Eva Foster MF2 Hematology
Activity
Tutorial
Mrs. Foster is a 50-year-old female who comes to the ER complaining about some chest discomfort that seems worse when she takes a breath in and shortness of breath. She also feels like her heart is racing. Her past medical history is unremarkable except for mild hypertension. She usually takes an aspirin a day because she heard it was a good idea to take it, but she stopped taking it one week ago when she noticed some blood in her stool. She thinks her mother may have had a blood clot in her leg during one of her pregnancies. Mrs. Foster is married with no children. On physical examination in the emergency room, her HR is 110/min, RR 28/min, BP 122/70, oxygen saturation 86% on room air. Her chest and precordial exam are normal. Her left leg is normal in colour, slightly warm and edematous. The circumference of her left calf is 3 cm larger the circumference of her right calf. She complains of pain when you palpate behind her knee. Her pedal pulses are palpable. The ER staff person calculates her Wells Score and based on the result, orders a D-dimer blood test.

Curriculum Block

Hematology / Medical Foundation 2 / Part 2 / Week 3
- Indicates most relevant

Objectives

General Objectives
Global Objectives

Assessments

End-Unit Tutorial Assessment
Concept Application Exercise (CAE)

Tags

Basic Sciences
Genetics Pharmacology Therapy
CanMEDS Roles
Engage in stewardship of health care resources Leader/Manager
Curriculum Block
Hematology Medical Foundation 2 Part 2 Week 3
Curriculum Week
Part 2 Week 6
Discipline
Emergency Medicine Hematology
MCC Presentations
Chest Pain Dyspnea Localized Edema Prevention of Venous Thrombosis
McMaster Program Competencies
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations 6.7 Incorporate cost, risk-benefit analysis and resource stewardship in patient and/or population-based care.
MeSH
Cardiovascular Physiological Phenomena [G09.330] Anticoagulants [D27.505.954.502.119] Aspirin [D02.241.223.100.380.800.075] Blood Coagulation Disorders [C15.378.100] Blood Coagulation Factors [D12.776.124.125] Blood Coagulation [G09.188.124.560.150] Chest Pain [C23.888.646.215] Coagulation Protein Disorders [C15.378.100.141] Drug Therapy [E02.319] Dyspnea [C23.888.852.371] Edema [C23.888.277] Health Care Costs [N05.300.375] Health Resources [N03.349.340] Health Resources [N05.300.420] Hemodynamics [G09.330.380] Heparin [D09.698.373.400] Pain [C23.888.592.612] Pharmacologic Actions [D27.505] Platelet Activation [G09.188.124.560.600] Pulmonary Embolism [C08.381.746] Therapeutic Uses [D27.505.954] Venous Thrombosis [C14.907.355.830.925]

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