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Alcohol use disorder and patellar tendon repair
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The patient was a middle-aged Caucasian man with alcohol use disorder, atrial fibrillation, hypertension, status post coronary artery bypass surgery, pulmonary fibrosis (unknown etiology), cataract surgery complicated by detached retinas, arthritis, a skin condition with “fistulas,” and status post double knee replacement five years prior.
Six weeks before death, he accidentally tore his left patellar tendon which was surgically repaired.
The post-operative course was complicated by left foot ulceration and superior migration of the patella.
The patient went for a post-operative clinic visit and was later that day found dead after an unwitnessed cardiopulmonary arrest.
Next: External exam
1. Summarize the history and clinical issues.
2. Why do you think the patient might have died?