Uploaded by Legna Marqués Méndez

Hemodynamic

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1. Edema of the brain may be localized or may be generalized. List three (3)
gross findings of generalized edema in the brain.
1.______________________
2.______________________
3.______________________
2. A 32-year-old man is involved in a vehicular accident and sustains fractures
of the right femur and tibia and the left humerus. The fractures are stabilized
surgically. He is in stable condition for 2 days, but then suddenly becomes
severely dyspneic. Which of the following complications from his injuries is
the most likely cause of his sudden respiratory difficulty?\
1. ____ Cardiac tamponade
2. ____ Fat embolism
3. ____ Pulmonary edema
4. ____ Pulmonary infarction
5. ____ Right hemothorax
3. (a) A 60-year-old man with a history of multiple myocardial infarcts is
hospitalized for shortness of breath. Physical examination reveals marked
jugular distension, hepatomegaly, ascites, and pitting edema. A chest X-ray
reveals cardiomegaly. The patient subsequently dies of cardiorespiratory
failure. Examination of the lungs (particularly the alveolar walls) at autopsy
would most likely disclose which pathologic process?
___________________________
(b) What type of cells should be present for definitive diagnosis to be made?
_______________________
(c) What are the morphologic characteristics of these cells?
_____________________________
1. A 20-year-old man is brought to the emergency room after rupturing his
spleen in a motorcycle accident. His blood pres- sure on admission is 80/60
mm Hg. Analysis of arterial blood gasses demonstrates metabolic acidosis.
This patient is most likely suffering from which of the following conditions?
1.
2.
3.
4.
5.
____
____
____
____
____
Acute pancreatitis
Cardiogenic shock
Hypersplenism
Hypovolemic shock
Septic shock.
4. A 60-year-old man who is recovering from surgery to correct an abdominal
aneurysm suddenly develops acute chest pain and dies. A thromboembolus
at the bifurcation of the left and right pulmonary arteries is noted at autopsy
(shown in the image). Which of the following is the most likely cause of this
patient's pulmonary embolus?
1.
2.
3.
4.
5.
____Bacterial endocarditis
____Complicated atherosclerotic plaque
____ Deep venous thrombosis
____ Paradoxical embolization
____ Right ventricular mural thrombus
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