Anyone Who Had a Heart: A Case Study in Physiology
Question 1
What
are the major structural diff erences between the fetal and the adult human heart? Draw and label these diff erences on your diagram of the fetal heart. How do these structures alter the circulation of blood?
Question 2
Why is the pulmonary circulation reduced in the human fetus?
Question 3
Are heart rates of 130 to 160 normal in a human fetus?
Question 4
What vital signs or symptoms do the two babies exhibit?
Question 5
What is cyanosis?
Question 6
Would you be alarmed that Brianna has cyanosis and Christopher does not? Why?
Question 7
Why would the cyanotic baby have a faster breathing rate?
Question 8
What are the possible diagnoses for Brianna’s condition at this time? For each diagnosis that you come up with, describe the signs or symptoms that relate to that diagnosis.
Question 9
What are the possible diagnoses for Brianna’s condition at this time? For each diagnosis that you come up with, describe the signs or symptoms that relate to that diagnosis.
Question 10
What additional signs or symptoms do the two babies exhibit?
Question 11
What creates the lub heart sound?
Question 12
What creates the dub heart sound?
Question 13
What is a heart murmur?
Question 14
Do murmurs have diff erent sounds and are they correlated with different problems?
Question 15
What creates the whirring sound between the lub and the dub in Brianna’s heart?
Question 16
What are the possible diagnoses for Brianna’s condition at this time? For each diagnosis that you come up with, describe the signs or symptoms that relate to that diagnosis.
Question 17
If you were the pediatrician, what tests would you perform to help you narrow the possible diagnoses for Brianna’s condition?
Question 18
What new signs or symptoms do the two babies exhibit?
Question 19
What are the possible diagnoses for Brianna’s condition at this time? For each diagnosis that you come up with, describe the signs or symptoms that relate to that diagnosis.
Question 20
If you were the pediatrician, what tests would you perform to help you narrow the possible diagnoses for Brianna’s condition?
Question 21
What are the possible diagnoses for Brianna’s condition at this time? For each diagnosis that you come up with, describe the signs or symptoms that relate to that diagnosis. Try to think logically—sometimes the line of reasoning and the correct questions are more important than the answer.
Question 22
Does a heart murmur necessarily indicate a dysfunctional valve? What other defects could produce the murmur heard through the stethoscope?
Question 23
Does this diagnosis fit Brianna’s vital signs?
Question 24
What created Brianna’s heart murmur?
Question 25
Why is Brianna’s blood pressure lower than Christopher’s?
Question 26
Why is Brianna’s blood pressure lower than Christopher’s?
Question 27
Is it reasonable that Brianna’s arterial PO2 is the same as Christopher’s?
Question 28
Why is Brianna breathing rapidly and deeply?
Question 29
Do you think Brianna’s blood pressure is normal? Explain your answer.
Question 30
Why is Brianna congested?
Question 31
What is the long-term treatment for Brianna’s condition?
Anyone Who Had a Heart: A Case Study in Physiology Question 1What are the major structural diff erences between the fetal and the adult human heart? Draw andlabel these differences on your…
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