What previously occurring condition did Julie develop that most likely caused her sudden collapse in the emergency department.
Case study: Julie’s FlightJulie is a 65-year-oldgrandmother recently returned home to Victoria, BC, after visiting her daughterand four grandchildren who live in Australia. She tries to get through the longflights by watching several movies and then sleeping for as long as possible.She does not like to drink too much during the flight because of those annoyingline-ups for the washroom.A day after returninghome, Julie notices that her left leg is painful and swollen. The next morningthe pain in her left leg is worse and her leg is so swollen that she can’t evenfit her left foot into her slipper. She decides to visit the visits emergencyroom of the local hospital.While waiting for the doctor Juliebegins to feel faint and short ofbreath and experiences sudden, sharpchest pain, mostly on the right side. Hershortness of breath gets worse, as does the chest pain. Julie coughs andproduces sputum mixed with bright red blood. The nurse with Julie is alarmed;however, she remains calm, calls the emergency medical team and notes thefollowing:·The patient is extremely anxious and in a“cold sweat”·The skin around the patient’s mouth andher tonguehas a blue tinge·Pulse: 120 per minute·Blood pressure: 85/50 mmHg·Respiratory rate: 30 per minute
1. Based on her recent history andcurrent signs and symptoms, what condition is Julie likely experiencing? Foreach sign, symptom or fact from the case, give a brief explanation of how itsupports your diagnosis.
2.Wouldher blood pH likely be above or below normal levels and what would it signify?Explain your choice.
3. What previously occurringcondition did Julie develop that most likely caused her sudden collapse in theemergency department. Why did it occurand how did produce the condition that caused her collapse?
