Reference no: EM134005717
Case Study
"Peter (he/him), a 67-year-old male, is rushed to the hospital with complaints of severe chest pain (angina) that radiates down his left arm, pressure in his chest, and worsening shortness of breath noted after he finished shovelling the snow from his driveway. Peter is a frequent tobacco user and does not exercise often. Upon his admission to the emergency room, physicians order a standard blood panel, an X-ray, and an ECG. In his bloodwork, elevated troponin levels are discovered. The X-ray did not yield any significant results but his ECG highlighted elevations in the ST segment of his cardiac wave (≥ 2 mm/0.2mV) in ECG leads V3 and V4."
Case Study Questions:
1. Explain the most likely anatomical structure(s) that was affected by the injury and how the function of this structure(s) relates to the patient's presenting signs/symptoms and test results. Be specific with what structure(s) is at fault.
2. Identify and explain three differential diagnoses (diseases or conditions that present similar signs and symptoms that could possibly account for the patient's symptoms) with appropriate justifications. After describing your three differential diagnoses, indicate the most likely diagnosis based on your analysis and provide rationale and support for your selection.
3. From an anatomy point of view:
1. Propose a management plan for the most likely diagnosis. This should include the treatment options you would implement given your patient's presenting symptoms. You should provide short- and long-term goals for the patient and a timeline on when you would implement each treatment. There may be several possible treatments you could prescribe your patient. Include support, justification, and evidence for your prescribed treatment(s) and management plan.
2. Explain the effects of your management plan for your patient's condition. From the management plan you've proposed, what effects will each treatment have on the patient's anatomy? Include any positive and negative effects this plan may have on the patient.