Question

an 82 year old man was admitted to the hospital after falling and fracturing his nose, right tibia, right humerus and distal pharynx of his right thumb. the fracture was managed conservativly, but he was unable to be discharged because of difficulty with daily tasks.
-Day 8 the patient has a slight pyrexia with blurring of right eye; ophthalmologist opinion was sought.
- Day 10 unable to pass urine and became unresponsive which prompted a cardiac arrest call. he regained cardiac output with no intervention, and his ECG showed features consistent with a. acute inferior MI, but all these resolved.
- Day 11 patient was transformed to ITU, where he became cyanosed and short of breath with a bounding pulse and basal crackles in the chest. Patient further arrested at 1400 hrs and could not be resuscitated.
Medical history:
-vericose veins
- bilateral inguinal hernia repair with revision
-admission to the hospital with Melania- duodenal ulcer was diagnosed

what was patients cause of death?
what were the signs and symptoms?

Answer 1

* patient become cyanosed and short of breath with a bounding pulse and basal crackles in the chest, and also unresponsive cardiac arrest. These all can lead to death.

* Gnarled, enlarged veins most commonly appearing in the legs and feet. So due to this there is obstruction of blood supply through the arteries and veins and forms blood clots like in the supply of the blood.

* So leads to problems in the circulation of blood and can cause obstruction of blood supply in the organ systems and lead to death.

Signs and symptoms:

* cause aching pain and discomfort or signal an underlying circulatory problem.

* swollen blood vessels in the skin or discoloration.

* Bruising.

* Heavy legs

* Itching

* Burning

* throbbing

*muscle cramping.

* veins that are dark purple or blue in colour which causes cyanosis.

* skin discoloration around a varicose vein.