Case 30 Part 1




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What's inside?


 

External exam
Open heart surgery
Scar
Sternal scar
Livor mortis
Skin
Peripheral vascular disease
Penis
Glans
Skin slip
Decomposition
Hairless legs
Knee surgery
Surgical scar
Decubitus ulcer
Buttocks
Penile skin bridge
Glanular adhesions
Chronic venous insufficiency
Hemosiderin
Hyperpigmentation




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Discussion Questions


 

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1. Summarize the history and clinical issues.
 
 
2. Why do you think the patient might have died?
 
 
3. What scars are visible?
 
 
4. What kinds of surgery has this patient had?
 
 
5. Based on the physical exam, how recent were they (roughly)?
 
 
6. What causes the brown discoloration of the legs?
 
 
7. What is the significance of hairless legs?
 
 
8. Do you see a decubitus ulcer anywhere? Where? What stage is it?
 
 
9. Can you infer anything about the ability of the patient to care for himself based on the video?
 
 
10. Can you infer anything about the ability of the patient to ambulate based on the video?
 
 
11. Why do decubitus ulcers occur?
 
 
12. How can decubitus ulcers be prevented?
 
 
13. Is there livor mortis?
 
 
14. Is there rigor mortis?
 
 
15. How decomposed is this patient?
 
 
16. What evidence of decomposition is there?




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