infarction
Other Diagnoses
Essential hypertension
Dyslipidemia
Diabetes mellitus
Supporting Material
Mrs. Johnson has been diagnosed with silent myocardial infarction. As we learned last module, the first step in pathophysiology is observation of noticeable changes, but what do we do when the patient does not outwardly experience symptoms? Chest pain is a scary symptom that usually alerts the physician and patient. However, if the patient or the physician is not alerted, the medical practitioner has to dig deeper to understand the cause or set of causes that contribute to the condition.
What are your initial reactions related to the case?
What is a heart attack?
Considering Mrs. Johnsonâs case, why does she have an increased risk of having a heart attack?
What is tissue perfusion? Which of the patientâs conditions can alter tissue perfusion? How?
What is hypertension? How does hypertension alter tissue perfusion?
Describe pneumonia. What risk factors does the patient have for pneumonia?
Personal Information
Name: Mrs. Paula Johnson
Age: 65 years old
Gender: Female
Description
Mrs. Paula Johnson is a 65-year-old white woman with a previous history of a sedentary lifestyle, hypertension, hypercholesterolemia, and diabetes mellitus type II. She is a heavy smoker since she was 20 years old. She was brought to the emergency room because her family found her unresponsive on the floor. She was diaphoretic. Her family thought she had her diabetes decompensated. Mrs. Johnsonâs daughter indicated her mother was complaining of nausea and epigastric pain the day before. Also, her blood pressure was high.
On the physical examination we found:
Remarkable Signs on Physical Exam by Regions
Chest: Palpitation
Remarkable Signs on Physical Exam by Systems
Integumentary system: Profuse diaphoresis, coldness, and pallor
Respiratory system: Tachypnea
Cardiovascular system: Weak pulse, tachycardia, and hypotension
Nervous system: Unconsciousness. No other neurologic signs.
Lab Tests
Complete blood count (CBC)
Cardiac enzymes
Glucose level
Lipid panel
EKG
Cardiac catheterization
Diagnosis
Silent myocardial infarction
Other Diagnoses
Essential hypertension
Dyslipidemia
Diabetes mellitus
Supporting Material
Mrs. Johnson has been diagnosed with silent myocardial infarction. As we learned last module, the first step in pathophysiology is observation of noticeable changes, but what do we do when the patient does not outwardly experience symptoms? Chest pain is a scary symptom that usually alerts the physician and patient. However, if the patient or the physician is not alerted, the medical practitioner has to dig deeper to understand the cause or set of causes that contribute to the condition.
What are your initial reactions related to the case?
What is a heart attack?
Considering Mrs. Johnsonâs case, why does she have an increased risk of having a heart attack?
What is tissue perfusion? Which of the patientâs conditions can alter tissue perfusion? How?
What is hypertension? How does hypertension alter tissue perfusion?
Describe pneumonia. What risk factors does the patient have for pneumonia?
