╨╧рб▒с>■  #%■   "                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴ ┐э jbjbjкjк ╚╚э      ]ввввввв╥╥╥╥╥ ▐ ╥ЫъЎЎЎЎЎЎЎЎXZZZZZZ,ЕЇy|ЖвЎЎЎЎЎЖjввЎЎЎjjjЎFвЎвЎX╢─ввввЎXjюjXввXъ DUц╢╥╥<.XLearning Issues Hypostheses: Trauma Ц fractures, soft tissue damage, joint trauma, neurologic damageЕ. Is there trauma to abdominal/thoracic viscera? What is the urine output of the patient? Is there possible urologic damage? Is the age of the dog significant? Has bone growth ceased at 17 months of age for a large breed dog? What are the many potential causes of non-weight bearing on both hind legs? What is the significance of the superficial pain sensation in both hind legs? How extensive are the superficial skin abrasions? What is the significance of the deep pain sensation in both hind legs, tail/perineum? Why are the reflex responses inconsistent and not repetitive? How extensive is the swelling distal to the stifle of the right hind leg? Could there be other fractures/trauma to other bones distal to the tibia? What are the potential types of fractures of the midshaft area of the tibia? What are potential types of fractures of the upper femur? Since the left hind leg is swollen all the way down to the toes, could there be multiple fractures even though the bones and joints in the remainder of the leg appear intact and normal? How extensive is the damage to this leg? Since abnormalities could not be precisely localized to the femur, hip, joint, or pelvis, how could the exact locations of the abnormalities be identified? How is the diffuse subcutaneous fluid accumulation be significant? Since there is no evidence of pain or bone distortions along the spine upon palpation, could there still be some neurologic trauma? What is the plan of actionЕwhat further tests need to be conducted? Is the current supportive therapy sufficient? What types of surgeries are warranted? How should the abrasions be treatedЕwhat type of wound closure? What is the prognosis for this dog? What types of therapies will aid in his recovery? What types of physical therapy would be beneficial for this patient? Would the owner opt for neutering at the time of corrective surgery of the fractures/other possible problems? э hiШфIХkй=К─зC З O } д ф  :  э ¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤hiШфIХkй=К─зC З O } д ф  :  э ░╨/ ░р=!░"░#Ра$Ра%░ [4@ё 4NormalCJOJPJQJmH <A@Є б<Default Paragraph Fontэ       ээ э э T^╙█nv°яlq─╔vxя   Math EmporiumKMacintosh HD:Desktop Folder:Student's Folder:AutoRecovery save of Document2 Math Emporium?Macintosh HD:Desktop Folder:Student's Folder:Word Work File A 3 Math Emporium<Macintosh HD:Desktop Folder:Student's Folder:4learning_a.txt Math EmporiumLMacintosh HD:Desktop Folder:Student's Folder:AutoRecovery save of 4learning_ Math EmporiumLMacintosh HD:Desktop Folder:Student's Folder:AutoRecovery save of 4learning_ Math Emporium<Macintosh HD:Desktop Folder:Student's Folder:4learning_b.txt @Ауу╠ImeeуhYюaэP@GРTimes New Roman5РАSymbol3Р Arial3РTimes"qИ╨ha┌SFa┌SF!е└┤┤А20╨  Learning Issues Math Emporium Math Emporium■  рЕЯЄ∙OhлС+'│┘0lИРи┤╠╪ш   ( 4 @LT\d'Learning IssuesearMath EmporiumsathNormalpMath Emporiums2thMicrosoft Word 8.0d@@6д╥╩╢└@6д╥╩╢└■  ╒═╒Ь.УЧ+,∙о0 hpИРШа и░╕└ ╚ ф'Virginia Techsм Learning Issues Title ■    ■   ■    !■   ¤   $■   ■   ■                                                                                                                                                                                                                                                                                                                                                                       Root Entry         └F▓еб╢└&А1Table             WordDocument        SummaryInformation(    DocumentSummaryInformation8            CompObj    XObjectPool            ▓еб╢└▓еб╢└            ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ■      └FMicrosoft Word Document■   NB6WWord.Document.8