Hey all i need some help on this case study problem i am having. thanks
Bill Anderson, a 60 year old Caucasian male of normal build, presents in the emergency room with severely labored breathing. He reports progressively worsening shortness of breath over the past three days. He has been lethargic and has been just “lying around” because of the shortness of breath. The patient also has hypertension and is sweating, but without fever. Upon examining the patient’s medical history, the ER doctor learns that Bill has multiple myeloma and has underdone several cycles of chemotherapy, including steroid and high dose thalidomide therapy. The ER doctor orders a chest X-ray and echocardiography.
1. What is multiple myeloma?
Multiple mylemoma is a hematologic cancer of the blood, it is the second most common blood cancer after non-Hodgkins Lymphoma, and represents approximately 1% of cancers in individuals.
2. What side effects do multiple myeloma, chemotherapy, immobility, steroids, and thalidomide have in common that could be an issue here?
3. The ER doctor suspects a fairly obvious problem, what condition is the doctor trying to confirm?
4. Why is the echocardiogram important?
5. How has the condition caused high blood pressure?
6. Is the heart at risk of failing? If so, what side of the heart, and is it acute or chronic?
7. What is the recommended therapy?
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