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(Solved): A 55-year-old woman has been complaining of severe fatigue and indigestion. She is concerned a ...

A 55-year-old woman has been complaining of severe fatigue and “indigestion.” She is concerned and goes to the emergency room. Se reports that she is a long-term smoker, has a stressful job as an emergency responder, and recently separated from her husband of 20 years. She also stopped going to the gym 18 months ago and has been relying on fast foods like pizza and fried chicken for meals. She has also noted intermittent leg pain when walking or standing at work. On physical exam, she is anxious and her skin is cool and clammy. Her blood pressure is 90/60 and her pulse is 90 and weak. Generalized atherosclerosis and myocardial infarction is suspected. An EKG is performed and blood is drawn to test for serum enzymes and electrolytes. 1.What are the risk factors for atherosclerosis in this case? 2. How can atherosclerosis cause myocardial infarction? 3. The patient reported “indigestion” although it is suspected to be angina. Why might angina be misinterpreted as indigestion (think back to anatomyJ) 4. What information can the serum enzymes and electrolytes provide? 5. If she is experiencing a myocardial infarction, explain her low blood pressure, clammy skin, and fatigue. The patient is diagnosed with a large infarct in the left ventricle. On day 6 after admission, she is preparing to be released. 6. What lifestyle modification education should she receive to prevent another MI? On day 7, her condition becomes less stable and she collapses on the floor of the hospital room bathroom. Her systolic blood pressure is 50. A diagnosis of cardiogenic shock is made. 7. Why did she experience cardiogenic shock?

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