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Sooner15 Sooner15
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10 years ago
Case #10:
Tim and Leanne are rushed to the hospital after a car accident. Tim was driving as the car was hit in the driver side door. He sustained a broken humerus from the direct impact.  His arm was immobilized and he is resting in his room. Leanne, who was in the front passenger seat sustained a ruptured spleen and four adjacent broken ribs on the left side. Her wounds are from striking the middle console of the car. She is in the ICU with her chest wrapped.
   1.  What are the factors that affect wound production?
   2.  Which factor is the main difference causing Tim and Leanne to have such different injuries?
   3.  What is the mechanism that caused the rupturing of Leanne’s spleen?
   4.  What is the name of the condition in which several adjacent ribs is broken?
5.  Due to her broken ribs, what is Leanne at risk of developing?
6.  If Leanne’s lung is bruised, what other condition may develop?
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wrote...
10 years ago
Question 1 - I got straight from the AMU text book, feel free to challenge the answer:
Wound production is most often the result of the transfer of kinetic energy from one object to another. There are four factors that contribute to wound production by mechanical trauma: the amount of energy involved, the duration of the impact that causes energy transfer to the body tissues, the surface area over which the transfer occurs, and the physical characteristics of the tissue that receives the energy.
Post Merge: 10 years ago

4.  What is the name of the condition in which several adjacent ribs is broken?
When three or more adjacent ribs are fractured, this condition is called a flail chest.

5.  Due to her broken ribs, what is Leanne at risk of developing?
Hypoxemia and hypercapnia can arise because of hypoventilation of the lung underlying the detached wall section. This can lead to disrupted respiratory functions.

Both answers from the AMU text book Advance Human Anatomy.
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