Alterations in Cellular Processes

 

At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally.

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Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans.

For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts. 

Scen

a

rio

1

:

 

A

16

y

ear

old

boy

comes

to

cl

in

ic

with

chief

complaint

of

s

or

e

throat

for

3

days

.

Denies

fever

or

chills.

P

M

H

negative

for

recurrent

colds,

influenza,

ear

infecti

on

s

or

pneumonias.

NKDA

or

food

allergies.

Physical

e

x

am

reveals

temp

of

99.6

F,

pulse

78

an

d

regular

with

respirations

of

18.

HEENT

normal

with

exception

of

reddened

po

sterior

pharynx

with

white

exudate

on

tonsils

that

are

enlarged

to

3+.

Positive

anterior

and

posterior

cervical

adenopathy.

Rapid

strep

test

performed

in

office

was

positive.

H

is

H

CP

wrote

a

prescription

for

amoxicillin

500

mg

po

q

12

hours

x

10

days

disp

#20.

He

took

t

he

first

capsule

when

he

got

home

and

immediately

complained

of

swelling

of

his

tongue

and

lips,

difficulty

breathing

with

audible

wheezing.

911

was

called

and he was

taken

to

the

hospital,

where

he

received

emergency

treatment

for his

allergic

reaction

.P

By

Day

3 of

Week

1

Post

an

explanation

of the

disease

highlighted

in the

scenario

you

were

provided.

Include

the

following

in

your

explanation:

·

The

role

genetics

plays

in the

disease.

·

Why

the

patient

is

presenting

with the

specific

symptoms

described.

· The

physiologic

response

to the

stimulus

presented

in the scenario and

why

you

think

this

response

occurred.

· The

cells

that are

involved

in this

process.

·

How

another

characteristic

(e.g.,

gender,

genetics)

would

change

your

response.

Scenario

1
:

A

16

year

old

boy

comes

to

clinic

with

chief

complaint

of

sore

throat

for

3

days.

Denies

fever

or

chills.

PMH

negative

for

recurrent

colds,

influenza,

ear

infections

or

pneumonias.

NKDA

or

food

allergies.

Physical

exam

reveals

temp

of

99.6

F,

pulse

78

and

regular

with

respirations

of

18.

HEENT

normal

with

exception

of

reddened

posterior

pharynx

with

white

exudate

on

tonsils

that

are

enlarged

to

3+.

Positive

anterior

and

posterior

cervical

adenopathy.

Rapid

strep

test

performed

in

office

was

positive.

His

H
CP

wrote

a

prescription

for

amoxicillin

500

mg

po

q

12

hours

x

10

days

disp

#20.

He

took

the

first

capsule

when

he

got

home

and

immediately

complained

of

swelling

of

his

tongue

and

lips,

difficulty

breathing

with

audible

wheezing.

911

was

called

and

he

was

taken

to

the

hospital,

where

he

received

emergency

treatment

for

his

allergic

reaction
.
P
By

Day

3

of

Week

1

Post

an

explanation

of

the

disease

highlighted

in

the

scenario

you

were

provided.

Include

the

following

in

your

explanation:

·

The

role

genetics

plays

in

the

disease.

·

Why

the

patient

is

presenting

with

the

specific

symptoms

described.

·

The

physiologic

response

to

the

stimulus

presented

in

the

scenario

and

why

you

think

this

response

occurred.

·

The

cells

that

are

involved

in

this

process.

·

How

another

characteristic

(e.g.,

gender,

genetics)

would

change

your

response.

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