ATR2205-30 Final Assignment The final assignment is to write a case study. You will choose a disease from my list; however, you can use some creativity in developing your case if you so desire. For example, for deep vein thrombosis, you could make it something that arose after a long international flight. I have included links to the National Institutes of Health on the webpage, for you to use as a starting point. The format you are to use is as follows: Case presentation: a) Introductory sentence: A 25-year-old salesman presented with pain in his right leg. b) Describe the nature of the complaint including location, intensity, and associated symptoms. a. The pain was throughout the right lower leg. Upon observation, the calf was swollen and red. The pain worsened with walking. c) Describe the history of the complaint including details of the time and circumstances of the onset. Also, the evolution of the complaint. a. The patient returned the previous day from a business trip to China. He slept most of the flight and did not walk around the cabin. He was stiff upon exiting the plane but was able to walk and drive his car home. However, he awoke in the middle of the night with wrenching pain. He could not feel his toes. d) Describe the relieving and aggravating factors. e) Include other health history. a. The patient has a history of HTN, is morbidly obese, borderline diabetic… f) Include family history. a. The patient’s mother had CHF g) Summarize the results of physical examination. a. His BP was 170/110 mmHg, … h) List tests/diagnostics that are ordered (Do make it relevant to the condition;) a. MRI of the leg was ordered, CBC, … i) List a diagnosis a. The patient was diagnoses with right leg DVT j) Give some possible treatments (Assume the patient lives long enough for treatment.) k) Give the general prognosis for this kind of condition l) List citations (give between 3 and 8) in APA format Make it at least 200 words long, but no more than 500 words (not including the citations). Use at least 40 medical terms and/or abbreviations. On a separate list, give the medical word/term definition, and break it into the parts with their meanings. This should be similar to the case studies that were in the blogs, except with a bit more information on the conditions to add interest and to make it fun! Let me know if you have questions. Pick 50 medical terms (NOT 100 words) that you learned in class and create a case study in Word. The guidelines for this project are as follows: add more medical terms in this case and keep that word bold and underline those word. Final Assignment: Case Presentation on Topic: Marfan syndrome Introduction: Describe the Nature of the complaint including location, intensity, and associated symptoms. Describe the History of the complaint including details of the time and circumstances of the onset. Also, the evolution of the complaint. Describe the.

1. ATR2205-30 Final Assignment
The final assignment is to write a case study. You will choose a
disease from my list; however, you can use some creativity in
developing your case if you so desire. For example, for deep
vein thrombosis, you could make it something that arose after a
long international flight.
I have included links to the National Institutes of Health on the
webpage, for you to use as a starting point.
The format you are to use is as follows:
Case presentation:
a) Introductory sentence: A 25-year-old salesman presented
with pain in his right leg.
b) Describe the nature of the complaint including location,
intensity, and associated symptoms.
a. The pain was throughout the right lower leg. Upon
observation, the calf was swollen and red. The pain worsened
with walking.
c) Describe the history of the complaint including details of the
time and circumstances of the onset. Also, the evolution of the
complaint.
a. The patient returned the previous day from a business trip to
China. He slept most of the flight and did not walk around the
cabin. He was stiff upon exiting the plane but was able to walk
and drive his car home. However, he awoke in the middle of the
night with wrenching pain. He could not feel his toes.
d) Describe the relieving and aggravating factors.
e) Include other health history.
a. The patient has a history of HTN, is morbidly obese,
borderline diabetic…
f) Include family history.
a. The patient’s mother had CHF
g) Summarize the results of physical examination.
a. His BP was 170/110 mmHg, …

2. h) List tests/diagnostics that are ordered (Do make it relevant to
the condition;)
a. MRI of the leg was ordered, CBC, …
i) List a diagnosis
a. The patient was diagnoses with right leg DVT
j) Give some possible treatments (Assume the patient lives long
enough for treatment.)
k) Give the general prognosis for this kind of condition
l) List citations (give between 3 and 8) in APA format
Make it at least 200 words long, but no more than 500 words
(not including the citations). Use at least 40 medical terms
and/or abbreviations.
On a separate list, give the medical word/term definition, and
break it into the parts with their meanings.
This should be similar to the case studies that were in the blogs,
except with a bit more information on the conditions to add
interest and to make it fun! Let me know if you have questions.
Pick 50 medical terms (NOT 100 words) that you learned in
class and create a case study in Word. The guidelines for this
project are as follows: add more medical terms in this case and
keep that word bold and underline those word.
Final Assignment: Case Presentation on Topic:
Marfan syndrome
Introduction:
Describe the Nature of the complaint including location,
intensity, and associated symptoms.
Describe the History of the complaint including details of the
time and circumstances of the onset. Also, the evolution of the

3. complaint.
Describe the Relieving and aggravating factors.
Patient history.
Family history.
Summarize the Results of Physical Examination.
List Tests/diagnostics that are ordered. (Do make it relevant to
the condition;)
List Diagnosis
Give some Possible treatments. (Assume the patient lives long
enough for treatment.)
Give the general Prognosis. for this kind of condition

4. List citations (give between 3 and 8) in APA format
Make it at least 200 words long, but no more than 500 words
(not including the citations). Use at least 40 medical terms
and/or abbreviations.
Medical word/term definitions (40 or more)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.

5. 27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
ATR2205 Final Assignment Rubric
Item
Satisfactory
Unsatisfactory
Introduction
10
0
Nature Complaint
10
0
History Complaint
10
0
Relieving/Aggravating Factors
10
0
Patient History
10
0
Family History
10

6. 0
Results of Physical Examination.
10
0
Tests/diagnostics that are ordered.
10
0
Diagnosis
10
0
Possible treatments.
10
0
Prognosis.
10
0
Citations.
10
0
40 medical term definitions
80
0
TOTAL
SAMPLE CASE STUDY __-----
Case study of Mr. J with CVA
Introduction:
The patient Mr. J, a 58 years old African-American, admitted in
the Emergency Department with complaints of loss of balance
followed by the altered level of consciousness (ALOC), left-

7. sided hemiparesis, dysarthria, and facial droop. He denied chest
pain, visual disturbances, cephalalgia, trauma, bowel
incontinence, urinary incontinence, etc. He had stable vital
signs except blood pressure of 150/90 mm of Hg, indicating
hypertension. After necessary diagnostic tests, the physician
diagnosed the case as a cerebrovascular accident (CVA).
Past Medical History:
Mr. J was diagnosed with diabetes mellitus (DM) type 2 at the
age of 40 years. He was taking some herbal remedies at first,
but is on antidiabetic agents as per physician's prescription for
eight years. He is also on antihypertensives for three years. He
also has a history of hypercholesterolemia and gouty arthritis,
an inflammatory condition of joints, especially the hallux joint,
due to deposition of urate crystals, but he is not on any
medications for that. He is having a poor compliance with the
medication regimen. Currently, he is taking ACE (angiotensin-
converting enzymes) inhibitors, beta-blockers for his
hypertension, and an antihyperglycemic agent, Metformin, for
diabetes mellitus.
Family History:
Mr. J's father died from myocardial infarction (MI). He had a
history of hypertension (HTN), coronary artery disease (CAD),
and benign prostatic hyperplasia (BPH). Mother is suffering
from diabetes mellitus (DM) and is on insulin. She also has a
history of inflammatory bowel disease (IBD).
Disease condition:
Stroke (cerebrovascular accident): The loss of brain function
arising from the sudden interruption of cerebral blood supply. It
might be of two types; hemorrhagic CVA and ischemic CVA.
Hypertension and hyperlipidemia are the two main risk factors
of CVA. Other risk factors are smoking, obesity, family history,
etc.
The main causative factors are:
1. Thrombosis (clot formation) due to atherosclerotic plaques.
2. Embolism or cardiogenic emboli.
Actions taken:

8. 1. Intravenous (IV) injection of tPA (recombinant tissue
plasminogen activator).
2. Administration of antiplatelet blood thinners, aspirin.
3. Vital signs monitoring q.4 hours.
4. Management of intracranial hypertension (IH) with diuretics.
Nursing assessment:
1. Assessment of neurological status to know the severity of
CVA.
2. Altered level of consciousness (ALOC).
3. Nuchal rigidity.
4. Assessment for any dysarthria (difficulty in articulating
words) and dysphagia (difficulty in swallowing).
5. Skin color of face and extremities.
Results: The wife said, he has now changed towards the better
by incorporating healthier meals and less junk food items. She
mentions that he has had a difficult time in the past few years
with diabetes, hypertension, gouty arthritis, etc. Change in
lifestyle along with therapies and the addition of a service dog
aided improvements along with his family support system. The
patient spends lots of time outside with his dog and has started
working on small projects, which keeps him active. She also
states that the patient’s HbA1c (glycosylated hemoglobin) has
not been tested for almost three months and that it needs to be
tested as his RBS (random blood sugar) is high. The patient
visits his podiatrist regularly for peripheral neuropathy and is
on B vitamins q. daily; however, his neuropathy is on remission
since undergoing transcutaneous electrical nerve stimulation
(TENS). The patient’s wife is also doubtful about his mental
status with increasing forgetfulness pointing towards dementia.
She also remembered that he once complained of visual aura
while doing gardening and after that he had photophobia for a
while. She says he needs to undergo a dilated eye examination
to diagnose retinopathy as he is complaining of blurred vision
and floaters occasionally with some dry eyes. She says he uses
over-the-counter Visine eye drops as a remedy, which she
understood is for keratoconjunctivitis sicca.

9. Assessment results revealed diagnostic evaluation with head CT
scan showed ischemic stroke. Blood samples taken revealed
hypercholesterolemia with cholesterol level 300 mg/ dL
(milligrams per deciliter), high-density lipoprotein (HDL) 40
mg/dL, and low-density lipoprotein (LDL) 150 mg/dL. His
fasting blood sugar (FBS), random blood sugar (RBS), or
glycosylated hemoglobin were not obtained. He is on Metformin
for hyperglycemia.
Results revealed that the patient is having an attack of right-
hemisphere ischemic cerebrovascular accident.
Consent: Patient consent was obtained for a detailed eye
examination referral.
Lessons Learned: Teachings from this particular case study had
information on CVA; symptoms, medications, diagnostic
studies, etc. Additionally, the comorbidities were also given,
which was helpful to understand the complications that could
lead to CVA. If patients don’t have annual eye examinations,
they can have visual complications. Psychological well-being is
also of much significance when dealing with patients and their
families. Complex information is given and the processing time
is different from that of medical professionals, so more time
should be given to formulate thoughts and doubts that will
result in less confusion and better understanding. The likelihood
of having a psychological impact on psychological symptoms
can’t be disregarded. Overall, maintaining a good patient-
caregiver relationship is of utmost significance to healthcare
professionals for proper disease management as well as positive
health outcomes.