Health and Homeostasis 1 (91562)

Health and Homeotstasis 1 (91562)
PRC#, Group#: Sneha Khanal, Sunita Sapkota, Srijana Shrestha, Anjali Luitel Poudel
ASSESSMENT TASK 1 – CLINICAL CASE SCENARIO ANALYSIS
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SET #, CASE 1 – #Diagnosis#
(1) In the clinical case scenario, which symptoms (experienced by the patient like chest
pain) and signs (observed by another person like swelling or redness) are consistent
with the diagnosis?
The symptoms which has been mainly associated with the case study is neck
pain. The patient is have difficulty in mobility of the neck and also the arms
and legs. He is also showing urinary inconsistence. There also has been
depression as well as physical dysfunctioning seen (Shier et al. 2015).
(2) Given the symptoms and signs in the clinical case scenario, which organs, tissues
and/or body parts are involved or affected by the homeostatic disturbance?
The main body parts which are affected are the shoulder, chest, arms which
are affected by the homeostatic disturbances. There has been compression of
the occulomotor nerve on that side of brain which affects pupil the pupil.
Moreover the sensory stimuli has been affected as an imaginary line has been
drawn across the chest (Sherwood wt al. 2015).
(3) What processes are involved that can explain the homeostatic disturbance/s in the
clinical case scenario?
Spinal cord injury along with spinal infraction have been associated with
various neurological complications (Feher et al. 2017). This has ultimately led
to paraplegia. An important component of spinal cord injury as the ischemia
reperfusion injury which would lead to endothelial dysfunction along with
various changes in vascular permeability (Flor et al. 2015). Along with
endothelial cell damage spinal cord injury would lead to the ultimate failure in
the hemostatic process. Moreover ischemia reperfusion would lead to the
triggering of full blown inflammatory cascades which would arise due to innate
immune cells. There are two types of injury for spinal cord injury like the
mechanical injury along with compression and contusion. Moreover there is
thermodynamic instability. The process of commencing of the innate immunity
leads to microglia immunity activation along with stimulators neutrophil
inactivation. The process of hemodynamic instability would lead to the release
of the inflammatory mediators which would lead to the apoptosis of the oligo
dendrocytyes. This would be followed by the reduced blood flow along with
hemorrhage leading to the initiation of cyst formation along neuropathic pain.
Moreover this be followed edema leading to glial scar initiation which would
be followed by the destruction of the neural tissues followed by the activation
of microglia leading to destruction to neural cell death and neurogenic shock
(Lee et al.2014).
From the case study it could be seen that the patient would not feel any
sensation in the limbs. This would ultimately lead to a misbalance in the