Case Study 2

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Case Study 2

• Ellen The Singer with a sore throat

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• List Ellens symptoms. What specific signs
  indicate that she is ill
• -Signs objective
• High Temp, Flushed face, watery eyes
• Symptoms Subjective
• Sore throat, exhausted,
• head ache, feels cold
• Ellen Burstyn in the Exorcist?

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• 2. What is Ellens Chief Complaint?
• Is she well enough to sing?

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• 3. Formulate 3 questions you would ask to help
  diagnose her disease.
• Have you been eating okay?
• Been outside a lot?
• Whove you been hanging out with?

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• 4. What are Ellens risk factors?
• Dorm life
• Nutrition
• Sleep

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• 5. Will a sphygmomanometer be needed?
• Device that measures blood pressure. At this
  check up they might take it just for the record.
  But its not really needed.
• from the Greek sphygmus (pulse), plus the
  scientific term manometer (pressure meter).
• Harvey Cushing arguably greatest neurosurgeon of
  20th c. popularized it

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Harvey Cushing

• 1869-1939
• Family of doctors
• improved considerably the survival of patients
  after difficult brain operations for intracranial
  tumors
• used x-rays to diagnose brain tumors

• used electrical stimuli for study of the human
  sensory cortex
• was the world's leading teacher of neurosurgeons
  in the first decades of 20th century
• Artistic temperment, Scientific patience
• Realize how many of his patients were terminal

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• When he feels both sides of her neck what
  physical examination technique is the physician
  using?
• Palpation
• Chewing tobacco can give you
• Oral Cancer. One way to check
• Is palpation

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• Listening with the stethoscope is an example of
• Ausculation
• Theres a little patch of
• Oral cancer now

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• Why does the physician swab the back of Ellens
  throat?
• To get a sample for a biopsy

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What problems do you see?

• Are there other ways to work the data?
• You bet chi-square test, multivariate regression
  analysis, correct for age distribution,
  socioeconomic status
• Is there more modern data?
• What about other causes of dentist doctor
  death?
• You find they live longer than the average
• Though female doctors suicide higher than average
  too.
• How accurate is reported suicide info?
• These studies suffer from numbers too low to be
  statistically significant.
• Psychiatrists have highest suicide rates

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• If Ellens symptoms persist after taking
  acetaminophen for a viral infection what action
  would you expect the physician to take at this
  point?
• Blood and Urine Tests