Hot Tub Mystery

2. List the questions raised about this situation or that you think that the investigators should ask of

2.1 To have an blood pressure maintenance we should maintain a healthy lifestyle, doing some exercises daily and eating healthier,

2) Based on these observations the investigators should ask the maid why the hot tub was at an unsafe temperature. Other areas of concern include the medication Mr. Underhill was on, what time the maid got home, and how long the Underhill’s had been dead upon arrival.

8. Which of the following information from the medical charts appears to play the least role in determining blood pressure?

2. List the questions raised about this situation or that you think that the investigators should ask of the

1. Why did Allen’s heart rate and blood pressure fall in this time of emergency (i.e. at a time when you’d expect just the opposite homeostatic response)? Pg. 969

3. What could the body have done to reverse the decreasing blood pressure, if it had been possible?

* Physical exercise was recommended as well. Previous research has proven that physical exercise and good diet can efficiently control the patient blood pressure.

2. The maid should be asked the following questions about the situation: Is the water usually this hot? If so, what temperature? When did you arrive at the home? When did you discover the bodies? Were the Underhill’s taking any medications?

The two priority problems for Mr. George are Hypertension and Diabetes (hyperglycemia). It has been demonstrated that arterial hypertension is major important determinant of heart diseases. The pathogenesis of hypertension is linked with multiple factors that include dietary, genetic, and patterns of lifestyle. The biological factors that determine hypertension include: atherosclerosis, resistance to insulin; hyper-responsiveness towards adrenalin based stimuli and dysfunction of endothelial cells. It was studied that the evidence suggests that decrease in the ratio of prevalence of high blood pressure gives rise to reduced ratio of cardiovascular related mortalities. It can be achieved through intervention with suitable medical therapy (Villalpando et al., 2010).

After Dr. Bilbrew left his son’s school, he was quickly on his way back to the hospital. While he was discussing with Dr. Baker some of the events that occurred while he was gone on the phone, he noticed a car halfway submerged into the lake 20 miles from the hospital. He drove to the car and saw two people on the inside. It was an elderly couple. Apparently, the driver had a seizure and ran into the lake. Dr. Bilbrew called the ambulance. He then successfully removed both people from the car. The driver was suffering from a head wound and the passenger was unconscious. Practicing CPR, Dr. Bilbrew was able to successfully help her to regain consciousness. Both people were admitted to the hospital in good condition. Later that evening, Dr. Bilbrew

In the 19th and 20th centuries, before effective pharmacological treatment for hypertension came about, the three main treatments were used. These included restricting the level of sodium intake through the rice diet for example, sympathectomy which was the surgical ablation of parts of the sympathetic nervous system and finally, pyrogen therapy which involved injecting substances that caused a fever which indirectly reduced blood pressure. However, all of these treatments had numerous side-effects. Globally, the overall percentage of raised blood pressure cases in adults aged 25 and over was around 40% in 2008. In terms of the world’s population, the proportion of people with high blood pressure or uncontrolled hypertension fell slightly

The victim’s death would first be ruled a homicide because he was find face down in the hot tub naked with the cover on the hot tub. Now until a full investigation is done as well as an autopsy the actual cause of death could not be determined. Therefore, if his death was in fact an accident there was someone with him when it happened but considering they were on someone else’s property without permission they could be charged with trespassing and did not want to get in any trouble. Therefore, they took everything that belonged to him and left the scene to keep from getting in

position, then their blood pressure would ne higher than when it was measured from the reclined

To start off the experiment, a baseline was needed in order to be able to compare the different variables through out the experiment. The subject was instructed to sit and relax quietly while the blood pressure cuff and pulse plethysmograph were placed properly. After the blood pressure was taken and analyzed, it was found that the subject’s blood pressure was 122/64 mm Hg and a pulse rate of 60 bpm. Now that the baseline was obtained, continuing with the changing variables could take place. Starting with the variable of postural changes, the subject first reclined for three minutes. After the two minutes, the