Question.  Mr Jankovic a 78 years old male is admitted for a left total hip replacement. He underwent surgery and is now three days post operative, in the orthopaedic ward. He has gained a lot if weight over the past few years and has severe osteoarthritis in his hips. He also has had resection of a prostatic cancer that has no current treatment and has residual prostatomegaly. He has occasional angina, high blood pressure and obstructive sleep apnoea, using continuous positive airway pressure (cpap) machine infrequently as it dries his mouth and nose and the noise annoys his wife.   Past medical history Osteoarthritis   diagnosed 10 years ago Mild left cardiac failure and occasional angina     diagnosed 2 years ago Hypertension     diagnosed 5 years ago Frequent gout   Surgical history Internal fixation left tibia and fibula following motorcycle accident at age 21 years. Appendectomy at age 23 years Resection prostatic carcinoma    7 years ago. Q1 Question 1.  Mr Jankovic Is classified as severely obese. He suffers infrequent angina that is classified as stable. Explain why mr Jankovic is suffering angina and the link to obesity.   Quesnt 2.  Explain the difference between chronic stable angina and acute angina.   Question 3.  Statw two reasons why is necessary for patients undergoing surgery fast.

Question.  Mr Jankovic a 78 years old male is admitted for a left total hip replacement. He underwent surgery and is now three days post operative, in the orthopaedic ward. He has gained a lot if weight over the past few years and has severe osteoarthritis in his hips. He also has had resection of a prostatic cancer that has no current treatment and has residual prostatomegaly. He has occasional angina, high blood pressure and obstructive sleep apnoea, using continuous positive airway pressure (cpap) machine infrequently as it dries his mouth and nose and the noise annoys his wife.

Past medical history

Osteoarthritis   diagnosed 10 years ago

Mild left cardiac failure and occasional angina     diagnosed 2 years ago

Hypertension     diagnosed 5 years ago

Frequent gout

Surgical history

Internal fixation left tibia and fibula following motorcycle accident at age 21 years.

Appendectomy at age 23 years

Resection prostatic carcinoma    7 years ago. Q1

Question 1.  Mr Jankovic Is classified as severely obese. He suffers infrequent angina that is classified as stable. Explain why mr Jankovic is suffering angina and the link to obesity.  

Quesnt 2.  Explain the difference between chronic stable angina and acute angina.  

Question 3.  Statw two reasons why is necessary for patients undergoing surgery fast.