Mary the Nursing Student
Mary the Nursing Student
Mary is 39 -year-old LPN and single mother who is attending a local community college to prepare for an A.S. degree in nursing so she can then become an RN. Mary has not been feeling well for several months. She has had bouts of nausea, a low fever, and has found that she no longer enjoys eating and smoking as much as she used to. She has also noticed that her urine is darker than usual and she has yellowing of her eyes. She has noted that she has a puffy appearance. Results of blood tests at her doctor’s office reveal that her ALT, AST , alkaline phosphatase, and bilirubin levels are elevated and that she also has an elevated count of lymphocytes. Further tests reveal that she is positive for the presence of the anti-HCV in her blood. Biopsy reveals necrosis, fibrosis, and cirrhosis.
What is Mary’s diagnosis? Discuss the different ways that she might have acquired this illness. Based on the information above, in what stage of illness is Mary?
Mary’s diagnosis is Hepatitis C. This illness is acquired by blood-to-blood contact in most cases. In some cases its through the sharing of needles also known as intravenous. In, addition, one may receive a blood transfusion with infected blood or be exposed to improperly sterilized surgical equipment. Other ways she could have been exposed are through sexual intercourse, sharing personal items, or she could have inherited it. Based on the information given and the presence of necrosis, fibrosis, and cirrhosis she is more than likely in stage IV.
What organ is being attacked? Describe this organ’s role in carbohydrate, lipid (including triglyceride and cholesterol), and protein metabolism.
Her liver is being attacked.
With carbohydrate metabolism sugars enter the liver from the small intestine via the hepatic portal vein. The liver maintains the blood glucose level at about 90 mg glucose per 100cm3 of blood. Initiated by insulin, the liver converts all sugars to glucose
Mary is 39 -year-old LPN and single mother who is attending a local community college to prepare for an A.S. degree in nursing so she can then become an RN. Mary has not been feeling well for several months. She has had bouts of nausea, a low fever, and has found that she no longer enjoys eating and smoking as much as she used to. She has also noticed that her urine is darker than usual and she has yellowing of her eyes. She has noted that she has a puffy appearance. Results of blood tests at her doctor’s office reveal that her ALT, AST , alkaline phosphatase, and bilirubin levels are elevated and that she also has an elevated count of lymphocytes. Further tests reveal that she is positive for the presence of the anti-HCV in her blood. Biopsy reveals necrosis, fibrosis, and cirrhosis.
What is Mary’s diagnosis? Discuss the different ways that she might have acquired this illness. Based on the information above, in what stage of illness is Mary?
Mary’s diagnosis is Hepatitis C. This illness is acquired by blood-to-blood contact in most cases. In some cases its through the sharing of needles also known as intravenous. In, addition, one may receive a blood transfusion with infected blood or be exposed to improperly sterilized surgical equipment. Other ways she could have been exposed are through sexual intercourse, sharing personal items, or she could have inherited it. Based on the information given and the presence of necrosis, fibrosis, and cirrhosis she is more than likely in stage IV.
What organ is being attacked? Describe this organ’s role in carbohydrate, lipid (including triglyceride and cholesterol), and protein metabolism.
Her liver is being attacked.
With carbohydrate metabolism sugars enter the liver from the small intestine via the hepatic portal vein. The liver maintains the blood glucose level at about 90 mg glucose per 100cm3 of blood. Initiated by insulin, the liver converts all sugars to glucose