NAME: ID# : Digestive System Case Studies 9198 You are an emergency room (ER) do
ID: 256265 • Letter: N
Question
NAME: ID# : Digestive System Case Studies 9198 You are an emergency room (ER) doctor that is working the night shift and are presented with several patients over the course of your week at work. Your job is to report out at the end of the week with your findings on various digestive system conditions or diseases, including information about each of the patients you have seen. Case Study #1 Diagnosis:- 1) What's wrong with Sarah? What's the cause? 2) What symptoms did she have that led to the diagnosis? 3) What is your treatment for Sarah? 4) What is the mortality rate? What is the primary cause of death in these cases? 5) Two organ systems are primarily affected by botulism. What are they? Case Study #2 Diagnosis: 1). What is Pei'sproblem? What is it caused by? 2.) Which diagnostic test(s) are used to diagnose the problem? 3). How is it treated? Does the person have to avoid milk products for the rest of their lives? 4). Why is Pei's ethnicity important with the diagnosis?Explanation / Answer
Case study #1
Diagnosis Botulism
Answer 1. Sarah has been diagnosed with botulism. The cause for it is she has consumed contaminated food that contained botulism toxin.
Answer 2. She had symptoms of weakness in the muscles of arms and legs, double vision, loss of facial expression and swallowing problem that lead to this diagnosis.
Answer 3. Sarah was provided with the anti toxin to reduce the further damage to the body plus antibiotics too were prescribed.
Answer 4. Mortality rate varies from 60 to 70% in the under developed countries but almost 10% in the developed countries.
The primary cause of death in these cases is the respiratory failure.
Answer 5. Respiratory and circulatory system.
Case study #2. Lactose intolerance
Answer 1. Pei problem is inefficiency to digest milk. It is caused due to the deficiency of lactase enzyme in the body.
Answer 2. Blood test is done after 2 hours of drinking milk. If glucose level found raised then it's OK, otherwise there is some with the lactose metabolism in the body.
Answer 3. Treatment includes leaving dairy products to the maximum to avoid the problem, and taking lactase supplements.
Answer 4. Yes, Pei's ethnicity is quite important with lactose intolerance. It affects Africans the most, followed by Central Asians and African Americans
Case study#3. Diagnosis : Jaundice
Answer 1. Michael is suffering from jaundice. The cause can be liver infection, alcohol abuse, cirrhosis, pancreatic cancer, gall stones, hepatitis etc. The main organ affected with jaundice is liver.
Answer 2. Bilirubin test is done in jaundice. Bilirubin is formed due to the degradation of haemoglobin. If it accumulates in the body it gives pale appearance suggesting jaundice. This bilirubin test measures bilirubin level in the body. High level of bilirubin marks jaundice. Liver function test or LFT is also done to check functioning of liver.
Answer 3. First the exact reason is find out for the jaundice and then the appropriate treatment is given. Like if jaundice induces haemoglobin deficiency then iron rich capsules are given. If it caused due to some blockage then that obstruction is removed surgically. If it is caused due to liver malfunctioning then steroids are given. Increased levels of spinach and radish also helps in the cure of jaundice naturally.
Answer 4. Michael 's skin has turned yellow because of the accumulation of bilirubin in the body.
Infants have jaundice just after few days of their birth, because the liver of the baby is not mature enough to get rid of bilirubin in the blood. As the infant progresses in age the problem is rectified along with proper medication.
Case study #4. Diagnosis Gall stones
Answer 1. Harold is been suffering with the problem of gall stones. The most probable cause may be bile tract infection and liver cirrhosis caused due to drug abuse.
Answer 2. The treatment for gall stones is surgical removal of the gall bladder as stones causes abdominal pain and problem of indigestion.
Ans 3. There is a chemical in the human body named, ursodiol which naturally reduces the chances of occurrence of gall stones.
Answer 4. Endoscopy serves as the diagnostic test for many internal problems in the body. In this test, a cut is made and through it endoscope is inserted into the body it provides the zoom view of internal body thus helps in diagnosis.
This diagnostic test will be quite useful to the Harold because through endoscopy gall bladder is surgically removed. Zoomed view provides ease and accuracy to the doctors.
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