PATIENT JOHN DOE MEDICAL EXAMINATION AND MEDICAL HISTORY

Case Study:
You are a first-year RN student and you volunteered to work for San Antonio Hospital in the ER Department. Patient John Doe was brought by the ambulance after he collapsed at work. The triage nurse is assessing him for further evaluation by the ER Physician on duty. Based on your study of Anatomy and using your critical thinking skills, you were given the following criteria about Mr. Doe:
1. Personal History: 65 years old, married with two children.
2. Medical History: Diabetes Mellitus, Hypertension, Renal Stones, Anemia, Acne, Prostatic Hyperplasia, Muscular Dystrophy, Hemiplegia, Coronary Artery Disease, G.E.R.D. and ED.
The Triage Nurse
Prostatic Hyperplasia: As men age they are more prone to experience enlargement of their prostate glands. Mr. Doe is experiencing this condition which is more common for men his age, due to the homeostatic disturbance in his hormones and cellular growth.
Muscular Dystrophy: Muscle fibers in a normally functioning system are extremely touch and resistant to damage and injury. In a person who is suffering from muscular dystrophy these fibers become weaker gradually over time and become more susceptible to damage. This is caused to defective genes that are involved in making proteins that protect the muscle fibers. Disturbance in homeostasis could factor that is responsible for some of these genetic mutations.
Hemiplegia: Most people have normal functions with movement on both sides of their body. When someone like Mr. Doe suffers from one side of their body having the same paralysis and limitations of movement. This is most often the leading culprit that is heard about hemiplegia. The homeostatic disturbance in Mr. Doe’s system related to HTN which could also be what is causing his movement disorder. Having a stroke could also be responsible for this condition and may have gone un-detected and untreated because Mr. Doe may not have realized he was having a stroke.
Coronary Artery Disease (CAD): The coronary arteries (which are the major blood