Case studies med term Ch. 11
Case 2: Mr. Smith was admitted to the telemetry unit for cardiac monitoring after an episode of chest pain. His cardiac enzymes (CK, troponin-T, and Troponin-I) were slightly elevated, and the ECG showed elevation in the ST segment. An angiogram reveals plaque blocking the LAD. PCI w/ DES is recommended
-ECG reveals STEMI -Diagnosis heart attack -treatment coronary artery bypass grafting recommended
Case 3: 42 year old female recovering upper respiratory infection comes to ED complaining chest pain sharp and constant worse when she is lying down and decreased sitting and leaning forward. Decorum CK and troponin I levels rule out an acute MI. ED Physician auscultation a pericardial friction rub
-diagnosis pericarditis -danger progression to cardiac tamponade(pressure on❤️ caused by fluid in pericardial space)
Case 1: 24-year old women w/history of palpitations(❤️beat usually strong, rapid, or irregular, so patient is aware of it) anfmd vague chest pains enters the hospital. W/ patient supine, u hear a midsystolic click that is followed by a grade 3/6(moderately loud-6/6 is loud and 1/6 is quiet) honking murmur
Diagnosis mitral valve prolapse