Use the following case study to answer question 21-30. A 49-year-old male school
ID: 128205 • Letter: U
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Use the following case study to answer question 21-30. A 49-year-old male school teacher is a 2 pack/day smoker and has a diet of fried foods every day and does not exercise and also has a history of hypertension, high cholesterol (LDL), diabetes mellitus and obesity, and a family history of coronary was awakened from his sleep at 3:00am with crushing chest pairn left arm and was accompanied by shortness of breath and he complained to his wife he artery disease. He which radiated to hi was nauseated. When paramedics arrived, they found the patient cool, clammy tachycardia and hypotensive. On arrival in the emergency department at the hospital, the patient was in considerable distress. His blood work showed increased levels of troponin and creatine kinase and electrocardiogram (EKG) showed ST-segment elevation, further test were done that showed a blockage in his right coronary artery. The patient was treated with nitroglycerin, morphine, beta blocker( adrenergic) and aspirin 21. What is the patient diagnosis? (2 points) 22. Using your answer in number 21, what signs and symptoms helped you to diagnosis this patient? Explain (3 points) How has his life style contributed to his condition? Give a rationale for each. (2 points)Explanation / Answer
21. ANS: The patient was diagnosed with Acute myocardial infarction.
22. ANS: Signs and symptoms diagnosid in patient:
In the patient had creatine phosphokinase (CPK) and lactate dehydrogenase (LDH) levels are elevated.
Patiend had hypertension, high cholestrol level, diabetes mellitus and obesity.
Based on the history, EKG findings, physical examination, laboratory and blood test results the patients was diagnosed with an acute myocardial infarction.
23. ANS: Lifestyle contribution to myocardial infarction:
Lifestyle factors can highly influence to cause myocardial infarction. Eating un healthy diet, lack of exercise, depression, gaining weight (overweight), and eating much salt.It can increase the blood pressure and elevated the LDL levels and decrese the HDL levels.
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