HUMAN ANAT.+PHYSIOLOGY (LL)-PKG.
11th Edition
ISBN: 9780135239421
Author: Marieb
Publisher: PEARSON
expand_more
expand_more
format_list_bulleted
Videos
Textbook Question
Chapter 7, Problem 2CCS
45-Year-Old Female with Dislocated Hip
Kayla Tanner, a 45-year-old mother of four, was involved in a car accident. When emergency responders arrived on the scene and extracted her from the car, they found that her right thigh appeared shorter than her left thigh. They also noticed that even slight hip movement caused considerable pain. Suspecting a hip dislocation, they stabilized and transported her.
In the emergency department, doctors discovered a decreased ability to sense light touch in her right foot, and she was unable to move her toes or ankle. Dislocation of her right hip was confirmed by X ray. Mrs. Tanner was sedated to relax the muscles around the hip, and then doctors placed her in the supine position and performed a closed reduction (“popped” the femur back in place).
2. NCLEX-STYLE After hip dislocation and reduction, the nurse would watch the patient carefully for signs of which of these problems?
a. Sciatic nerve injury
b. Instability of the pubic symphysis
c. Inflammation of the sacroiliac joint
d. Damage to the lateral epicondyle
Expert Solution & Answer
Want to see the full answer?
Check out a sample textbook solution
Students have asked these similar questions
Jake has been recently administered medication through an injection in his right buttock. Now he is not being to dorsiflex his right foot. His doctor suspects that he has footdrop. What could have happened?
Jason is a 21-year-old university student presenting with pain in the back of his right thigh. The pain
started yesterday during soccer game. Jason went to kick the ball and felt an immediate 'pull' in the
back of his right upper thigh. He had to limp off the field and reported mild pain in his right
hamstring muscles with most active movements involving knee flexion and extension. Jason can still
walk around without too much discomfort.
b) Suggest what type of injury Jason has sustained and discuss what structures are typically damaged
in muscle strain?
After viewing the MRI and talking with Elaine, Dr. Leutz strongly advised her to have reconstructive surgery
on the ACL and to use conservative therapy on the partially torn medial collateral ligament. First, though,
he wanted her to "pre-hab"-that is, take physical therapy for several weeks-in order to have the knee and
leg in the best possible shape before the surgery. She was also instructed to use a more substantial brace. Dr.
Leutz described the procedure: either a cadaver tendon OR the middle third of her patellar tendon would be
removed and used to replace the ACL, which would be removed. Elaine opted to use her own tendon.
Five weeks later, Elaine went in for surgery. She was given a drug used for conscious sedation as well as a
general anesthetic. Through the arthroscope the surgeon noted significant injury to both the medial and
lateral menisci, which he repaired with sutures and screws. The pieces of the torn ACL were removed. A
superficial incision was made in the midline…
Chapter 7 Solutions
HUMAN ANAT.+PHYSIOLOGY (LL)-PKG.
Ch. 7 - Prob. 1RQCh. 7 - 2. Match the key terms with the bone descriptions...Ch. 7 - 3. Use key choices to identify the bone...Ch. 7 - 4. Which vertebral curvatures are primary and...Ch. 7 - 4. Name the cranial and facial bones and compare...Ch. 7 - 5. How do the relative proportions of the cranium...Ch. 7 - 7. List at least two specific anatomical...Ch. 7 - 8. What is the function of the intervertebral...Ch. 7 - 6. Which ribs are floating ribs and why are they...Ch. 7 - 9. Distinguish between the annulus fibrosus and...
Ch. 7 - 11. The major function of the shoulder girdle is...Ch. 7 - 12. List three important differences between the...Ch. 7 - 13. Briefly describe the anatomical...Ch. 7 - 14. Compare a young adult skeleton to that of an...Ch. 7 - 15. Peter Howell, a teaching assistant in the...Ch. 7 - 1. Justiniano worked in a poultry-packing plant...Ch. 7 - 2. Mr. Wright had polio as a boy and was partially...Ch. 7 - 3. Mary’s grandmother slipped on a scatter rug and...Ch. 7 - 4. Mrs. Shea came up with what she considered to...Ch. 7 - 45-Year-Old Female with Dislocated Hip Kayla...Ch. 7 - 45-Year-Old Female with Dislocated Hip
Kayla...Ch. 7 - 45-Year-Old Female with Dislocated Hip Kayla...Ch. 7 - 45-Year-Old Female with Dislocated Hip
Kayla...Ch. 7 - 45-Year-Old Female with Dislocated Hip Kayla...
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.Similar questions
- An 18-year-old high school football player suffered a torn anterior cruciate ligament (ACL) in the state playoffs. After undergoing repair, he found it difficult to ambulate with the knee brace. Weighing close to 140 kg (approximately 300 pounds), the athlete found it difficult to stand and balance on one leg. His mother was unable to support him by herself. After 1 week, the young man began to have increased pain and swelling in the calf of his affected leg. In the middle of the night, the teen called out to his mother, complaining of a shortness of breath and unexplained anxiety. His mother called 9-1-1, and he was taken to a local hospital. In the emergency department, he was diagnosed with a deep vein thrombosis and a pulmonary embolism. Oxygen and low-molecular-weight heparin were administered, and the young man was admitted to the intensive care unit. As a result of the thrombus lodging in the pulmonary circulation, the sympathetic nervous system is activated. Hemodynamically,…arrow_forwardAngus is an 18-year-old young adult, who is riding his skateboard in a city park. He is not wearing protective gear, including a helmet. When a friend distracts his attention, he runs head-on into a planter and is thrown over the planter box onto the concrete, landing on his left side. He immediately experiences pain in his left side, left wrist, and abdomen. His left wrist is angulated and obviously broken.A head-to-toe assessment demonstrates small, superficial scrapes on the patient's forehead and left cheek. His facial structures appear to be intact. Neurologically, he is normal, with a Glasgow Coma Scale (GCS) score of 14. He has no complaints of shortness of breath, and his chest wall shows no obvious external injury. An x-ray of his left wrist shows a comminuted fracture of his left radius and ulna.Angus is taken to the operating room for orthopaedic repair of his left wrist. After surgery, he is admitted to the orthopaedic floor with orders for pain medication as needed.Q1.…arrow_forward“Ron (he/his) is a 60-year-old man is experiencing right shoulder pain after falling off of a ladder 3 days ago while cleaning out the eavestrough gutters of his home. The man was brought to the hospital by his wife and is presenting with localized swelling, weakness, decreased range of motion, and has pain on palpation of the anterior right shoulder. His pain is increased when he tries to activate the shoulder by initiating external rotation and abduction. The man’s major complaint is that he is unable to comb his hair and brush his teeth without pain as he cannot maintain his arm in an elevated position for more than a few seconds. At the hospital, the doctor ordered an x-ray and gave him an injection of local anesthetic. The x-ray did not show any significant findings and the anesthetic relieved his pain but did not help with the weakness.” 3. From an anatomy point of view (not a medical school course!) : Propose a management plan for this man's rotator cuff tear. This should…arrow_forward
- A 60-year-old man is experiencing right shoulder pain after falling off of a ladder 3 days ago while cleaning out the eavestrough gutters of his home. The man was brought to the hospital by his wife and is presenting with localized swelling, weakness, decreased range of motion, and has pain on palpation of the anterior right shoulder. His pain is increased when he tries to activate through the shoulder by initiating external rotation and abduction. The man's major complaint is that he is unable to comb his hair and brush his teeth without pain as he cannot maintain his arm in an elevated position for more than a few seconds. At the hospital, the doctor ordered an x-ray and gave him an injection of local anesthetic. The x-ray did not show any significant findings and the anesthetic relieved his pain but did not help with the weakness 1. Explain how this is a possible deltoid and infrsaspinatus injury and how each relates to the patient's presenting signs/symptoms and test results. Be…arrow_forwardMrs. Estevez, who is 37 years old, visited her physician and complained of unbearable pain in several joints of both hands. The joints were very red, swollen, and warm to the touch. When asked if she had ever had such an episode in the past, she said she had had a similar attack 2 years earlier that had disappeared as suddenly as it had come. Her diagnosis was arthritis. (a) What type of arthritis does she have? (b) What is the cause of joint inflammation in this type of arthritis?arrow_forwardA 30-year-old man is stabbed in the arm. There is no evidence of vascular injury, but he cannot flex his three radial digits. He has injured the() A) Flexor pollicis longus and flexor digitus medius tendons B) Radial nerve C) Median nerve D) Thenar and digital nerves at the wrist E) Ulnar nervearrow_forward
- Jason is a 21-year-old university student presenting with pain in the back of his right thigh. The pain started yesterday during soccer game. Jason went to kick the ball and felt an immediate 'pull' in the back of his right upper thigh. He had to limp off the field and reported mild pain in his right hamstring muscles with most active movements involving knee flexion and extension. Jason can still walk around without too much discomfort. a) What is the most likely cause of Jason's pain?arrow_forwardA 22-year-old female patient arrives in the emergency department after a skiing accident. She was going downhill quickly when she twisted, fell, and reports hearing and feeling a "pop" in the right knee. The ED physician has diagnosed her with an ACL year and refers her to the orthopedic surgeon for arthroscopic repair. How is it positioned in relation to the other knee ligaments?arrow_forwardWHY WOULD A FRACTURE IN THE ANTERIOR TEMPORAL BONE CAUSE JAW PAIN?arrow_forward
- What therapeutic procedure is described as applying a pulling force on a fractured or dislocated limb or vertebral column in order to restore normal alighnment?arrow_forwardLin, a 5-year-11-month-boy was admitted to a paediatric hospital. No neck stiffness, Kernig's sign (-), Brudzinski's sign (-), Babinski's sign (-). All joints had no swollen and tenderness. The outpatient physician then ordered blood routine and peripheral blood smear tests. To find out the reasons for the elbows pain, bilateral tibia, ulnar, femur and fibula films were taken. Blood routine test: WBC=7.2 x 109/L, RBC=3.1 x 109/L, BPC=64 x 109/L, Hb=90g/L, atypical cells 7%. Peripheral blood smear test: blast=18%, L=48%, N=31%. Bilateral tibia, ulnar, femur and fibula films: no obvious bone tissue damage in the bilateral ulnar, fibula, lower section of the tibia and the distal part of the femur. The outpatient physician suggested the parents to sign the consent form of bone marrow aspiration immediately and wished to proceed with the procedure as soon as possible to analyse the immune markers. The physician also informed the parents that, if necessary, Lin may need to have a bone marrow…arrow_forward27-year-old male patient who works with his hands doing heavy mechanic jobs everyday comes in. Chief Complaints of intermittent pain on thenar muscle. When asked to oppose his fingers (thumb to other fingers) he is able to do so. But when he touches his middle and ring finger, a pain radiates laterally from ulnar nerve to where medial epicondyle is located. Tests for carpal tunnel were negative. There is no loss of sensation as stated by patient. What could be wrong with this patient? Step by step please and detailed SOLUTION OF all parts Wrong answer and copied answer gives u downvote So please don't copy from chergg or other internet sitearrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
Surgical Tech For Surgical Tech Pos CareHealth & NutritionISBN:9781337648868Author:AssociationPublisher:Cengage
Surgical Tech For Surgical Tech Pos Care
Health & Nutrition
ISBN:9781337648868
Author:Association
Publisher:Cengage
Great Glands - Your Endocrine System: CrashCourse Biology #33; Author: CrashCourse;https://www.youtube.com/watch?v=WVrlHH14q3o;License: Standard Youtube License