Based on the image case scenario given.Trace the flowchart pathophysiology of the disease in relation to the patient’s case and explain why its happen. evidence of a traumatic brain injury. He underwent posterior wiring andfusion. His acute hospital course was complicated by recurrent mucousplugging, aspiration pneumonia and urinary tract infection. Hesubsequently underwent placement of a tracheostomy tube and anasogastric tube feeding. He was discharged after 3 months of beinghospitalized with in-situ Shirley's tracheostomy tube, indwelling catheter(because of care problems) with no other complications at that time.To date, he was readmitted in the ICU with multiple pressure sores, pneumonia, sepsis and highblood pressure of over 150 mmHg with bradycardia. IV infusion of Zosyn (piperacillin-tazobactam)4.5 g/100 mL according to the culture and sensitivity was started. The patient was also administeredanti-hypertensive agents like nifedipine 10 mg/tab 1 tablet daily dose increased to 10 mg t.i.d.Over the next several days, his medical condition improved considerably but his systolic bloodpressure was swinging between 150 mmHg to 190 mmHg and pulse rate was persistently below60/min. His upper and lower limbs motor and sensory function showed no improvement. His vitalcapacity was less than 2000 ml. He was also noted to be developing increased spasticity. Multiplepressure ulcers were noted over the right scapula (3-4 cm), pre-sacral (6-7 cm) and over the rightgreater trochanter (4-5 cm) by and was prescribed with hydrofiber and vacuum dressings. Duringthis time period, he developed flushing over the head and neck. He has a condom catheter drainageat his request. His blood pressure cannot be controlled, which sometimes approached systolic bloodpressure190 mmHg even with nifedipine 10 mg t.i.d; pressure was not controlled satisfactorily anddidn't fall below 150 mmHg. Mr. Assimo is complaining of persistent throbbing headache after beingstarted on nifedipine, and as such, was shifted to perindropril 4 mg o.d and chlorthiazide 250 mg o.d.Baclofen was prescribed with the initial dose of 10 mg t.i.d, which was gradually increased to 20 mgt.i.d. ECG showed normal rhythm.All other blood investigations like renal profile, lipid profile, liver enzymes were within normal rangesbut albumin was only 20 gm/Cl and was prescribed with a high protein diet, vitamins and mineralsupplements to build up patient's general conditions. CASE SCENARIO: Mr. AssimoMr. Assimo, a-50-yr-old tetraplegic patient with C5 ASIA grade A lesion due to a fall from a 10-meterheight during work 6 months ago is admitted at FUMC. He had no significant past medical history.Evaluation revealed C5 and C6 bifacets, fractured and dislocated, in his MRI results. There was no

Question

Accepted Answer

Tracheostomy is the surgically created artificial opening in the trachea just below the larynx.…

Based on the image case scenario given. Trace the flowchart pathophysiology of the disease in relation to the patient’s case and explain why its happen.