Introduction
A scientific case study is typically a short summary of an event or personal experience which ends a “mystery” that can be solved using the clues provided within the case study. You will be evaluating a patient case study which recounts the symptoms and circumstances surrounding an illness. The case study will provide you with the medical evidence and clues necessary to determine the cause. You will analyze the provided information and using at least 2 additional outside resources, answer the questions located at the bottom of the case study. Your outside resources may include; books or textbook, scholarly journal articles and/or websites run by credible non-biased scientific or medical …show more content…
agencies (like the Centers for Disease Control or the American Medical Association).
Once you have gathered all of your information, you will organize your case study analysis into a short essay. Your essay should incorporate answers to the provided questions and include in-text citations and references formatted in APA style.
Your grade will be based on both your writing style (so make sure to avoid grammatical and spelling errors) as well as your answers to the questions. Fifty percent will be based on your answers to the questions (10% each) and 50% on writing style including proper APA formatting of references. If you don’t answer correctly on the disease I do give partial credit, so make sure that you describe your thought process so that I can follow along with why you chose your answer. I will even accept more than a single answer if you can convince me that you made a logical choice that is borne out in your answers.
Links of Interest:
APA citation and reference formatting guidelines: http://www.umuc.edu/library/citationguides.shtml How to search for and evaluate web references: http://www.umuc.edu/library/guides/web.shtml How to search UMUC library database: http://www.umuc.edu/library/database/articles.shtml How to identify and locate scholarly journals: http://www.umuc.edu/library/guides/identify.shtml The UMUC Effective Writing Center: http://www.umuc.edu/prog/ugp/ewp_writingcenter/wc_home.shtml American Medical Association: http://www.ama-assn.org/
Centers for Disease Control: http://www.cdc.gov/
National Institute of Allergy and Infectious Disease: http://www3.niaid.nih.gov/ Case Study
This case study is a little different than the ones that I have given you in the past since you are given the diagnosis and then asked to answer questions about the patient and her condition.
Mrs. Smith, 57, is complaining of chest pain for the last couple of months. Prior to the current pain she used to complain of tightness in her chest. She smokes 20 cigarettes a day, drinks one glass of wine in the evening, exercises every day for 1 hour.
She is under a lot of pressure at work, because her boss is rushing her to finish an office project before the deadline.
Her family history indicates that her mother had “bad cholesterol”, and died at 65y/o of a “heart problem”.
Physical examination: the patient is slightly pale;
BP = 140/80 mm Hg, Heart Rate = 80/min, irregular.
Her blood test results are:
-CBC with the differential WBC count: within the reference range
-Electrolytes: very mild hypernatremia
-Low HDL/LDL ratio
Her other blood test parameters are within normal limits.
After a panel of other test and studies Mrs. Smith was diagnosed with Coronary Artery Disease (Angina Pectoris).
Questions
1. What predisposing factors that could contribute to Mrs. Smith’s condition?
a. Smoker alcohol, high bp
2. Discuss the protective factors that would prevent Mrs. Smith from developing Coronary artery disease.
Exercise,
3. What are the possible complications of Mrs. Smith’s condition?
4. What other diseases would you be “looking for” in this patient, and why?
Coronary Artery Disease also known as Angina Pectoris is considered to be the most common type of heart disease and the leading cause of death for men and women (NIH 2014).
Mrs. Smith has been diagnosed with Coronary Artery Disease after close supervision and analysis. The patient’s history of activity predisposes much of the reason why she attained Coronary Artery Disease. For instance, the Mrs. Smith is a chronic smoker, considering the fact that she smokes approximately 20 cigarettes equaling to 1.2 cigarettes per hour. According to Terry Martin, smoking 20 cigarettes a day puts about the same amount of stress on the heart as 90 pounds of extra weight (Martin 2014). Smoking cigarettes will increase a person’s metabolic rate by forcing the heart to beat at a faster rate. The heart beat increases 10 to 20 times more per minute once a cigarette is inhaled, causing extra unnecessary stress on the heart (Martin 2014). Another crucial predisposing facto that could have contributed to Mrs. Smith condition is the high levels of stress she is enduring. Mrs. Smith stated that her boss is putting her under a great amount of stress. Unmanaged stress can influence many negative traits towards the body. For example, unmanaged stress can lead to unhealthy levels of stress hormones like adrenaline and cortisol. Many studies suggest that stress alters the blood texture and may cause blood clots, and increases the risk of heart attack (MedNet 2014). M.D. Fogoros states that chronic emotional stress can cause atherosclerosis via inflammation of the blood vessels, which in turn can lead to coronary artery disease (Fogoros 2011). Mrs. Smith’s family history also serves as a predisposing factor
that