Sunday, December 23, 2018
'A Spill at Parsenn Bowl Essay\r'
' get down I Ã¢â¬ The Slopes\r\nWhile enjoying a day on the ski c atomic number 18ens at Winter common land the forbearing fell exiting the ski lift. unhurried was adapted to get up single-handed however, as she adjusted her stance the stifle Ã¢â¬Å"twistedÃ¢â¬Â and she fell again chairing in an external rotation of the right stifle. persevering reported no pain at this time, but due to instability she was transferred by Ski Patrol down the slope on a sled. For the forbearingÃ¢â¬â¢s dead body to maintain homeostasis throughout the sequence of delineation to the extreme cold, thermo receptors inwardly the jumble activated sending signals to the hypothalamus. In bend the cutaneous blood vessels constricted and iciness commenced in an attempt to accumulate and piss additional body waken. (Minerva Union, 2011, 2). During the time of exposure to the extreme cold all distal extremities and any exposed threads would be dangerous to the occurrence of frostbite. (Mi nerva Union, 2011)\r\nPart II Ã¢â¬ The hand brake Room\r\nUpon arrival at the compulsion room the uncomplaining was tingle which keep be seen as an early extension of hyp another(prenominal)mia. At this time the patient was instructed to mangle her parka in an parturiency to cancel that heat loss, takeing from an accumulation of wet from the conditions outdoors. To assist in regulation of homeostasis the patient was wrapped in blankets and given over alive chocolate. Pulse was taken at the Dorsalis Pedis to c one timeal the patientÃ¢â¬â¢s circulatory response. (The EMT Spot, 2014, 7). annoyance reported by the patient was locate to the median(a) surface of the right knee, pronounced inflammation bear due to the leaking of unruffleds from compromised native wavers. The patientÃ¢â¬â¢s presentation of symptoms are indicative to that of a potential average substantiating ligament and medial meniscus tear. (Healthline, 2014, 5). The medial meniscus articulate s with the medial condyles of the tibia and thigh attire.\r\nPart III Ã¢â¬ The Mile High Clinic\r\nAn roentgenogram, of which the capital diagnostic focus is bone anatomical structure and density (SWOG, 2013, 1), was ordered for the patient. X-ray results although banish for fracture were positive for s salubriousing further indicating the possibility of muscularity or ligament damage. A Lachman Test was performed on the patient to try the integrity of the anterior cruciate ligament within the patientÃ¢â¬â¢s right knee. To look integrity: Ã¢â¬Å"the knee is flexed at a 20-30ÃÂ° angle, the tibia is displaced anteriorly relative to the femur; a soft endpoint or greater than 4 mm of version is positive.Ã¢â¬Â (Free Dictionary-Medical Dictionary, 2014, 1). (The Clinical Advisor, 2014)\r\nUpon the positive results of the Lachman see, further mental testing confirmed injury to the medial collateral ligament as well. unhurried was instructed to see an orthopedist, given crut ches, a brace, and instructed to keep the leg high-minded and use ice to further embolden in the reduction of swelling and pain. furthermore patient was instructed not to use heat, such(prenominal) as a heat inking pad or hot tub, as heat can result in vasodilatation spark advance to increased pain and swelling.\r\nPart IV Ã¢â¬ perceive the Orthopedic Surgeon #1\r\nUpon arriving home the patient was seen by a local orthopedic operating surgeon. Although the patient antecedently had an x-ray, an MRI was ordered to obtain a clear and concise understanding of the affect of the ski accident on the essential soft tissue structures of the patientÃ¢â¬â¢s right knee. An MRI or charismatic resonance imaging, Ã¢â¬Å"combines a powerful attr alive(p)ness with radio waves and a computer to belie these magnetic elements and make believe highly elaborate images of structures in the body.Ã¢â¬Â (SWOG, 2013, 4) In comparison to an MRI, an X-ray is typically used to diagnose and asse ss bone degeneration or disease, fractures and dislocation. (SWOG, 2013, 1)\r\n term often plays a role in the improve attend, as does the patientÃ¢â¬â¢s physical health. Typically younger patients adopt an increased regenerative capacity for healing as opposed to older patients who may present with osteoarthritis. Osteoarthritis is Ã¢â¬Å"the degeneration of cartilage and its central bone within a word as well as purposeless overgrowth.Ã¢â¬Â (CDC, 2011, 1) Patients with poor physical health and other complications may not always be a good candidate for constructive surgery. Although the patient in this case is 55, she presents as a good candidate for reconstructive surgery as a result of leading a fairly active life style and was referred to an orthopedic surgeon who performs such functional procedures on a routine basis.\r\nPart V Ã¢â¬ Seeing the Orthopedic Surgeon #2\r\nPatient presents in good health and as an ideal candidate for surgery. Referred to Ã¢â¬Å"pre-hab Ã¢â¬Â to have the knee and leg in the beat out doable shape prior to surgery. The knee is a synovial joint and can be further classified as a hinge joint as it allows style in only one direction. synovial joints are lined by a synovial membrane filled with fluid to support the joint and reduce friction. (Buzzle, 2014), 3). Tendons and ligaments quiet of dense regular connective tissues pretend the structures of the knee together.(eHealth Ideas, 2013)\r\nThe hamstring, sartorious, gracilis, and popliteus assist in producing flexion, whereas the Ã¢â¬Å"QuadsÃ¢â¬Â rectus femoris, vastus medialis, vastus lateralis, and vastus intermedius sum to producing extension. (Healthline, 2013, 4-5). With regard for the surgical repair of the patientÃ¢â¬â¢s ACL the synovial membrane would remove to cut in order to bring on both the meniscus and ACL. In addition, the use of a tendon to put back the ligament is possible, as both are dispassionate of collagenic connective tissues. (Un iversity of Michigan, (n.d.), 2). Prior to surgical intervention it is especially important that the patientÃ¢â¬â¢s knee is in the best physical shape as post-operatively the patient can expect to experience rough degree of atrophy and loss of bone mass as a result of restricted and limited use of the surgically repaired joint and limb. (Healthline, 2014, 1). During post-operative healing the patella is apparent to heal faster than the ACL, MCI and menisci, as it has admittance to the arterial blood supply. (KneeHipPain, n.d., 14). The cartilage and the ligaments allow for take longer to heal as they are avascular and contain comminuted to no blood supply.\r\nScar tissue is a normal occurrence of the healing process, and is composed of fibrous connective tissue. Ã¢â¬Å"This tissue contains a fibrous protein called collagen, as well as long carbohydrate molecules called polysaccharides, weewee and cells called fibroblasts.Ã¢â¬Â Scar tissue also cognize as adhesion, plays a n important role in the healing process as its collagenous fibers bind to damaged tissues in an effort to reconnect the damaged fibers.\r\nPart VI Ã¢â¬ solution\r\nThe body is an incredible mechanism, through homeostasis and feedback loops the body is often able to regulate and commit itself to a say of equilibrium. This can be evidenced in the case of the patient, as when subjected to the extreme cold thermo-receptors in the cutis activated signaling the hypothalamus, resulting in vasoconstriction and shivering as a method to create and conserve body heat. However, in some cases such as that of a separate ACL, the body is not always able to repair itself and surgical intervention may be deemed necessary. Still, throughout the post-operative healing process the body employs various methods of negative feedback to once again return to a state of equilibrium.\r\nReferences\r\nBuzzle. (2014). Synovial membrane. Retrieved from: http://www.buzzle.com/articles/synovial-membrane.htm l The Centers for Disease Control and Prevention. (2011). Osteoarthritis. Retrieved from: http://www.cdc.gov/arthritis/ rudiments/osteoarthritis.htm The Clinical Advisor. (2014). [Photo of Lachman Test]. Retrieved from: http://www.clinicaladvisor.com/tests-to-assess-acl-rupture/slideshow/394/#0 eHealth Ideas. (2013). [Photo of Knee mannikin Design]. Retrieved from: http://www.ehealthideas.com/2013/12/knee- var.-diagram.html The EMT Spot. (2014). The ultimate emt guide to zippy signs. Retrieved from: http://theemtspot.com/2010/05/22/the-ultimate-emt-guide-to-vital-signs/ The\r\nFree Dictionary. (2014). Medical dictionary. Retrieved from: http://medical-dictionary.thefreedictionary.com/Lachman+test Healthline. (2013). Knee muscle anatomy. Retrieved from: http://www.healthline.com/human-body-maps/knee-muscles#4/4294967045 Healthline. (2014). musculus atrophy. Retrieved from: http://www.healthline.com/symptom/muscle-wasting Knee Hip Pain. (n.d.). The anatomy of the patella. Retrieved from: http://www.kneehippain.com/patient_pain_anatomy.php Minerva Union. (2011). Homeostasis basics. Retrieved from: http://minerva.union.edu/linthicw/homeo.htm Minerva Union. (2011). [Photo of Homeostasis Temperature Control]. Retrieved from: http://minerva.union.edu/linthicw/homeo.htm References\r\nSouthwest Orthopedic Group. (2013). What is the difference among x-rays, mri, and ct scans. Retrieved from: http://www.sworthogroup.com/general-orthopedic-faq/25-what-is-the-difference-between-x-rays-mri-and-ct-scan University of Michigan. (n.d.). Section 9: Ligament tendon structure. Retrieved from: http://www.umich.edu/~bme332/ch10ligten/bme332ligamenttendon.htm\r\n'