Question

1. A 47-year old man is diagnosed with a primary Glioblastoma Multiforme Stage IV. He is not expected to live but a few months. He is an organ donor. Would you or would you not take his organs? Explain.
2. Describe the management of a 36-year old man who has third degree burns over 15% of his body. Comment on his prognosis.
3. A 31-year old man is brought to the ER with a deep stab wound to the right thorax at 1 am. He is very dyspneic. Comment on his blood pH. Is it high or low? Explain the pathophysiology of this?
4. A 37-year old woman who attained menarche at 9 years presents with menorrhagia of 3 months. She also reports loss of weight, fatigue and lower back pain. She appears very pale. What is the likely pathophysiology in this case?

please, I don't want hand wrttien

Answer 1

Answer 1 :)

We can take organs except the brain from the patient suffering Glioblastoma Multiforme Stage IV. This type of carcinoma occurs in brain therefore, we can take other organs.

In the third degree burn at 15% surface, we need to take heavy precaustions becaseu this is serous burn condition. For such patient we need to do following management procedures.

First aid: Do the first aid by dousing cool water over burnt surface and cover it through clean wraps. Now, immediately transfer the victim to the nearest hospital.

Initial treatment:

1. Debriding is very crucial for all necrotic tissues up to some days, therefore, carefully debride all dead tissues of burnt surface. We need to scrub the surface gently.
2. Alcohol based washing is prohibited in such cases.
3. After scrubbing, dress up the burnt srufacae with petroleum cloth and dry soft cloth. This will stop seepage.

Daily treatment:

1. Changing dressing is very crucial; if possible, it should change twice daily.
2. Daily inspect haemorhhage or decoloration, Fever, cellulitis, and antibiotics effect.
3. We should use 1% silver sulfadiazine ointment for one-layer dressings or 11% Mafenide acetate for without dressings.
4. In the case of burnt hands, after using ointments cover hands with polythene gloves and daily bath the hands after removing gloves.

Healing phase:

1. The complexity of the burn and its surface directly affects the period of the healing phase. Deprived of infection, apparent burns heal fast.
2. The patient needs long term care, therefore its planning is necessary. These burns can take 2 years to be healed.
3. Use scar removal creams after complete healing of wounds.
4. Nutrition is very important; therefore, ensure 6000 Kcal per day energy should be provided. If needed, use nasogastric tube for feeding.

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