Bio202-Unit #1 Case Studies: Endocrine System Case studios must be typed in your own words in...
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Bio202-Unit #1 Case Studies: Endocrine System Case studios must be typed in your own words in complete sentences. Your answers ahould be completed on the Uniti Answers worksheet. You can use your book, other book references, and the Web to help you search for answers, define words, etc. NOTE: Initials used in the case studies represent initials for a patient's name All patients appearing in these case studies are fictitious Any resemblance to real persons, living or dead, is purely coincidental CASE STUDY #1 History S.A, a 44-year-old woman with a history of mental iliness, presents with an olecranon fracture as a result of a fall on an icy sidewalk. She states that she experiences dramatic mood swings and often feels depressed. She also complains of fatigue, joint pain, and bouts of unexplained nausea. Physical Exam • Height 53" tall; Weight 134 lb.; Heart rate: 82; Blood pressure 132/77. • The physical exam was otherwise normal except that she was confused as to her current location, the date, and the year. Initial Laboratory Tests Serum calcium and phosphorus tests Serum blood test Serum calcium Reference 8.4-10.1 mg/di 2.5-4.5mg/dl S.A. values 13.9 mg/dl 2.9 mg/di Serum phosphorus Bone density test using dual energy x-ray absorptiometry (DEXA scan) S.A. value Reference T-score (bone mineral density) -2.7 +1 to-1 Kidney function tests S.A. value Reference Urinalysis BUN (blood-urea-nitrogen) Serum Creatinine normal 12 mg/dL 0.8 mg/dL 6-20 mg/dL 06-1.2 mg/dL Questions 1. The patient in this case suffered an olecranon fracture. Explain what an olecranon tracture is and how abnormal values observed in the blood tests and DEXA scan may have put S.A. at an increased risk for bone fractures. 2. The patient has a history of mental illness. Explain how the abnormal serum calcium and phosphorus values may contribute to these symptoms. What are the roles of calcium in nervous function? 3. What hormone is responsible the blood test result observed? What is the hormone's action on bone? Is this hormone elevated or decreased in the patient? S.A. was referred to a specialist who performed a nuclear scan of the affected gland. Results of this scan are shown below... Sallvery glands Right and left lobes of thyroid gland Left inferior parethyroid gland 4. What is the apecific cause of S.A.'s condition (name of the disease)? Justify your diagnosis with evidence from the patient history, blood tests, changes in homone levels, bone density scan, kidney function teats, and nuclear imaging. Bio202-Unit #1 Case Studies: Endocrine System Case studios must be typed in your own words in complete sentences. Your answers ahould be completed on the Uniti Answers worksheet. You can use your book, other book references, and the Web to help you search for answers, define words, etc. NOTE: Initials used in the case studies represent initials for a patient's name All patients appearing in these case studies are fictitious Any resemblance to real persons, living or dead, is purely coincidental CASE STUDY #1 History S.A, a 44-year-old woman with a history of mental iliness, presents with an olecranon fracture as a result of a fall on an icy sidewalk. She states that she experiences dramatic mood swings and often feels depressed. She also complains of fatigue, joint pain, and bouts of unexplained nausea. Physical Exam • Height 53" tall; Weight 134 lb.; Heart rate: 82; Blood pressure 132/77. • The physical exam was otherwise normal except that she was confused as to her current location, the date, and the year. Initial Laboratory Tests Serum calcium and phosphorus tests Serum blood test Serum calcium Reference 8.4-10.1 mg/di 2.5-4.5mg/dl S.A. values 13.9 mg/dl 2.9 mg/di Serum phosphorus Bone density test using dual energy x-ray absorptiometry (DEXA scan) S.A. value Reference T-score (bone mineral density) -2.7 +1 to-1 Kidney function tests S.A. value Reference Urinalysis BUN (blood-urea-nitrogen) Serum Creatinine normal 12 mg/dL 0.8 mg/dL 6-20 mg/dL 06-1.2 mg/dL Questions 1. The patient in this case suffered an olecranon fracture. Explain what an olecranon tracture is and how abnormal values observed in the blood tests and DEXA scan may have put S.A. at an increased risk for bone fractures. 2. The patient has a history of mental illness. Explain how the abnormal serum calcium and phosphorus values may contribute to these symptoms. What are the roles of calcium in nervous function? 3. What hormone is responsible the blood test result observed? What is the hormone's action on bone? Is this hormone elevated or decreased in the patient? S.A. was referred to a specialist who performed a nuclear scan of the affected gland. Results of this scan are shown below... Sallvery glands Right and left lobes of thyroid gland Left inferior parethyroid gland 4. What is the apecific cause of S.A.'s condition (name of the disease)? Justify your diagnosis with evidence from the patient history, blood tests, changes in homone levels, bone density scan, kidney function teats, and nuclear imaging.
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Ans 1 Olecranon fracture is the fracture of the bony prominance of the elbow by the humerus end The ... View the full answer
Related Book For
Fraud examination
ISBN: 978-0538470841
4th edition
Authors: Steve Albrecht, Chad Albrecht, Conan Albrecht, Mark zimbelma
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