nflammatory Bowel Disease

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Inflammatory Bowel Disease

 

Case Study

 

 

The patient is an 11-year-old girl who has been complaining of intermittent right lower

quadrant pain and diarrhea for the past year. She is small for her age. Her physical

examination indicates some mild right lower quadrant tenderness and fullness.

 

Studies Results

Hemoglobin (Hgb), 8.6 g/dL (normal: >12 g/dL)

Hematocrit (Hct), 28% (normal: 31%-43%)

Vitamin B12 level, 68 pg/mL (normal: 100-700 pg/mL)

Meckel scan, No evidence of Meckel diverticulum

D-Xylose absorption, 60 min: 8 mg/dL (normal: >15-20 mg/dL)

120 min: 6 mg/dL (normal: >20 mg/dL)

Lactose tolerance, No change in glucose level (normal: >20 mg/dL rise in

glucose)

Small bowel series, Constriction of multiple segments of the small intestine

 

Diagnostic Analysis

 

The child’s small bowel series is compatible with Crohn disease of the small intestine.

Intestinal absorption is diminished, as indicated by the abnormal D-xylose and lactose

tolerance tests. Absorption is so bad that she cannot absorb vitamin B12. As a result, she has

vitamin B12 deficiency anemia. She was placed on an aggressive immunosuppressive

regimen, and her condition improved significantly. Unfortunately, 2 years later she

experienced unremitting obstructive symptoms and required surgery. One year after surgery,

her gastrointestinal function was normal, and her anemia had resolved. Her growth status

matched her age group. Her absorption tests were normal, as were her B12 levels. Her

immunosuppressive drugs were discontinued, and she is doing well.

 

Critical Thinking Questions

 

1. Why was this patient placed on immunosuppressive therapy? 2. Why was the Meckel scan ordered for this patient? 3. What are the clinical differences and treatment options for Ulcerative Colitis and Crohn’s

Disease? (always on boards)

4. What is prognosis for patients with IBD and what are the follow up recommendations for managing disease?

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Emerging Infectious Diseases

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Less than 10 % similarity

References APA

This is another student post to which i have to react adding some extra information related this post.

short answers

 

Emerging Infectious Diseases

To what could your neighbor have been exposed, and how could the exposure have occurred?

Zika virus is an infectious disease influenced by microbial adaption and change and travel (DeMarco & Healey-Walsh, 2020). CDC (2019) identifies various symptoms of the Zika Virus, including fever, rash, headache, joint pain, conjunctivitis, and muscle pain. From the list of symptoms gathered from my neighbor, she may be infected with the virus. It is transmitted by mosquitoes that carry the virus, and a bite transmits the virus into the bloodstream. It is also possible for the virus to be transmitted sexually and through blood transfusion, as the virus remains in the body for a while, affecting people differently, and there may not be any signs or symptoms available in the person.

What advice would you give your neighbor?

Mayo Clinic (2018) identifies risks of miscarriages linked to the Zika virus, making it crucial that the neighbor immediately sees a doctor. Although the symptoms go away after a week of rest and hydration, it poses a risk to the fetus by causing microcephaly, a potentially fatal congenital brain condition (Mayo Clinic, 2018). It can also cause other neurological disorders, which can be damaging to a developing fetus. Reduced body movement due to too much muscle tone after birth, eye damage, joint problems, and brain damage and reduced brain tissue are other complications and defects that the virus may cause to a child (Mayo Clinic, 2018). Since the virus remains in the bloodstream for about a week, conducting a blood test would confirm the virus’s presence or lack thereof. There is no known treatment for the virus, which makes prevention the best alternative available. Pregnant women should avoid traveling to places associated with the virus due to the various complications it ay have on fetus development.

Reference

CDC, A. (2019, May 21). Zika virus: Symptoms, Testing, & Treatment.

Retrieved September 30, 2020, from https://www.cdc.gov/zika/symptoms/index.html

DeMarco, R. F. & Healey-Walsh, J. (2020) Community and Public Health Nursing (3th Edition).

Philadelphia: Wolters Kluwer

Mayo Clinic, A. (2018, December 21). Zika virus.

Retrieved September 30, 2020, from https://www.mayoclinic.org/diseases-conditions/zika-virus/symptoms-causes/syc-20353639

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Minority groups are present all over the United States. Name at least three minority groups and explain why each is categorized as such. 

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Assignment:

Write a 800-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be four sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount.

  • Minority groups are present all over the United States. Name at least three minority groups and explain why each is categorized as such.
  • Within the United States there have been two views toward assimilation: the “melting pot” tradition and the Anglo-conformity view. In your opinion, which view accurately describes the United States today, and why?
  • In 2000, women held 45% of jobs classified as executive, administrative, and managerial. But, in 2011, women held only 16.1% of Fortune 500 board seats, filled only 14.1% of corporate officer positions, and were 7.5% of the country’s top earners. Citing gender stratification in the workplace, in your own opinion why do you think women are being held back from obtaining these top positions?
  • Cultural transmission theorists believe gender identities and behaviors are a gradual process of learning that begins in infancy. It suggests that teachers and other adults shape a child’s behavior by reinforcing responses that are deemed appropriate to the child’s gender role and discouraging inappropriate ones. What is your personal opinion on this theory? Do you believe that the cultural transmission theory will determine who/what a person will be in adulthood? Why?

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I have attached the lab 8 and 9 and I need to answer the questions in that lab a

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I have attached the lab 8 and 9 and I need to answer the questions in that lab after reading the lab document. LAB 8: For this lab you will simulate developing a Business Impact. Remember just provide the answers where it ask you to i.e. questions, 4, 7, 9 and 10. Do not copy and past content from the lab document. LAB 9: For this lab you will simulate developing a Disaster Recovery Backup. Remember just provide the answers where it ask you to i.e. questions, 10, 13, 14 and 16. Do not copy and past content from the lab document.

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