Medical Human Embryology and Gross Anatomy 601/701

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CLINICAL CASE MANAGEMENT
FOUR PATIENT GROUPS
Obstetric / Newborn
Pediatric Adult
Elderly
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FOUR DISEASES TREATABLE
INFECTION ANTIBIOTIC
TUMOR
SURGERY VASCULAR
RESTORE FLOW TRAUMA
REPAIR
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FOUR KINDS OF MANAGEMENT Keep---Admit
Keep---Admit / Urgent Bring
back---Reevaluate Send home---Treated
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CLINICAL CASES HISTORY PHYSICAL
FINDINGS LABORATORY IMAGING
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OB/NEONATE PEDS
ADULT ELDERLY
INFECTION Meningitis
Meningitis/ post op

Osteomyelitis sepsis discitis TUMOR
Mets
Mets
Mets
1tumors VASCULAR
Sickle cell
Avascular
Avascular Necrosis

Necrosis TRAUMA Congenital
MVC MVC
Osteoporosis
Meningocele Sports
Disc Arthritic
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Patient complains of pain with long distance
walking relieved by bending forward and sitting.
Surgery Laminectomy Persistent
back pain post op

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L4-L5
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Post- op Laminectomy
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Post-op
2 mos Post-op
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Patient with back pain and leg weakness. History
of breast cancer treated 2yrs ago.
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T-6
T-10
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20 yr old with acute onset of chest
pain. History of sickle cell disease Admitted
to hospital Chest x-ray taken
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Patient with history of MVC of 4 wheeler with
tree. Neck pain Weakness left side
Visual field loss
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25 year old male with neck pain following MVA .
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Patient with history of right S1 root impingement
Symptoms

• Acute onset twisting of back.
• Radiating pain down right lateral leg to lateral
  foot
• Loss of Achilles reflex

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The end