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- Rheumatoid Arthritis Case StudyJoy G. is a 48-year old married mother of 3 active boys, ages 12, 15, and 18. She enjoys attending hersons’ sporting events and providing “Mom-Taxi” services for her sons and their friends. She also loves her part-time job as a hairdresser at a popular salon. Seven months ago, Joy began noticing stiffness in both hands in the morning that lasted longer and longer. Stiffness now lasted more than 1 hour every morning and included hands, wrists and ankles. She also had increasing difficulty standing for long periods at work or at home due to foot and ankle pain. She began taking ibuprofen 800mg 3 times daily and found it helped her get through her day with less pain and stiffness. Three months ago, Joy noticed pain in her right and left shoulders when she would cut or blowdry her client’s hair. She also began feeling extremely tired and short tempered. She had no energy to do her usual activities. Ibuprofen was no longer very effective for her pain or…DESCRIBE TOTAL HIP REPLACEMENT PROCEDURE AND POSSIBLE COMPLICATIONSGive at least 5 abnormalities involve from the different axialskeletal parts (neurocranium and viscerocranium, vertebrae and vertebral column, ribs and sternum).
- Q. Most common fracture occurring during a difficult delivery is : a. Shaft of Femur b. Skull c. Clavicle Shaft of Humerusexplain osteosarcoma pathophysiology and prognosisCase Study B: 22 year old nursing student went to a friend’s Birthday party on Tuesday night. At the party, alcohol, pizza, ice cream and cake was served. When she left the party, she realized that she was out of cigarettes and coffee, and texted her roommate that she was stopping by the grocery store. As she was texting (while driving), she drove off the road and hit a tree!. She suffered a broken leg (L tibia and fibula). She called her roommate and family crying, in pain and very stressed: She has a Pharmacology test on Friday! The surgeon has scheduled her surgery for Friday noon. Her assessment findings include: Vital signs WNL, SaO2 – 96%, pain at a level 8 prior to medication with morphine 20 minutes ago, her broken L leg is wrapped and immobile with toes visible, pink and with strong and equal bilateral pedal pulses. She vomited upon arrival and still feels nauseous. She is requesting a cigarette break to “soothe her nerves”. Medications she takes include: oral hormonal…
- Describe the condition colles fracturea. Explain why a cast placed around a fracturedleg in which extensive tissue damage hasoccurred might be too tight after 24 hours.b. Explain why such a cast might become loose in3 weeksCase study Maria Russo is a 76 year old woman who sustained an Intertrochanteric fracture of the Right femur after she fell when watering her garden. She sustained a small laceration to her Right Shoulder when she fell. Maria could not remember what happened before she fell. Maria's medical history includes osteoporosis, prediabetes and depression. She has recently been experiencing some orthostatic hypotension. She has no significant surgical history. Maria's current medications on admission are Aspirin 75mgs daily, Citalopram 20mg and Alendronate Sodium 10mg orally daily. Maria lives alone, her husband died 6 months ago. Maria's adult children live interstate. Pre-operatively Maria shared her concerns about her pet dog, Bonnie, and who will care for her while she is in hospital. Maria has undergone an Open Reduction and Internal fixation (ORIF) of the fractured Right Neck of Femur under Spinal and General Anaesthesia. Maria was nauseated in the Post anaesthetic care unit (PACU)…
