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- CASE STUDY Ruth, a 25 year office worker, decided to visit the doctor’s office after noticing changes in her body. She complained of severe nausea, vomiting, stomach pains and loss in appetite. But her biggest worries are her frequent skin itching, bloated belly and apparent yellowish pallor. After physically examining Ruth, the doctor ordered several laboratory tests. These include CBC, Coagulation studies, blood chemistry and Serologic tests. The results showed Prolonged Prothrombin time, increased INR, decreased blood proteins such as albumin, elevated liver enzymes and bilirubin levels. Her serology was reactive for the Hepatitis B surface antigen, positive for Total anti-HBc but negative for the anti-HBe and anti-HBs Answer the following questions, using the medical information of Ruth. 1. What do you think is the health issue of Ruth? Provide medical evidence.CASE STUDY Ruth, a 25 year office worker, decided to visit the doctor’s office after noticing changes in her body. She complained of severe nausea, vomiting, stomach pains and loss in appetite. But her biggest worries are her frequent skin itching, bloated belly and apparent yellowish pallor. After physically examining Ruth, the doctor ordered several laboratory tests. These include CBC, Coagulation studies, blood chemistry and Serologic tests. The results showed Prolonged Prothrombin time, increased INR, decreased blood proteins such as albumin, elevated liver enzymes and bilirubin levels. Her serology was reactive for the Hepatitis B surface antigen, positive for Total anti-HBc but negative for the anti-HBe and anti-HBs 1. What do you think caused the liver disease of Ruth? Explain your answer2. What other hepatitis virus can infect Ruth?3. Is it an acute or a chronic infection? Explain your answerEtiology of chickenpox? Strengths & limitations of the surveillance system with chickenpox?
- Case study 2 40-year-old man with no history of any chronic liver disease, presented with acute liver failure (ALF). After carrying out extensive laboratory screening, it was suspected that the ALF was due to auto-immune liver disease namely Autoimmune Hepatitis. Answer the question with both details and clear, Discuss the pathophysiology of the disorder and critically evaluate current laboratory methods identify were relevant with overview of method aims and how it meets the pathophysiological criteria for the classification of the disorder.Explain why fever is accompanies the toxic overdoses of Aspirin drug?Explain why immunosuppressive drugs should be taken on aregular and permanent basis following a transplant.
- The Klein and Mancinelli (2021) textbook describes a Level IX and a Level X on the RLA. How would a clinician working in an outpatient facility find those extra levels useful when treating their clients with TBI?Case Study . Several persons working in an exercise gym acquired an acute disease characterized by fever, cough, pneumonia, and headache. Treatment with erythromycin cleared it up. The source was never found, but an environmental focus was suspected.a. What do you think might have caused the disease? b. People in a different gym got skin lesions after sitting in a redwood hot tub. Which pathogen could have caused that?Recognize behaviors or activities that would increase the risk ofcontracting Q fever.
- Case Study . A man went for a hike in the mountains of New York State and later developed fever and a rash. What two totally different diseases might he have contracted, and what could have been the circumstances of infection?a. Explain the rationale for each of the followingwith acute inflammation: (i) warmth, (ii) fever.b. State three systemic signs of inflammation.Case study : Ms. X, a 32-year-old Hispanic woman, has had a history of intermittent pleuritic chest pain and joint pain for the past several years. Recently, she went to her physician because she noticed that an erythematous, butterfly-shaped rash had appeared on her face. Further lab tests indicated protein in her urine. Her blood test indicated the presence of numerous antinuclear antibodies, especially anti-DNA, and mature neutrophils containing nuclear material. A diagnosis of systemic lupus erythematosus (SLE) was made. Discussion Questions 1. Discuss possible reasons why SLE was not diagnosed earlier 2.Discuss how the presence of antibodies can cause such widespread damage in organ systems. 3. Discuss possible manifestations of SLE 4. Discuss treatments for SLE and a prognosis for the patient in this case.