Pathophysiology Case Study Assignment 1

Topics: Hypertension, Hemoglobin, Kidney Pages: 3 (805 words) Published: December 4, 2014
Patient Case Question 1: For which condition is this patient likely taking nifedipine? Nifedipine is a calcium channel blocker used to treat high blood pressure and chest pain. Patient’s past medical history indicates that he has had hypertension “for years,” the patient is most likely taking Nifedipine to manage this condition. May also be taking nifedipine so as to prevent chest pain from his past condition of Coronary Artery Disease (CAD).

Patient Case Question 2: For which condition is this patient likely taking lisinopril?
Lisinopril is an ACE inhibitor that treats high blood pressure and heart failure. Patient could be taking lisinopril in tandem with nifedipine to manage his hypertension and Coronary Artery Disease.

Patient Case Question 3: For which Condition is this patient likely taking paroxetine?
Paroxetine is used to treat various mood disorders. It is most likely that the patient is taking paroxetine to treat his generalized anxiety disorder, which he has been experiencing for the past 18 months (according to his past medical history).

Patient Case Question 4: What is meant by “tenting of the skin” and what does this clinical sign suggest?
“Tenting of the skin” involves a skin turgor test. By pulling a fold of skin from the back of the hand, lower arm, or abdomen with two fingers one can assess the ability of the patient’s skin to change shape and return to normal (elasticity). “Tenting of the skin,” indicates that the skin is not returning to normal quickly, which means the person has severe dehydration, a fluid loss of 10% body weight. The result of his skin turgor test indicates late signs of dehydration (patient had skin with poor turgor), and the presence of tenting in the skin indicates the severity of his dehydration. Patient Case Question 5: Are the negative Grey Turner and Cullen signs evidence of a good or poor prognosis?

A positive test for Cullen sign occurs when a patient has superficial bruising in the...
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