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.

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.

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 HCP 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.PBy 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.

In many realms of medicine, objective diagnoses can be made: A clavicula is broken. An infection is present. TSH levels meet the diagnostic criteria for hypothyroidism. Psychiatry, on the other hand, deals with psychological phenomena and behaviors.