A 46 -year -old patient was hospitalized to the intensive care department of hospital. He complained of severe, pressing pains behind the breastbone that go on for 1,5 hour. From anamnesis: during the week he worked much, slept few, smoked more then usual, drank tea and coffee. Up to this time he believed that he was an absolutely healthy man. He went in for sports. On examination: general condition is very bad, paleness of skin, acrocyanosis. By lung auscultation: vesicular respiration, no crackles, respiratory rate is 28 for min., heart tones are muffled, unrhythmical. Arterial pressure: 100/70 millimeters of mercury. On ECG: periodic ciliary arrhythmia of atrium with pulse rate 360 in minute, right bundle-branch block, upsurge of ST segment in I, AVL, V1- V2 leads. On blood analyze: leucocytes: 9,2 * 109 g/l, other indices are in the limit of norm. What forms of heart pathology has a patient? It should be argued. What cause-effect relation is between the forms of pathology that you name? What caused the pain between the breastbones? What extra examinations would be lead for the confirmation of myocardial destruction?
A 46 -year -old patient was hospitalized to the intensive care department of hospital. He complained of severe, pressing pains behind the breastbone that go on for 1,5 hour. From anamnesis: during the week he worked much, slept few, smoked more then usual, drank tea and coffee. Up to this time he believed that he was an absolutely healthy man. He went in for sports. On examination: general condition is very bad, paleness of skin, acrocyanosis. By lung auscultation: vesicular respiration, no crackles, respiratory rate is 28 for min., heart tones are muffled, unrhythmical. Arterial pressure: 100/70 millimeters of mercury. On ECG: periodic ciliary arrhythmia of atrium with pulse rate 360 in minute, right bundle-branch block, upsurge of ST segment in I, AVL, V1- V2 leads. On blood analyze: leucocytes: 9,2 * 109 g/l, other indices are in the limit of norm. What forms of heart pathology has a patient? It should be argued. What cause-effect relation is between the forms of pathology that you name? What caused the pain between the breastbones? What extra examinations would be lead for the confirmation of myocardial destruction?
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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A 46 -year -old patient was hospitalized to the intensive care department of hospital. He complained of severe, pressing pains behind the breastbone that go on for 1,5 hour. From anamnesis: during the week he worked much, slept few, smoked more then usual, drank tea and coffee. Up to this time he believed that he was an absolutely healthy man. He went in for sports. On examination: general condition is very bad, paleness of skin, acrocyanosis. By lung auscultation: vesicular respiration, no crackles, respiratory rate is 28 for min., heart tones are muffled, unrhythmical. Arterial pressure: 100/70 millimeters of mercury. On ECG: periodic ciliary arrhythmia of atrium with pulse rate 360 in minute, right bundle-branch block, upsurge of ST segment in I, AVL, V1- V2 leads. On blood analyze: leucocytes: 9,2 * 109 g/l, other indices are in the limit of norm.
What forms of heart pathology has a patient? It should be argued.
What cause-effect relation is between the forms of pathology that you name?
What caused the pain between the breastbones?
What extra examinations would be lead for the confirmation of myocardial destruction?
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