Case Study Help

crobers at erols.com crobers at erols.com
Fri Oct 2 11:04:55 EST 1998


skyamsen wrote:
> 
> A 69-year-old man was a heavy smoker and presented to his doctor with a
> painful, black big toe.  This was gangrenous on examination and he was
> admitted to hospital urgently for treatment and surgical amputation.  He
> made a good recovery and was well for a year.  He then started to develop
> pain in the lower back which came and went but was not severe enough to
> complain to his doctor.  On one occasion, however, he experienced
> excruciating pain in the lower right back and rapidly became shocked and
> collapsed with a pulse rate of 120/min and a systolic blood pressure of 60
> mmhg.  He was rushed to hospital but died in the ambulance.
> 
> A postmortem examination was performed at which a large abdominal aneurysm
> was found ruptured.  There were 3 litres of fresh blood clot in the
> retroperitoneum, tracking up behind the right kidney.  The aorta showed
> severe atheroscierosis elsewhere.
> 
> 1. How might you connect the episode of gangrene in the toe with the final
> pathology in this man?
> 2. What are the main risk factors for atheroscierosis?
> 3. What are the complications of an abdominal aortic aneurysm?

Sounds like YOUR homework assignment.



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