Case Study

Case 1

Group high altitude workers, recently graduated from college and went to work, agreed to study the parameters of hormonal levels recorded directly during the workday. In young workers concentration of blood catecholamines and glucocorticoids increases 2-3 times. Experienced workers shows less pronounced increase in the level of these substances.

Questions:
1. What 's syndrome do workers develop?
2. What stage of the syndrome corresponds to an increase of blood adrenaline and glucocorticoids in young workers? Explain the pathogenesis.
3. What stage of the syndrome do workers with experience have? Explain the pathogenesis
4. What is the significance of the development of this syndrome for organism?

Case 2

Patient T., 29 years old received 2 degree burns of the hands, the front surface of the trunk and face. Lesion area was 30%. Patient is excited, has high pain reaction, thirst. Objective: consciousness is kept, the memory is not broken, he is oriented in space and time. Blood pressure is 150 /90 mm Hg After 15 minutes, blood pressure decreased to 90/60, consciousness has become entangled.
Questions:
1. Name the diagnose of the patient’s state?
2. What stage of this state corresponds to the clinical picture in the first 15 minutes? Explain the pathogenesis
3. What stage of this state corresponds to the clinical picture after 15 minutes? Explain the pathogenesis
4. Offer the principles of pathogenetic therapy

Case 3

Patient D., 24 years old suffering from diabetes, fainted after insulin injections. Glucose level decreased to 2 mmol / l. Reflexes are absent.
Questions:
1. Name the diagnose of the patient’s state?
2. Name the stage
3. Make a pathogentic scheme of neuronal damage
4. Is there an osmotic neuronal damage in this case? Justify the answer

7.7.12. THE LIST OF LITERATURE:

The basic

5. Litvitsky P.F., Pirozhkov S.V., Tezikov E.B. Concise lectures and tests on pathophysiology E-tekstbook. – ГЭОТАР-Медиа, 2007

6. Lectures, handouts.

7. Pathologic basis of disease.Hemodynamic disorders. Shock. V.Kumar, A.K. Abbas, S.N. Fausto, 8th edition, 2010, P. 47-48/ 122-139

8. Basic Pathology. Hemodynamic disorders. Shock Vinay Kumar, Ramsi S. Cotran, Stanley L. Robbins. 9^th edition, 2013.- P 63 – 71, 911-922

Additional

5. Textbook of pathology. Hemodynamic disorders. Shock Harsh Mohan 3rd edition, Delhi, 2004, P. 133-156.