Michael X, a 25-year-old aspiring nursing student with a history of polycystic kidney disease was shot in the chest and abdomen. On admission to the emergency room (ER), the first radiograph of the chest revealed a 6.4 mm bullet in the heart and the second bullet was located in the abdomen.
Using a minimum of 5 references (retrieved from either a science textbook or a scientific peer-reviewed journal) answer the following questions below.
Questions:
Upon evaluation of Michael’s condition, the ER physician concluded that the bullet entered between the 4th and 5th intercostal space and lodged into the left ventricle. What is the correct order of serous membranes and body cavities that the bullet could penetrate before lodging into the left ventricle?
The detectives assigned to the case were swift in retrieving the 0.25 caliber pistol that was used in the shooting. At the crime scene, they also collected DNA samples and fingerprints on the gun. As part of the team assigned to this case, explain why your team collected these pieces of evidence from the crime scene?
The MRI revealed a pericardial effusion. Describe how pericardial effusion can affect the anatomical structures and function of the heart.
Michael sustained an ankle injury during the incident. Describe the different types of bone joints that may have been affected.
Considering that the bullet hit the phrenic nerve. Describe the effect of the injury to the major muscle supplied by this nerve. Discuss the three types of muscle tissue, (include microscopic slides of these tissues) and classify the type of muscle tissue of the affected muscle.
Gunshot wounds to the chest are always associated with major blood loss and disruption of blood flow through the heart. Michael X is AB+. What blood type should he receive and why?
Michael X was moved to the ICU due to low oxygen saturation levels as measured by the oximeter and was complaining of dyspnea. A tracheostomy was indicated to mitigate his situation. Based on this information, describe what tracheostomy is and trace the pathway of air to the lungs after the tracheostomy was performed.
Michael became paraplegic due to the bullet reaching the lumbar segment of the spinal cord. Describe the transverse section of the spinal cord including the meninges and indicate the affected plexus that caused the loss of function.
Several organs in the abdomen were affected due to the second gunshot. The bullet reached the retroperitoneal space; what digestive and endocrine organs may have been affected. Please include the functions of these organs that may have been compromised.
Polycystic kidney disease is an inherited disorder in which portions of the nephron become structurally abnormal resulting in the growth of cysts within the kidney. As indicated in this case study Michael X has a medical history of polycystic disease. Trace the correct pathway of glomerular filtrate from the kidneys (i.e. starting at the renal corpuscle) to the urinary bladder
ANAT 260 BL Signature Assignment Rubric
ANAT 260 BL Signature Assignment Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeQuestion 1
10 to >8.0 pts
Excellent
Mentions the correct order of serous membranes and body cavities penetrated by the bullet
8 to >6.0 pts
Above Average
Mentions the correct order of some of the serous membranes and some body cavities penetrated by the bullet
6 to >4.0 pts
Sufficient
Mentions some of the serous membranes and some body cavities without the correct order penetrated by the bullet
4 to >3.0 pts
Minimal
Mentions some of the serous membranes and omit body cavities penetrated by the bullet.
3 to >0 pts
Poor
Does not mention any serous membranes or body cavities penetrated by the bullet
10 pts
This criterion is linked to a Learning OutcomeQuestion 2
5 to >4.0 pts
Excellent
Demonstrates an understanding of the cell and basic knowledge of the integumentary system
4 to >3.0 pts
Above Average
Demonstrates some understanding of the cell and basic knowledge of the integumentary system
3 to >2.0 pts
Sufficient
Demonstrates some understanding of the cell but not the basic knowledge of the integumentary system
2 to >1.0 pts
Minimal
Does not demonstrate any understanding of the cell but demonstrates the basic knowledge of the integumentary system
1 to >0 pts
Poor
Does not demonstrate any understanding of the cell or basic knowledge of the integumentary system
5 pts
This criterion is linked to a Learning OutcomeQuestion 3
10 to >8.0 pts
Excellent
Describes all the anatomical structures affected by pericardial effusion and function of the heart
8 to >6.0 pts
Above Average
Describes some anatomical structures affected by pericardial effusion and function of the heart
6 to >4.0 pts
Sufficient
Does not describe the anatomical structures affected by pericardial effusion but mentions some functions of the heart
4 to >3.0 pts
Minimal
Describes the anatomical structures affected by pericardial effusion but not the function of the heart
3 to >0 pts
Poor
Does not describes any understanding of the anatomical structures affected by pericardial effusion or the function of the heart
10 pts
This criterion is linked to a Learning OutcomeQuestion 4
10 to >8.0 pts
Excellent
Describes all the bones and joints affected by the accident
8 to >6.0 pts
Above Average
Describes some of the bones and joints affected by the accident
6 to >4.0 pts
Sufficient
Describes bones affected by the accident
4 to >3.0 pts
Minimal
Describes joints affected by the accident
3 to >0 pts
Poor
Does not describe any bones or joints affected by the accident
10 pts
This criterion is linked to a Learning OutcomeQuestion 5
5 to >4.0 pts
Excellent
Mentions and describes the effect of injury on the diaphragm, discuss the three types of muscle tissues, classify the type of muscle tissue, and includes three microscopic slides
4 to >3.0 pts
Above Average
Mentions and describes the effect of injury on the diaphragm, discuss some types of muscle tissues, classify the type of muscle tissue, and includes three microscopic slides
3 to >2.0 pts
Sufficient
Mentions the effect of injury on the diaphragm, discuss some types of muscle tissues, classify the type of muscle tissue, and includes two microscopic slides
2 to >1.0 pts
Minimal
Does not mention or describes the effect of injury on the diaphragm, but mentions some types of muscle tissues and includes one microscopic slide
1 to >0 pts
Poor
Does not mention, describes the effect of injury on the diaphragm, the types of muscles tissues or include any microscopic slides.
5 pts
This criterion is linked to a Learning OutcomeQuestion 6
10 to >8.0 pts
Excellent
Demonstrates an understanding of the ABO blood types and all the effects of blood mismatch
8 to >6.0 pts
Above Average
Demonstrates some understanding of the ABO blood types and all the effects of blood mismatch
6 to >4.0 pts
Sufficient
Demonstrates some understanding of the ABO blood types and some of the effects of blood mismatch
4 to >1.0 pts
Minimal
Demonstrates some understanding of the ABO blood types but not the effects of blood mismatch
1 to >0 pts
Poor
Does not demonstrate an understanding of the ABO blood types or the effects of blood mismatch
10 pts
This criterion is linked to a Learning OutcomeQuestion 7
10 to >8.0 pts
Excellent
Describes the steps of tracheostomy and mentions all the tissues incised and the correct order of the anatomical structures through which air will flow to the lungs.
8 to >6.0 pts
Above Average
Describes some steps of tracheostomy and mentions all of the correct order of the anatomical structures through which air will flow to the lungs.
6 to >4.0 pts
Sufficient
Describes some steps of tracheostomy and mentions some of the correct order of the anatomical structures through which air will flow to the lungs
4 to >1.0 pts
Minimal
Describes some steps of tracheostomy and but does not mention the correct order of the anatomical structures through which air will flow to the lungs
1 to >0 pts
Poor
Does not describes the steps of tracheostomy or mentions any of the correct order of the anatomical structures through which air will flow to the lungs
10 pts
This criterion is linked to a Learning OutcomeQuestion 8
10 to >8.0 pts
Excellent
Demonstrates an understanding of the transverse section of the spinal cord including the meninges and affected plexus by the accident
8 to >6.0 pts
Above Average
Demonstrates some understanding of the transverse section of the spinal cord including the meninges and affected plexus by the accident
6 to >4.0 pts
Sufficient
Demonstrates some understanding of the transverse section of the spinal cord not including the meninges and affected plexus by the accident
4 to >1.0 pts
Minimal
Demonstrates some understanding of the transverse section of the spinal cord
1 to >0 pts
Poor
Demonstrates no understanding of the transverse section of the spinal cord including the meninges and affected plexus by the accident
10 pts
This criterion is linked to a Learning OutcomeQuestion 9
10 to >8.0 pts
Excellent
Lists all the digestive and endocrine organs affected by the passage of the bullet including their functions.
8 to >6.0 pts
Above Average
Lists some of the digestive and endocrine organs affected by the passage of the bullet including their functions.
6 to >4.0 pts
Sufficient
Lists some of the digestive organs affected by the passage of the bullet including their functions.
4 to >1.0 pts
Minimal
Lists some of the endocrine organs affected by the passage of the bullet including their functions.
1 to >0 pts
Poor
Does not list the digestive or endocrine organs affected by the passage of the bullet or their functions.
10 pts
This criterion is linked to a Learning OutcomeQuestion 10
15 to >10.0 pts
Excellent
Lists all the macroscopic and microscopic structures in the correct order through which the urine passes to reach the urinary bladder
10 to >5.0 pts
Above Average
Lists some of the macroscopic and some of the microscopic structures in the correct order through which the urine passes to reach the urinary bladder
5 to >2.5 pts
Sufficient
Lists some of the microscopic structures in the correct order through which the urine passes to reach the urinary bladder
2.5 to >2.0 pts
Minimal
Lists some of the macroscopic structures in the correct order through which the urine passes to reach the urinary bladder
2 to >0 pts
Poor
Does not list any macroscopic or microscopic structures in or the order through which the urine passes to reach the urinary bladder
15 pts
This criterion is linked to a Learning OutcomeReferences
5 to >4.0 pts
Excellent
Paper is organized in an APA format and provides a minimum of five references which include in-text citation
4 to >3.0 pts
Above Average
Paper appears to be somewhat organized in APA format and provides four references which include intext citation
3 to >2.0 pts
Sufficient
Paper is not organized in APA format but provides three references which include at least two in-text citation
2 to >1.0 pts
Minimal
Paper is not organized in APA format, but provides two references which include one in-text citation
1 to >0 pts
Poor
Paper is not organized in an APA format and provides no references or in-text citation
5