Endocrine/Musculoskeletal Case Study
Case study
Mr Adar Khalil an Ezidi male (UR number 342181) who was brought in by paramedics after a motor vehicle accident (MVA). He does not speak any English and has recently settled with his family in the town. He suffered an compound fracture of the right radius and laceration left temporal area. He has left upper quadrant pain, and a seat belt mark along his left shoulder, neck and chest. Through an interpreter, it is determined that he is confused to time and place, but remembers his name. He has no known allergies and he has significant pain 9 out of 10 despite intravenous morphine given by the paramedic on site. His observations are as follows:
Temperature Heart rate Respiration rate Blood pressure SpO2
37.0°C 108bpm 28/per minute 154/86mmHg 93% (6 L/min via HM*)
*HM-Hudson Mask
A chest x-ray suggests some stable rib fractures and leg x-rays reveal crush injuries and comminuted fractures of his right tibia and fibula. An abdominal CT demonstrated a splanchnic haematoma. Mr Khalil is going to theatre shortly for an open reduction and internal fixation (ORIF) of his leg fractures and, depending on his haemodynamic stability, he may also have a laparotomy for the splanchnic haemorrhage.
Questions
Diagnostic assessments used to diagnose the condition
Pharmacological management of the condition
Quality use of medicines and complementary therapies
Anatomy and physiology, pathophysiology.
Description
Read the case study and discuss the pathophysiology of the condition. You must use academic writing and reference your work using APA referencing. Please do not use bullet points, use well-structured paragraphs, ensure you have edited the text and read it again to avoid spell and grammar mistakes before your final submission.
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