Case Study Help

Martyn Amos martyn at
Fri Oct 2 07:39:27 EST 1998

In article <6v1uvk$i5i$1 at>,
skyamsen < at> 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 suspiciously like homework to me....


Dr Martyn Amos - martyn at - Liverpool Biocomputation Group,  ---- Department of Computer Science,  ---- University of Liverpool, L69 7ZF, UK
******************** "Carp Diem" -- Fish of the day **************************

More information about the Bioforum mailing list