An 18 year old white female presents to your clinic today with a 2 week history of intermittent abdominal pain. She also is positive for periodic cramping and diarrhea as well as low grade fever. She also notes reduced appetite. She notes that She admits smoking ½ PPD for the last 2 years. Denies any illegal drug or alcohol use. Does note a positive history of Crohn’s Disease. Based on the information provided answer the following questions:
What are the top 3 differentials you would consider with the presumptive final diagnosis listed first?
What focused physical exam findings would be beneficial to know?
What diagnostic testing needs completed if any to confirm diagnosis?
Using evidence based treatment guidelines note a treatment plan.
While the location and pattern of abdominal pain can provide important clues, its time course is particularly useful when determining its cause .Abdominal pain has many potential causes. The most common causes — such as gas pains, indigestion or a pulled muscle — usually aren’t serious. Other conditions may require urgent medical attention.Acute abdominal pain develops and often resolves over a few hours to a few days. Chronic abdominal pain may be intermittent (episodic), meaning it may come and go. This type of pain may be present for weeks to months, or even years. Some chronic conditions cause progressive pain, which steadily gets worse over time.
Subcultural hypotheses of youth culture owe a lot to the spearheading work of the Center for Contemporary Cultural Studies (CCCS) during the 1970s and mid 1980s. The CCCS utilize the expression “subculture” from US sociologists at Chicago University, and applied it to outwardly particular post-World War II British common laborers youth societies, for example, teddy young men, mods, and skinheads.
Sociologists today utilize three essential hypothetical points of view: the functionalist viewpoint, the Marxist viewpoint and the post-pioneer point of view. These points of view offer sociologists hypothetical standards for clarifying how society impacts individuals, and the other way around. Every point of view extraordinarily conceptualizes society, social powers, and human conduct.
FUNCTIONALISM
Functionalism is the most established, and still the predominant, hypothetical viewpoint in humanism and numerous other sociologies. As indicated by the functionalist point of view every part of society is associated and adds to society’s working all in all. Functionalists consider society to be having a structure, with key organizations performing fundamental capacities, and jobs guiding individuals in how to carry on. They distinguish the elements of each piece of the structure. For instance, the state, or the administration, gives training to the offspring of the family, which thus makes good on government expenses on which the state depends to keep itself running. This implies the family is needy upon the school to enable kids to grow up to have steady employments with the goal that they can raise and bolster their own families. Simultaneously, the kids become well behaved, taxpaying natives, who thusly bolster the state. On the off chance that the procedure succeeds the pieces of society produce request, soundness and profitability. Then again, in the event that the procedure doesn’t go well, the pieces of society at that point must adjust to recover another request, security, and efficiency. For instance, as we are by and by encountering, during a money related subsidence with its high paces of joblessness and swelling, benefit and pay decrease, social projects are cut or cut. Families fix their spending limits while managers offer less business programs, and another social request, steadiness and efficiency happen. Functionalists accept that society is held together by social accord, or union, in which society individuals concur upon, and cooperate to accomplish, what is best for society overall. Emile Durkheim proposed that social accord takes one of two structures:
Mechanical Solidarity: This is a type of social attachment that emerges when individuals in a general public keep up comparative qualities and convictions and take part in comparative kinds of work. Mechanical solidarity most usually happens in customary, basic social orders, for example, those in which everybody groups cows or homesteads. Amish society represents mechanical solidarity.
Natural Solidarity: This is a type of social attachment that emerges when individuals in a general public are related, yet hold to changing qualities and convictions and take part in fluctuating sorts of work. Natural solidarity most usually happens in industrialized, complex social orders, for example, those in huge American urban areas like New York during the 2000s.
Driving functionalists incorporate Emile Durkheim and Talcott Parsons. Robert Merton (1910), who was a functionalist also, built up his hypothesis of abnormality which is gotten from Durkheim’s concept of anomie. It is focal in clarifying how inner changes can happen in a framework. For Merton, anomie implies a brokenness between social objectives and that acknowledged techniques accessible for contacting them. Merton (1968) has proposed various significant differentiations to stay away from potential shortcomings and explain ambiguities in the fundamental functionalist viewpoint. In the first place, he recognizes show and dormant capacities. Show capacities are perceived, deliberate and self-evident, while inactive capacities are unrecognized, inadvertent, and consequently not self-evident. Merton utilized the case of the Hopi downpour move to demonstrate that occasionally a person’s comprehension of their thought process in an activity may not completely clarify why that activity keeps on being performed. Once in a while activities satisfy an element of which the on-screen character is unconscious, and this is the dormant capacity of an activity. Second, he recognizes results which are decidedly useful for a general public, those which are broken for the general public, and those which not one or the other. Third, he additionally recognizes levels of society, that is, the particular social units for which regularized examples of conduct are useful or broken. At long last, he keeps up that the specific social structures which fulfill utilitarian needs of society are not basic, however that basic options may exist which can likewise fulfill the equivalent useful needs.
Merton developed that anomie is simply the estrangement of the from society because of clashing standards and interests by portraying five distinct kinds of activities that happen when individual objectives and genuine methods collide with one another.
Congruity is the run of the mill fruitful persevering individual who both acknowledges the objectives of the general public and has the methods for acquiring those objectives. This is a case of non-anomie.
Development alludes to the quest for socially affirmed objectives by objected, including illicit methods, as it were, they should utilize advancement so as to accomplish social objectives. (Model: Drug seller who offers medications to help a family.)
Formality alludes to unreasonably inflexible adjustment to affirmed objectives and means, even to the disregard of the genuine outcomes; wasteful administrators who stick unbendingly to the standards are the exemplary case of ceremony.
The individual who overlooks and rejects the methods and the objectives of the general public is said to withdraw from society. (For instance a medication someone who is addicted who has quit thinking about the social objectives and picks a medication prompted reality for the socially acknowledged way of life.)
At long last, there is a fifth sort of adjustment which is that of resistance which alludes to the dismissal of affirmed objectives and means for new ones.
Functionalism has gotten analysis as it has a traditionalist predisposition. Pundits guarantee that the point of view legitimizes the present state of affairs and carelessness with respect to society’s individuals. Functionalism doesn’t urge individuals to play a functioning job in changing their social condition, notwithstanding when such change may profit them. Rather, functionalism considers dynamic to be change as unfortunate in light of the fact that the different pieces of society will repay normally for any issues that may emerge.
MARXIST NEW-SUBCULTURAL THEORY
Marx contends that social orders result from people getting together to deliver nourishment. The powers of generation shape social connections. In Marxist hypothesis, class is the most significant social gathering in the entrepreneur society and the civic chairman social setups are class societies. The classes are composed relying upon the method of generation that decide a solid arrangement of relations of creation: the business people (bourgeoisie) and the laborers (low class). These classes are all the time in struggle and arrangement since one of them is prevailing and the other is subordinate.
This contention viewpoint started fundamentally out of Karl Marx’s compositions on class battles and it presents society from an alternate perspective than do the functionalist point of view. While the last point of view center around the positive parts of society that add to its security, the contention viewpoint centers around the negative, clashed, and consistently changing nature of society. Not at all like functionalists who guard business as usual, keep away from social change, and accept individuals collaborate to impact social request, struggle scholars challenge existing conditions, energize social change (notwithstanding when this implies social insurgency), and accept rich and influential individuals power social request on poor people and the frail. As should be obvious, most social orders depend on abuse of certain gatherings by others. The individuals who claim the methods for generation, for example, processing plants, land, crude material or capital, abuse the individuals who work for them, who come up short on the way to deliver things themselves. In this way, entrepreneurs gather benefits and get more extravagant and more extravagant. In the long run laborers will come to understand that they are being exoploited and will topple free enterprise and make a socialist society. In socialism the methods for generation will be collectively owened, so there will be no decision class, no misuse and considerably less disparity than in private enterprise.
Today, struggle scholars discover social clash between any gatherings in which potential for disparity exists, for example, racial, sex, religious, political, monetary, etc. These scholars note that inconsistent gatherings as a rule have clashing qualities and plans, making them go up against each other. This consistent challenge between gatherings shapes the reason for the regularly changing nature of society.
Pundits of the contention viewpoint point to its very negative perspective on society. The hypothesis’ at last focal issues are:
it experiences issues clarifying the more precise and stable components of public activity,
it disregards or minimizes the social and representative parts of public activity since it underscores on financial aspects and class,
struggle scholars will in general accept the power contrasts lead to strife yet contrasts don’t really incite strife.
POST MODERNISM
Post pioneer points of view have created since the 1980s. A few forms see significant changes occurring in the public arena, while different renditions question the capacity of customary human science to create advantageous hypotheses of society. Some postmodernists contend that social conduct is never again formed by variables, for example, class, sexual orientation, ethnicity and various kinds of socialization. It is presently essentially an issue of direction for living.
At long last, Post-Structuralism and Postmodernism, points of view created on the French scholarly scene, have had significant effect on American sociologists in rec