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Case study 3 (Total 20 marks) A 60-year-old patient, Tim, has a history of hypertension presents with symptoms including shortness of breath, fatigue and swelling in the lower legs. Scans reveal that the left side of the heart is failing to pump blood effectively, and there is increased venous pressure. Explain how the heart’s dysfunction leads to these symptoms, referring to the physiological mechanisms involved. (10 marks) NOTE: Your discussion should cover: The affected structure of the circulatory system The role of the left ventricle in circulation and the consequences of its dysfunction How heart failure leads to the symptoms described 2.Ross, a 40-year-old patient, has persistent leg swelling, recurrent lower limb infections, and difficulty breathing when lying flat. Diagnostic imaging shows lymphatic obstruction and fluid buildup in the tissues. Ross has the same symptoms of fluid retention, swelling, and breathing difficulties as per Tim in part (A). Explain how lymphatic obstruction can be differentiated from hear failure based on physiological mechanisms, diagnostic findings, and the clinical presentation. (10 marks) NOTE: Your discussion should cover: Physiological differences between circulatory and lymphatic dysfunction Diagnostic tests and clinical signs that help distinguish between the two conditions Possible reason underlying clinical presentation of swelling Provide citation and references.
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