For this case study, one of the more important bits of information would be the fact that the woman showed an enlarged pancreas and liver. Based on this, I know to look for an illness involving issues regarding the liver. Also, it is important to note that she is suffering from acute upper abdominal pain. Due to these symptoms, I think the woman is infected with the sheep liver fluke, Fasciola hepatica. F. hepatica is a parasite whose intermediate host is the snail. After leaving the snail, the free-swimming parasites live on water plants, such as watercress, which are then ingested by humans, initiating the infection. Once ingested, the larval flukes invade the duodenal wall, penetrate the liver capsule, pass through the liver, and then enter
DIAGNOSTIC DATA: White count was 13.4, hemoglobin and hematocrit 15.4 and 45.8, platelets 206, with an 89% shift. Sodium 133, potassium 3.7, chloride 99, bicarb 24, BUN and creatinine are 18 and 1.1, respectively. Glucose 146, albumin 4.3, total bilirubin 1.7. The remainder of the LFTs is within normal limits. Urinalysis reveals trace ketones with 100mg per decilitre protein and a small amount of blood. CT scan was performed revealing evidence of acute appendicitis with pericecal inflammation, as well as, dilatation of the appendix and
Mrs. Butter had a 3-day history of progressive fevers, nausea, and vomiting. She presented to the
As the Directors at Sharp Reese Medical Facility it is important to raise awareness about the importance of the liver to the human body and the many important functions that it performs for the body such as digestion and the filtration of toxins and drugs from
diverticulitis. The patient has no diet regimen, which may be the likely cause of his
Mr. Wilson is a 47 year old man being evaluated for complaints of fatigue, anorexia and abdominal distention. On examination, it is noted that the skin is jaundiced and the liver enlarged. D.W. denies significant alcohol or drug use. He denies any known exposure to hepatitis and has never been vaccinated for hepatitis. He is taking no medication. Laboratory tests reveal the following and a diagnosis of acute hepatitis B is made:
No scalp lesions. Dry eyes with conjunctival injection. Mild exophthalmos. Dry nasal mucosa. Marked cracking and bleeding of her lips with erosions of the mucosa. She has a large ulceration of the mucosa at the bite margin on the left. She has some scattered ulcerations on her hard and soft palette. She has difficulty opening her mouth because of pain. Tonsils not enlarged. No visible exudate. SKIN: She has some mild ecchymosis on her skin and some erythema, she has some patches but no obvious skin breakdown. She had some fissuring in the buttocks crease. PULMONARY: Clear to precussion and auscultation, bilaterally. CARDIOVASCULAR: No murmurs or gallops noted. ABDOMEN: Soft, non-tender, protuberant, no organomegaly, and positive bowel sounds. NORALOGIC EXAME: Cranial nerves ii – xii are grossly intact, diffuse hyporeflexia. MUSCULAR SKELETAL: Erosive destructive changes in elbows, wrist, and hands consistent with rheumatoid arthritis. Has had bilateral total knee replacements with stovepipe legs and perimalledal pitting edema 1+. I feel no pulse distally in either leg. PHYCIATRIC: Patient is a little anxious about these new symptoms and there significance. We discussed her situation and I offered her psychiatric services, she refused for now.
In this experiment, both Coproantigen ELISA and Serology indirect ELISA were carried out on samples from a farmer which suspected his herds are suffering from Fasciola hepatica infection. The aim of this experiment is to find out if the samples are positive for Fasciola hepatica infection and discuss the difference between two tests.
The 20-year old male was experiencing nausea and diarrhoea; a common result of mushroom poisoning due to the gastrointestinal irritants contained within the mushrooms. However, considering these symptoms alongside the abdominal pain and tender liver, suggested inflammation of the liver, problems with liver function and hence suspected acute hepatitis or liver failure. Biochemical tests were performed to test the function of the liver and the results were as shown in Table 1. These tests were used to estimate the severity of the disease and hence the likelihood of the continuation into acute liver failure.
Upon inspection the contour of the patients abdomen was rounded, symmetric, color appropriate to genetic background, striae present, 6 to 8 round bruises from subcutaneous injections. No apparent pulsations, masses, lesions, rashes, wounds, ascites, scars, or hernias present. Auscultated bowel sounds in all four quadrants; hyperactive sounds heard in lower right quadrant, hyperactive sounds heard in upper right quadrant, normoactive bowel sounds in upper left quadrant, and hyperactive bowel sounds heard in lower left quadrant. Auscultated the aorta, renal arteries, and iliac arteries for vascular sounds, no bruits heard. Lightly palpated the abdomen in all four quadrants, patient felt tenderness on bruised areas, no masses present, abdomen distended. Percussed the abdomen in all four quadrants noting the predominately tympanic in all four quadrants and minimum dullness. The patient’s last bowel movement was around 0830, loose, with no pain. The patient stated having three to five loose bowel movements daily and that, “several bowel movements a day was common for her.” The patient describe the characteristics of her bowel movement as “watery, stinky, and not a large amount”. No prescription medication related to the abdomen. However, patient takes over the counter medication for frequent bowel movements at home. No surgeries related to the abdomen. No laboratory data related to the
“I always knew I had a greater purpose than my regular 8-5 job," Falicia Fracassi of Fracassi Lashes said. Even when working in customer service, “Ladies would stop me on my break and they would talk to me about beauty ideas. I discovered that small changes in a woman’s beauty routine made them happier. I knew it was time for me to go at this full-time. I didn’t see anything past that but my own business–specifically eyelashes. I had always seen it as a side hobby, but it began to take over my life. People began to know me as the eyelash lady
In the year of 1958 Jeannie Peeper was born. The mother noticed that Jeannie had short, crooked toes and was concerned. The doctor didn’t think anything of it and he put braces on her toes and sent them home. When Jeannie’s mother saw red lumps appearing on her back and head she became anxious. She also noticed that Jeannie’s jaw wouldn’t open as widely as her other childrens did when they were her age. Because of this she took Jeannie back the doctor and at the age of four where she was diagnosed with fibrodyplasia ossificans progressiva (Carl Zimmer, 2013).
Cirrhosis is the 11th leading cause of death by disease in the United States. Almost one half of these are alcohol related. About 25,000 people die from cirrhosis each year.
Mary Smith, Female, 56 years old, presented to Emergency Department with abnormal Chest Xray, fever, chills and generalized weakness on Friday, 10/31/2014. Per patient, she came to visit her physician after she started feeling abnormally tired at work. After consult, physician ordered Chest Xray that showed bilateral infiltrates in lungs. Given previous lung disease history, and history of COPD, physician suggested a visit to a local Emergency Room, after which Mary Smith was admitted to an outpatient unit for observation. Additional investigation of past medical history revealed that patient has Chronic Pneumonia due to Mycobacterium Avium Complex and Gastroesophageal reflux disease. Admission history revealed that Mary Smith lives with her spouse and work in a local retail store. Patient denied smoking history, alcohol consumption history, drug use history. Psychosocial assessment revealed that patient’s house was burglarized few months ago, otherwise no other stressful factors added. Patient presented with no known allergy history. Current medication assessment showed that patient takes probiotics,
Transmission of the parasite can occur in several different ways. Direct transmission can occur by handling infected animal or human feces. One quarter of reported direct transmission infections occurred by direct contact with feces, while the rest were reported to have happened by person to person contact (Donnelly & Stentiford, 1997).
Not only are humans threatened by viral and bacterial infections, there are various parasites that also invade the human body. Parasitic infections are common in underdeveloped countries and are a prominent threat in rural areas. Though parasitic infections are known to happen in well-developed countries such as the United States. Contaminated water supplies, contact with infected animals, and improperly stored and cooked food can lead to parasitic infections. Parasites like tapeworms, protozoa, flukes, and nematodes can infect humans, causing serious health issues. These parasites enter through various parts of the body, and then live and reproduce in certain organs. Though there are many points of entry into the human body, most parasites enter