A 50-year-old man with a lengthy history of diabetes mellitus and hypertension has had pain in...
Fantastic news! We've Found the answer you've been seeking!
Question:
Transcribed Image Text:
A 50-year-old man with a lengthy history of diabetes mellitus and hypertension has had pain in the left shoulder andarm for the past 12 hours. He attributes the pain to arthritis and takes acetaminophen. Over the next 6 hours, he develops shortness of breath, which persists for 2 days. On day 3, he visits the physician. On physical examination, his temperature is 37.1°C, pulse is 82/min, respirations are 18/min, and blood pressure is 160/100 mm Hg. Laboratory studies show that the total creatine kinase (CK) activity is within reference range, but the troponin I level is elevated. The patient is admitted to the hospital and continues to experience dyspnea for the next 3 days. On day 7 after the onset of shoulder pain, he has a cardiac arrest. Resuscitative measures are unsuccessful. Postmortem examination shows a large trans mural infarction of the left anterior free wall with rupture and hemopericardium. Which of the following statements is best supported by these clinical and autopsy data? □ (A) Infarction did not develop until day 5 or day 6 after the episode of chest pain (B) The normal CK level obtained on day 3 excludes the possibility of infarction within the preceding 72 hours □ (C) He had an acute infarction occurring on the day he developed shoulder pain U (D) A CK-MB fraction determination would have detected acute infarction on day 3 □ (E) A second acute infarction on day 6 or day 7 caused myocardial rupture within several hours A 50-year-old man with a lengthy history of diabetes mellitus and hypertension has had pain in the left shoulder andarm for the past 12 hours. He attributes the pain to arthritis and takes acetaminophen. Over the next 6 hours, he develops shortness of breath, which persists for 2 days. On day 3, he visits the physician. On physical examination, his temperature is 37.1°C, pulse is 82/min, respirations are 18/min, and blood pressure is 160/100 mm Hg. Laboratory studies show that the total creatine kinase (CK) activity is within reference range, but the troponin I level is elevated. The patient is admitted to the hospital and continues to experience dyspnea for the next 3 days. On day 7 after the onset of shoulder pain, he has a cardiac arrest. Resuscitative measures are unsuccessful. Postmortem examination shows a large trans mural infarction of the left anterior free wall with rupture and hemopericardium. Which of the following statements is best supported by these clinical and autopsy data? □ (A) Infarction did not develop until day 5 or day 6 after the episode of chest pain (B) The normal CK level obtained on day 3 excludes the possibility of infarction within the preceding 72 hours □ (C) He had an acute infarction occurring on the day he developed shoulder pain U (D) A CK-MB fraction determination would have detected acute infarction on day 3 □ (E) A second acute infarction on day 6 or day 7 caused myocardial rupture within several hours
Expert Answer:
Related Book For
Holes Human Anatomy and Physiology
ISBN: 978-0078024290
14th edition
Authors: David Shier, Jackie Butler, Ricki Lewis
Posted Date:
Students also viewed these medical sciences questions
-
Studies have shown that people who suffer sudden cardiac arrest have a better chance of survival if a defibrillator shock is administered very soon after cardiac arrest. How is survival rate related...
-
Studies have shown that people who suffer sudden cardiac arrest have a better chance of survival if a defibrillator shock is administered very soon after cardiac arrest. How is survival rate related...
-
Hypertension is diagnosed if a patients systolic blood pressure exceeds 140 mmHg and diastolic blood pressure exceeds 90 mmHg. A study of the lipid profiles of hypertensive patients was carried out...
-
This is one question with sub parts please solve this question step by step please also write the little explanation to solve the question Consider the following complex numbers: z, = 3+ 3i z2 = 3 +...
-
Ritenour Manufacturing has an old factory machine that cost $50,000.The machine has accumulated depreciation of $28,000 and a fair value of $26,000. Ritenour has decided to sell the machine. (a) What...
-
What is a situational moderator variable?
-
Frairy Ltd commenced business on 1 January 2006 with two vehicles - X and Y - costing 9,000 and 12,500 respectively. On 21 April 2007, vehicle X was written off in an accident and Frairy Ltd received...
-
(a) As a source of long-term financing, what are the major advantages of bonds over common stock? (b) What are the major disadvantages in using bonds for long-term financing?
-
(B) Value of Land (thousands of dollars) SECTION 4.1 4.1 Predicting Land Value Both scatterplots concern the assessed value of land (with homes on the land), and both depict the same observations. a....
-
1. (40 points) For the open-loop plant dynamics from (2.3.2), determine the closed-loop transfer function from the reference input R(s) to the shaft angle output (s) when using a Proportional...
-
After forming Kellogg's Holdings, Alice contributes $75,000 in cash and $55,000 worth of office furniture, while Bob contributes $65,000 in cash and $45,000 worth of inventory. Develop a detailed...
-
In Oldfield v. Transamerica Life Insurance Co. of Canada, [2002] 1 S.C.R. 742, 2002 SCC 22, the Supreme Court of Canada explained the distinction between illegal contracts and contracts that are...
-
"Quality management has traditionally been seen as being the least important of the classical project management success/failure criteria comprising time, cost and quality. However, until relatively...
-
Lima MacDonald just turned 3 0 years old. She is currently single. Lima has gross wages of $ 9 5 , 0 0 0 ( before deferrals ) and has had $ 1 4 , 0 0 0 withheld for federal income tax. Given the...
-
1. What are some factors that affect capital structure decisions made by management? What are the arguments in support of using debt as part of the capital structure? 2. Does capital structure...
-
During June, 2022, Ms. Janet Houston sells capital property with an ACB of $112,500, for $172,300. She receives a down payment of $33,000 in cash, with the balance only due at the end of the...
-
The milling machine in the fabrication department of your company produces a very important part for the products you sell. You are given the following historical data on the machine (from a SAMPLE...
-
Should we separate the debt and equity features of convertible debt? Team 1: Pro separation: Present arguments in favor of separating the debt and equity features of convertible debt. Team 2: Against...
-
Describe two factors other than the nervous system that affect the cardiac cycle.
-
Explain control of the basic rhythm of breathing.
-
Which of the diets described in the following chart would be most appropriate for an athlete training for a triathlon (biking, swimming, running event)? What is a problem with all of these diets for...
-
Sprague Company manufactures basketballs. Materials are added at the begin- ning of the production process and conversion costs are incurred uniformly. Production and cost data for the month of July...
-
(Target Costing) Driftwood Industries currently sells coffee tables for \($450\) each. It has costs per table of \($330.\) A new competitor is opening in the same mall as Driftwood and offers a...
-
Elite Company has several processing departments. Costs charged to the Assembly Department for November 2002 totaled $2,129,000 as follows. Production records show that 30,000 units were in beginning...
Study smarter with the SolutionInn App