Scenarios (x8): Peter Parker, a 60 year

Scenarios (x8): Peter Parker, a 60 year old male who has been smoking since the past 35 years. He came to thehospital with breathlessness, cough and chest pain radiating to left shoulder. He was admitted in the pulmonary ICU as his Oxygen saturations were fluctuating. His Emergency Chest X-ray showed signs of COPD. Along with regular blood and cardiac investigations, he underwent a coronary angiogram which reported 2 blocks. The patient is set for further cardiac management once the Oxygen saturations increase. 30 year old Bruce Wayne came to the hospital with a low back ache with tingling and numbnessradiating from the back of his thigh to his little toe. He drives a truck and distributes large containers of beef in Melbourne. His MRI showed signs of prolapse of intervertebral disc with compression of L4-L5 nerve roots. He is now being prepared for surgical laminectomy. 15 year old Diana Prince met with an accident while riding her bicycle yesterday. The paramedic reported blunt trauma to the pelvis. Her Blood pressure was falling and hence she was shifted to the ICU and transfused 3 units of Packed RBS. Her BP is 110/70 mm of Hg now. The CT scan reported an open book fracture of the pelvis. Blood reports from this morning indicated a rise in Serum Creatinine level from 1.1mg/dl to 5.2mg/dl. She was diagnosed with Hypovolemia induced Acute Kidney Injury with fracture pelvis. She is now being monitored by a team of Nephrologists, Orthopaedic and Trauma surgeons. 32 year old Wade Wilson, a known case of HIV, came to the hospital with pedal oedema for 2weeks. He says he was being treated for HIV when he recently started noticing foamy urine. After a renal biopsy, he was diagnosed with Nephrotic syndrome secondary to HIV. Heis now on medical treatment for the same. 57 year old Bruce Banner, came to the hospital with complaints of blurred vision for 2 months. He has been on oral hypoglycemic drugs since 10 years now as he despises insulin injections. He was diagnosed with diabetic retinopathy and is being managed by an Ophthalmologist andan Endocrinologist. 45 year old Steve Rogers came to the hospital with generalised pain all over the body, loss of weight since 3 months and loss of appetite. He underwent a PET CT scan and was diagnosed with a Parathyroid tumor. His blood tests showed increased levels of parathyroid hormone and Calcium. The Orthopedic surgeon has requested him to get a Bone Densitometry test done as he suspects osteoporosis secondary to hyperparathyroidism being a reason for the generalised pain. He is currently posted for surgical excision of the tumor. Logan, a 7 year old boy who was diagnosed with cystic fibrosis at birth was accompanied tothe hospital by his step mother with complaints of high fever with chills/rigors, cough and weakness. The stepmother claims that Logan looks malnourished because she forgets packing him breakfast. Investigations confirmed Lower respiratory tract infection and malnutrition. He is now being managed by the paediatrics department, pulmonologists andgastroenterologists in the respiratory ICU. Sheila, a 35 year old female who was on and off chemotherapy for 2 years for Carcinoma Cervix, came to the hospital with paralysis of the left side of the body. An MRI scan of the brainshowed metastasis of the tumour to the brain and spinal cord. She is now being managed by the surgical oncologists. Name of the student: Date : Scenario 1 Scenario 2 Scenario 3 Scenario 4 Name and age of the patient Probable Diagnosis Systems involved Etiological factors responsible for the disease . Risk factors What interactions took place between the systems? Name of the student: Date : Scenario 5 Scenario 6 Scenario 7 Scenario 8 Name and age of the patient Probable Diagnosis Systems involved Etiologicalf actors responsible for the disease Risk factors What interactions took place between the systems? SCIENCE HEALTH SCIENCE NURSING NURS MISC

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