Question

G.N., a 65-year-old African American man, was admitted to the hospital emergency department with partial-thickness burns that involved his face, neck, and upper trunk. He also had a lacerated right leg. His injuries occurred about 36 hours earlier when he fell out of a tree onto his gas grill (which was lit) while trimming tree branches.

Subjective Data

• Complains of a slightly hoarse voice and irritated throat

• States that he tried to treat himself because he does not have health insurance

• Has been coughing up sooty sputum

• Complains of severe pain in the left hip

Objective Data

Physical Examination

• Leg wound is gaping and has drainage: temperature 101.1° F (38.4° C)

• X-rays reveal a fractured right tibia and fractured left hip

Laboratory Studies

• WBC count 26,400/µL (26.4 × 10⁹/L) with 80% neutrophils (10% bands)

Interprofessional Care

• Surgery is performed to repair the left hip.

Discussion Questions

1. What clinical manifestations of inflammation did G.N. exhibit, and what are their pathophysiologic mechanisms?

2. What type of exudate formation did he develop?

3. What is the basis for the development of the temperature?

4. What is the significance of his WBC count and differential?

5. Because his wound was gaping, primary tissue healing was not possible. How would you expect healing to take place? What complications could he develop?

6. What risk factors does G.N. have to develop a pressure ulcer?

Answer 1

1) clinical manifestations of inflammation ( inflammation means response to any infection) are

-High body temperature or fever - fever is the defensive reaction of body against any infection .

-high WBC count and neutrophil count- WBC acts as a immune system of our body when any infection enter into the body WBC and more neutrophils are produced to produce antibodies against the antigens or infection.

2)leg wound is gaping and has drainage and it's called serous exudate.serous exudate means clear drainage.there are 4 types of exudates- serous (clear), Sanguineous (bloody),Serosanguineous(blood tinged), Purulent ( yellowish,greenish,Greyish)

3) temperature rises because of bodily antigens and antibody reaction ,chemical name as pyrogens flowed into the blood stream and some pyrogens acts on hypothalamus (temperature regulation center in brain) to increase body temperature , because some bacteria and virus es , antigens does not live in hightemperature .but sometimes it may got so high that time we have to treat to reduce fever

4)WBC count increases to fight against antigens or infection which are entered in body ,

Under Differential count Neutrophil is the major component of WBC which also fight against as bacteria,virus, antigens ,

5)

As beacause it's an open wound plus infection present and drainage also present ,so it will take 6 to 8 weeks or more

Complications are - tissue necrosis, amputation may be needed,edema

6)G.N prime to develop pressure ulcer because

He have hip fracture so immobility aor long term bed ridden condition can cause pressure ulcer.