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Pathophysiology ( paramedic ) - Case Study Example

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Emergency medical facilities and the paramedics provides care to sustain life during the pre-hospital environment, at the point of injury or illness and usually in an emergency situations. This is very important activity especially during the assessment and the initial medical…
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Pathophysiology ( paramedic )

This paper outlines three differential diagnoses for a case, their respective pathophysiology and current management practices for those diagnoses.
The case diagnosed in this paper is about a 62 year old man who collapsed at a shopping centre at about 10:30 am after feeling extremely dizzy. The man who is also living alone had experienced an episode of falling from stairs eight months ago without any major injury. Although the man is a wake and sitting on the ground, he shows signs of drowsiness and disoriented and has difficulty in talking. The man insists on going home even though his eyes suddenly move upwards and in a few seconds he begins a seizure. The key symptoms in this case are drowsiness, difficulty in talking, dizziness, difficulty in talking and seizure. The history such as episodes of falling, age, time of incident and the fact the he lives alone are also crucial and important information in obtaining accurate differential diagnoses.
This paper will discuss hypoglycaemia, hypotension and stroke including their pathophysiology pre-hospital management and medication, complications that may arise and current research and knowledge gaps. The rationale for these three diagnoses for this condition have been based on the key diagnostic signs presented by the patient that include; drowsiness, difficulty in talking, dizziness, and seizure as well as the past medical history of the patient.
The brain metabolism relies primarily on glucose to supply energy necessary for metabolism. When levels in blood drop below a certain levels normally 0.55nm, subtle reduction in the mental efficiency of the brain occurs and results into the impairment of judgment resulting into symptoms like seizures (Stefanova & Hill, 2013 p.45). Small quantities of glucose can be derived from the stored glycogen within the astrocytes; however ... Read More
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