Assignment 2: Case Study AnalysisOrder DescriptionFor this assignment you may choose a case from your clinical practice (innegotiation with your topic coordinator) or evaluate the case below and chooseone (1) potential differential diagnosis that relate to PARA2000 topic content.Please de-identify the case – no place or name identifiers. If you have notattended a case or a case you feel comfortable discussing then two cases will beprovided for you to choose from.(You may NOT choose acute coronary syndromes (ACS) as they have beendiscussed in your previous assignment).The case study will provide you with an opportunity to discuss:? Key clinical signs of the case? The pathophysiology of your diagnosiso Related signs and symptoms, assessment and managementincluding:? Vital sign interpretation? ECG? Current management practiceso Paramedic Managemento Hospital emergency management (first 24hours only)? A critique on the evidence supporting the management practicesYou are required to demonstrate a thorough understanding of thepathophysiology and provide rationales for your diagnosis and interventions.It is expected that you research the condition from both text books and currentliterature. At least five journal articles are expected to be part of your literaturesearch (Less than 10 years old). You will also review the clinical practiceguidelines of at least two (2) Australian state clinical practice guidelines. Thegoal is to provide up to date evidence based practice for the management of thepatient’s condition.Higher grades will be awarded for evidence of extensive use of literature and acritical evaluation of the care provided for the patient.1500 word limitPARA2000 Pathophysiology 1 – Cardiovascular 2016Case Scenario 1Situation: You have been called to the home of a 87 year old woman,Chantelle, who has experienced an episode of syncope and chest pain.Background: The patient has a history of has been complaining of feelingincreasingly unwell for the last 24 hours with pain in her chest.PMHx: HT, Angina diagnosed 28 years ago, angioplasty (successful), MIx2, CABG x 2, Asthma, GORD, OAMed’n: Atenolol, ramipril, GTN spray, transiderm-nitro patch,atorvastatin, salbutamol inhaler, symbicort inhaler, pantoprazole, aspirin,Plavix, paracetamol PRN,Allergies: MorphineComm. Diseases – Nil Known, up to date with vaccinationsSocial Hx: Lives with partnerFamily Hx: Father died of CVA, mother died in fatal MVCAlcohol: SocialSmoking: Stopped 20 years ago (30/day)Assessment: When you arrive you find the patient looking distressed.Vital signs: BP 90/60, PR 105, RR 28, SpO2 96%, T35.1°C,Appearance: Pale, cool, clammy, distressedCase Scenario 2Situation: You have been called to a military parade where a soldier has had anunconscious collapse.Background:PMHx: UnknownMed’n: Paracetamol PRN,Allergies: NKDAComm. Diseases – Nil Known, up to date with vaccinationsSocial Hx: Lives with partnerFamily Hx: Parents living, paternal grandfather died suddenly aged 38 –no autopsy, grandmothers both living.Alcohol: SocialSmoking: Non smokerAssessment: When you arrive you find the patient supported by colleagues inthe left lateral position.Vital signs: BP 63/38, PR 135, RR 28, SpO2 91%, T36.9°C,Appearance: Fit looking young man, pale, cool, clammy, fluctuatingconscious stateYou are expected to:? outline your potential diagnosis and defend your diagnosis frompathophysiology.? provide an ECG appropriate to your diagnosis and explain why.PARA2000 Pathophysiology 1 – Cardiovascular 2016? outline the paramedic management of your patient, including the vitalsigns and defend how these align for your potential diagnosis against theA&P. Please see example for further clarification. (You may outlinetreatment up to the first 24 hours in hospital)