CASE STUDY - Skeletal system A patient named Mrs. Thelma Jones during her doctor's visit mentions the following. "Doctors, I am in SO much pain. I fell getting out of the bathtub this morning, and now my hip is absolutely killing me. I can't put any weight on it...I mean, seriously, I can barely walk. My back has been hurting for the past year, now my neck also starts to hurt, but I've just been dealing with the pain and avoiding coming-in to the doctor. What do you think?" Nurses note: "Ms. Thelma Jones is a 75-year-old widow, complaining of severe right hip pain following a fall this morning. She reports moderate back pain for the past year. She measures at 5'3" and weighs 102 pounds. Her temp is 98.6, pulse 84, and blood pressure 130/80, and her oxygen levels are at 98%." Based on your analysis of this situation, answer the following questions. 1. Which bones are the source of the pain, based on Mrs. Jones' description of her pain? 2. What are the functions of the skeletal system? Which functions are related to Mrs. Jones condition? 3. What changes in the skeletal system occur as a person ages? 4. Name & describe some common diseases, conditions, or disorders of the skeletal system.
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Jones' pain. - Mrs. Jones reports severe right hip pain after a fall, indicating potential injury to the hip joint, which includes the femur (thigh bone) and the pelvic bone. - She also mentions back pain, which could involve the vertebrae in the lumbar region. - Show moreā¦
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49. A 78-year-old man who is a Vietnam War veteran comes to the physician because of a 3-month history of low back pain that has become increasingly severe during the past 2 weeks, and has caused difficulty walking because of pain radiating down his left leg. He has a 3-week history of night sweats and an intermittent low grade fever. He also has had a 9-kg (20- b) weight loss during the past 3 months. He appears ill. He is 173 cm (5 ft 8 in) tall and weighs 55 kg (121 lb); BMI is 18 kg/m2 His temperature is 38.1Ā°C (100.6Ā°F), and pulse is 85/min. Physical examination shows pallor, right convex lumbar scoliosis, and tenderness over the L2-3 area. He has difficulty climbing onto the examination table. Coronal and axial views of a CT scan of the abdomen and pelvis with contrast are shown. Which of the following active motions of the left hip is likely to be the most painful for this patient? A) Abduction B) Adduction C) Extension D) External rotation E) Flexion F) Internal rotation
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Adi S.
Case Study Assessment Task: Below are 3 case studies. You are required to complete all 3. You need to read these and based on the situation/case provided, identify the anatomy/physiology involved as related to the Skeletal System, what is going wrong or has occurred, and how that impacts the Skeletal System specifically. You also need to provide an explanation for how the Skeletal System responds to the situation. 1) Anthony has been living in Western WA for 3 years. After moving from California and seeing his health decline, including weight gain, fatigue, joint pain, arthritis, and weakness, he decided to go to the doctor to get checked out. The doctor discovered Anthony has a Vitamin D deficiency (which you should have figured out in module #1). Anthony also has deterioration in his joint cavities, specifically on the distal end of his femur and humerus. After an X-ray they also found stress fractures on his tibia. 2) Madeline Jacobson was on a hike in the mountains during the winter months. While hiking up a ravine of rocks, Madeline stepped on a loose rock causing her leg to move too far to the mid-line of the body as well as twisting at the same time. In doing so she heard multiple pops in her knee and immediate pain. Madeline quickly fell to the ground and was not able to walk. Madeline quickly sent a radio message to her friend who was over a mile behind her. As she lay there waiting for her friend to arrive she realized she was getting really cold and her knee was quickly swelling creating an immovable joint. Madeline also tried to stand up but was unable to place weight on her left leg. *make sure to consider the entire structure of the knee, injuries, responses, etc. 3) Madeline's friend Bobbi showed up shortly after and carried Madeline 4 miles down the mountain to a helicopter to be airlifted to the hospital. In carrying Madeline, Bobbi damaged her shoulder to the point where she was diagnosed with ligament tears and a shoulder separation. The ligament that tore, helps hold the proximal end of the humerus into the shoulder. Another ligament tore completely out of the periosteum of scapula, leaving bone fragments.
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