Summarize the Case of the Unlucky Hiker
Case Study 2 – The Case of the Unlucky Hiker
Read the case study and highlight sections with information about 'patient history', 'family history',
'symptoms', and 'treatments'. Create a table with these four column headings for collection of notes.
Emily, a 24-year-old Asian-American graduate student in animal behavior, spends her free time hiking in the mountains around her home observing the behavior of various animals in preparation for her graduate work.
One afternoon, Emily decides to spend her time hiking on less frequented trails in hopes of working on walking quietly while carefully observing the area around her. As usual, she lets her housemates know where she is planning to go. After parking her car and checking her equipment and supplies, she signs in at the trailhead. The day is warm and Emily is careful to drink frequently to minimize her chances of becoming dehydrated. Also,
she snacks while hiking to maintain adequate blood glucose. As she rounds a bend in the trail, Emily notices a small herd of deer in the ravine below her and decides to try to move closer to them. After carefully checking the wind she starts to slowly move down the slope toward an overhanging ledge she noticed about halfway down. As she approaches the ledge, Emily looses her footing and begins to slide down the side of the ravine.
She tries to catch herself at the ledge, but falls over the side of the ledge twisting her left knee and landing awkwardly on her left side. She continues to slide down the slope and finally comes to a stop at the edge of a grove of fir trees. While she does not loose consciousness, Emily is stunned and it takes her a few minutes to regain her composure. The first thing she notices is that her left leg is at an awkward angle and her left knee is
very painful. When she tries to get up, she experiences pain in her left knee……………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………………………………….
Task:
1 Summarize by patient vs. family history; symptoms; tests done/treatment.
2 Define the bold terms in the text as well as some others. Use the textbook or online dictionary:
http://www.nlm.nih.gov/medlineplus/mplusdictionary.html
shin: magnetic resonance image:
swelling due to inflammation: condyle:
cruciate ligament: meniscus:
tendons: ligaments:
arthroscope: condyloid:
3 Compare the anatomy of the knee and of the elbow? Name differences [number of bursae, number of ligaments] and similarities [type of joint and what type of range of motion].
4 How do the cruciate ligaments in the knee aid in maintaining stability of the joint?
5 Why does swelling occur in Emily's left knee following the injury?
6 Why was Emily kept in the hospital overnight for observation?
7 What are the purposes of the rehabilitation exercises Emily is expected to complete?
8 a) Name the bones that form the hip joint. What type of joint is this?
b) name the vertebral bone that is part of the joint between hip bone and vertebral column. What type of joint is this? [see TB]
9. What type of joint is the temporo-mandibular joint or TMJ ? You may have to search this term in the online medical dictionary.
Answer preview:
Words:890