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Analysis of Medical Situations - Assignment Example

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The author of the assignment answers the medical questions and describes the mode of action in different medical situations. The author explains the mechanism of action of heparin, and whether CF is transmitted as a recessive disorder affecting the endocrine gland function …
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Analysis of Medical Situations
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Download file to see previous pages Heparin actually acts as a cofactor. Hence this is the correct answer.
C. Inhibit vitamin K-dependent activation of clotting factors II, VII, IX, and X: Heparin does not directly inhibit the action of these clotting factors. It actually acts as cofactor in the anti-thrombin- protease complexes. Hence this is not the correct answer.
E. Catalyze conversion of tissue plasminogen to plasmin in the presence of fibrin, producing local fibrinolysis: This action is seen in fibrinolytic like streptokinase. This is not the mode of action of heparin.
8. A 68-year-old patient is brought to the ER with severe, sudden-onset anterior chest pain. He is nauseous and diaphoretic. Vitals are HR 104 (regular) Resp 20 (regular) BP 160/90 T 98.8. He has a history of hypertension and takes a ‘water-pill’. He appears in pain, but hemodynamically stable. The differential diagnosis includes CHF, Angina, MI, aortic dissection, and PE. His ECG shows tachycardia with a regular rate and rhythm and mild left ventricular hypertrophy. There are no q-waves or ST-segment changes. CXR shows a slight widening of the mediastinum. Which of the following tests would best discriminate between these differentials?
A. MRI: The most likely diagnosis in this patient is aortic dissection. Aortic dissection is defined as separation of the layers within the aortic wall. This diagnosis can be presumed in patients with symptoms and signs suggestive of myocardial infarction but without classic ECG findings. This scan has over 90% sensitivity and greater than 95% specificity and in fact, is the most sensitive method for diagnosing aortic dissection and has similar specificity to CT scanning.  ...Download file to see next pagesRead More
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