Case study: Julies Flight Julie is a 65-year-old grandmother recently returned home to Victoria, BC, after visiting her daughter and four grandchildren who live in Australia. She tries to get through the long flights by watching several movies and then sleeping for as long as possible. She does not like to drink too much during the flight because of those annoying line-ups for the washroom. A day after returning home, Julie notices that her left leg is painful and swollen. The next morning the pain in her left leg is worse and her leg is so swollen that she cant even fit her left foot into her slipper. She decides to visit the visits emergency room of the local hospital. While waiting for the doctor Julie begins to feel faint and short of breath and experiences sudden, sharp chest pain, mostly on the right side. Her shortness of breath gets worse, as does the chest pain. Julie coughs and produces sputum mixed with bright red blood. The nurse with Julie is alarmed; however, she remains calm, calls the emergency medical team and notes the following: The patient is extremely anxious and in a cold sweat The skin around the patients mouth and her tongue has a blue tinge Pulse: 120 per minute Blood pressure: 85/50 mmHg Respiratory rate: 30 per minute 1. Based on her recent history and current signs and symptoms, what condition is Julie likely experiencing? For each sign, symptom or fact from the case, give a brief explanation of how it supports your diagnosis. 2. Would her blood pH likely be above or below normal levels and what would it signify? Explain your choice. 3. What previously occurring condition did Julie develop that most likely caused her sudden collapse in the emergency department. Why did it occur and how did produce the condition that caused her collapse? ………………………………………………………………………………………………………………. Guide to write this case study 1- Diagnose the case properly 2- Answer the entire question precisely and give the detail according to pathophysiology sources. 2- Length should be approximately 750-800 words of double spaced pages. 3- One of the source should be: Porth, C., & Kunert, M. P. (2017). Pathophysiology: Concepts of altered health states. Philadelphia: Lippincott Williams & Wilkins. 4- Reference format as follw Authors, (Year). Title. Journal Name and Volume (number): pages. For Example: Scherer K, Bedlack RS, Simel DL. (2005). “Does this patient have myasthenia gravis?. JAMA 293 (15): 190614. For books, use the format: Authors, (Year). Title. Publisher. Example: Porth, C., & Kunert, M. P. (2014). Pathophysiology: Concepts of altered health states. Philadelphia: Lippincott Williams & Wilkins. For websites, give reference and URL for exact page, not parent organization: . National Library of Medicine (2014). Multiple Sclerosis. Show more
