Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN: 9780134807355
Author: Marieb
Publisher: PEARSON
expand_more
expand_more
format_list_bulleted
Videos
Textbook Question
Chapter 7, Problem 5CCS
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).
5. NCLEX-STYLE Mrs. Tanner is discussing her injury with you during recovery. Which of her remarks indicate a need for additional education about her injury?
a.“I dislocated my shoulder twice. I guess this hip injury is just the same sort of thing–I’m surprised it hasn’t happened before. I’m sort of nervous that it could just slip out any time!”
b.“I didn’t realize that so many of the hip bones were fused together.”
c.“The bottom of my spinal column is really different from the top!”
d.“When you look at how tight those connections are, it’s easy to see why I can’t move my leg around at the hip the way I move my arm around at the shoulder.”
Expert Solution & Answer
Want to see the full answer?
Check out a sample textbook solution
Students have asked these similar questions
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?
A 27-year-old man is brought to the emergency department because of gluteal pain and difficulty walking since sustaining an injury in a football game 3 days ago. He says that he trips on the toes of his left foot. He is a running back and was cutting through the line when he felt a pop in his gluteal region on the left side and had immediate pain. Physical examination shows deep gluteal tenderness. An MRI of the injured area today shows inflammation deep to the gluteus maximus in the area of the piriformis muscle. The physician suspects that there is compression of the common fibular (peroneal) branch of the sciatic nerve as it pierces the muscle. Which of the following additional findings is most likely on examination of this patient?
A) Loss of cutaneous sensation to the plantar foot
B) Loss of cutaneous sensation to the posterior thigh
C) Loss of eversion of the foot
D) Loss of inversion of the foot
E) Trendelenburg sign
F) Weakened extension at the hip
G) Weakened extension at…
is patellafemoral pain syndrome a arthogenic or myogenic condition and how can you distinguish it from other conditions
Chapter 7 Solutions
Human Anatomy & Physiology (11th Edition)
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
- A 68-year-old woman has come to her physician’s office with onset of back pain that began when she was turning over in bed two days ago. It is most severe between her shoulder blades and is aggravated by movement, especially bending forward; although any movement above the waist seems to aggravate it somewhat. She is unable to stand completely upright. The pain has responded a bit to OTC (over the counter) pain medication she takes for her arthritis, but it is still quite severe and does not appear to be improving at all. Physical examination of the patient confirms the symptoms she described. It also demonstrates that the OA (osteoarthritis) in her left hip has progressed. The patient states that her arthritis medication does not appear to be as effective as it used to be and she has had to cut back on many of her activities. The physician notes on checking her record that she has been a smoker since her teenage years and she has gradually been losing height at each of…arrow_forwardIm having a hard time with some questions in this injury of a male who fell off a roof. Would you be able to help me answer some questions on this, please and thank youarrow_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_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_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_forward
- Carpal tunnel syndrome is caused by compression of which nerve?arrow_forwardMarcie went to the doctor and received an intramuscularinjection in her right gluteal region. Afterward, Marciehad partial paralysis and lack of sensation in her rightleg. What may have happened to Marcie during thisinjection?arrow_forwardA 20-year-old man complained that he was unable to raise his right upper limb. He held it limply at his side with his forearm and hand pronated. During questioning by the physician, he stated that he had been thrown from his motorcycle approximately 2 weeks previously and that he had hit his shoulder against a tree. He also recalled that his neck felt sore shortly after the accident. Physical Examination: On examination it was found that the patient was unable to flex, abduct, or laterally rotate his arm. In addition, he lost flexion of the elbow joint. A lack of sensation was detected on the lateral surface of his arm and forearm. The physician requested radiographs of the cervical and pectoral girdle regions. Radiology Report: No fractures are seen in the cervical region, pectoral girdle, and proximal part of the humerus. Diagnosis: Injury of nerves derived from the brachial plexus. Using your anatomical knowledge of the nerve supply to the upper limb, discuss the…arrow_forward
- 1) Contents of the carpal tunnel are which of the following tendons and nerve: (F= flexor, D= digitorum, S= superficialis, P= profundus, except in FPL= P= pollicis, L= longusA) FDS, FDP, FPL and ulnar nerveB) FDS, FDP, FPL and radial nerveC) FDS, FDP, FPL and ulnar-radial nerveD) FDS, FDP, FPL and radioulnar nerveE) FDS, FDP, FPL and median nerve 2) Intramembranous ossification includes all of the following except?A) Cranial bone formationB) Flat bone formationC) Formation of the clavicleD) Only a and bE) All A-Carrow_forwardPatient is experiencing local pain at the right medial tarsal region with numbness and pain radiating to the ipsilateral hallux region. Patient has inflammation in the left scapular region that extends laterally and superiorly to the contralateral acromial region. Patient complains of sudden severe pain that starts in the medial lumbar region and extends bilaterally to the gluteal and posterior femoral regions. 4 Patient has swelling at the left olecranon with acute pain extending distally to the dorsum. A laceration is located superficially on the right thorax 1 inch lateral to the midsagittal 5. plane. to in the forehead in between the eves and the sinusesarrow_forwardMr. X started a 200 m dash and fell to the ground in pain. Examination of her right leg revealed the following symptoms: inability to plantar flex the foot against resistance, normal ability to evert the foot, dorsiflexion of the foot more than normal, and abnormal bulging of the calf muscles. Explain the nature of her injury.arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
Medical Terminology for Health Professions, Spira...Health & NutritionISBN:9781305634350Author:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. SchroederPublisher:Cengage LearningSurgical Tech For Surgical Tech Pos CareHealth & NutritionISBN:9781337648868Author:AssociationPublisher:Cengage
Medical Terminology for Health Professions, Spira...
Health & Nutrition
ISBN:9781305634350
Author:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. Schroeder
Publisher:Cengage Learning
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