PBL Sessions: Vascular Diseases 1


Return to the Main Menu


Page 2

Physical Examination (Robert): He appears in no acute distress. Vital signs: temperature 37.1 C, pulse 80/min, respiratory rate 16/min, and blood pressure 140/85 mm Hg. Lungs clear to auscultation. Heart rate regular with no murmurs. Abdomen non-tender with bowel sounds present. Pain with deep palpation in the suprapubic region. No abnormal findings on rectal exam, with stool negative for occult blood. Pulses equal and 2+ in all extremities, except 1+ for dorsalis pedis and posterior tibial pulses. Focal 1 cm erythematous area on left great toe with loss of overlying skin and eschar formation. PERRLA. EOMs normal. Cranial nerves II - XII intact. No focal neurologic deficits, except for decreased sensation to light touch over lower extremities. Ht 6' 1" (185 cm); weight 262 lb (119 kg); waist circumference 42 inches (107 cm), hip circumference 39 inches (99 cm).

Physical Examination (Valerie): She is in no acute distress. Vital signs: temperature 37.0 C, pulse 74/min, respiratory rate 15/min, and blood pressure 130/80 mm Hg. Lungs clear to auscultation. Heart rate regular with no murmurs. Abdomen tender to palpation in right upper quadrant. Bowel sounds present. No abnormal findings on rectal exam, with stool negative for occult blood. Pulses equal and 2+ in all extremities. PERRLA. EOMs normal. Cranial nerves II - XII intact. No focal neurologic deficits. Ht 5' 7" (170 cm); weight 191 lb (87 kg); waist circumference 35 inches (89 cm); hip circumference 38 inches (96.5 cm).

Calculate the BMI for everyone in this family:

Name Age Height Weight
Robert356' 1" (185 cm)262 lb (119 kg)
Valerie325' 7" (170 cm)191 lb (87 kg)
Vickie125' 5" (165 cm) 90 lb (41 kg)
Wayne 43' 5" (105 cm) 46 lb (21 kg)
Doris615' 3" (160 cm)147 lb (67 kg)

Tasks

  • What should the normal range of BMI be for each of these family members?

  • What problems can you identify for these family members?

  • What hypotheses can you suggest that might be causing his problems?

  • Explain your reasoning for the hypotheses you choose.

  • What learning issues are being identified?

  • What additional information might you request?

Arret !! Accomplissez les discussions et les chargez avant de se déplacer à la prochaine page.