Rheumatoid arthritis

 

Scenario 1: A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatigue than usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.
To prepare:
By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment.
Please see the “Course Announcements” section of the classroom for your assignment from your
Instructor.
The Assignment (1- to 2-page case study analysis)
Develop a 1- to 2-page case study analysis in which you:
Explain why you think the patient presented the symptoms described.
Identify the genes that may be associated with the development of the disease.
Explain the process of immunosuppression and the effect it has on body systems.

Even though the instruction said 1 to 2 pages, she likes to see explanation of the disease process down to the cellular involvement. The more detail the explanation, the better, with supportive recent evidence. She wants to know the role gender, genetics, environment, and even the medication have with the presenting symptoms and

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in
adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
Chapter 1: Cellular Biology; Summary Review
Chapter 2: Altered Cellular and Tissue Biology: Environmental Agents(pp. 46-61; begin again
with Manifestations of Cellular Injury pp. 83-97); Summary Review
Chapter 3: The Cellular Environment: Fluids and Electrolytes, Acids, and Bases,
Chapter 4: Genes and Genetic Diseases (stop at Elements of formal genetics); Summary
Review
Chapter 5: Genes, Environment-Lifestyle, and Common Diseases (stop at Genetics of
common diseases); Summary Review
Chapter 7: Innate Immunity: Inflammation and Wound Healing
Chapter 8: Adaptive Immunity (stop at Generation of clonal diversity); Summary Review
Chapter 9: Alterations in Immunity and Inflammation (stop at Deficiencies in immunity);
Summary Review
Chapter 10: Infection (stop at Infectious parasites and protozoans); (start at HIV); Summary
Review
Chapter 11: Stress and Disease (stop at Stress, illness & coping); Summary Review
Chapter 12: Cancer Biology (stop at Resistance to destruction); Summary Review
Chapter 13: Cancer Epidemiology (stop at Environmental-Lifestyle factors); Summary

Sample Solution

Rheumatoid arthritis

Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just your joints. In rheumatoid arthritis, the body`s immune system attacks its own tissue, including joints. In severe cases, it attacks internal organs. It affects the joint linings, causing painful swelling. Over long periods of time, the inflammation associated with rheumatoid arthritis can cause bone erosion and joint deformity. The most significant genetic risk factors for rheumatoid arthritis are variations in human leukocyte antigen (HLA) genes, especially the HLA-DRB1 gene. While there`s no cure for rheumatoid arthritis, physiotherapy and medication can help slow the disease`s progression.

All in all, this internship program increase my theoretical as well as practical knowledge in several topics related to my studies which be helpful to me in future works
This page of the exposition has 894 words. Download the full form above.
s.’ Many verifiable saints expound on such wants, for instance, Martin Luther King Jr’s ‘I had a Dream’ discourse. The renowned Austrian nervous system specialist Sigmund Freud had built up the hypothesis of therapy, or a technique where an examiner finds oblivious issues dependent on dreams and dreams. In spite of the fact that, they are various sorts and implications of a ‘fantasy,’ a longing ‘dream’ is still groundbreaking.

A genuine dream is something we will never abandon. We will progress in the direction of it until we have picked up our actual potential. Some case they are dreams, that they are exceptionally ridiculous. Be that as it may, it is a direct result of ourselves that something was not picked up. We as a whole simply prefer to censure others for ou
In any case, what we don’t understand is that our disappointments are what pushes us ahead. We just need to gain from our mix-ups and proceed with our excursion. Since with a genuine dream, it is about the excursion, not about our goal. A few of us simply don’t completely put stock in ourselves for the fantasy to turn into a reality. The individuals caught in a fixed attitude are found they set disillusionment when admiring their objectives. Their lower confidence keeps them from succeeding � or in any event, attempting � in anything. They follow the strides of the ‘failures’, ‘I discuss dreams, Which are the offspring of an inactive mind, Begot of only vain dream.’ (Shakespeare) In their viewpoint, a fantasy is a bad dream, something not worth working for.

We as a whole let things impede genuine dream being satisfied now and again, however in the event that the craving is something you truly need, you would effectively be fruitful. Colin Powell once reassuringly directed, ‘A fantasy doesn’t turn into a reality through enchantment; it takes sweat, assurance, and hard work,'(1967) and a few of us don’t have the foggiest idea about the genuine meaning of assurance. We anticipate that things should consequently be finished. In any case, we need to win the odds, the chances and the positive conditions.

Dreams cut out open doors for us all. It will persuade us and consistently be the straight way to our life course. These unlimited objectives help our certainty. Following dreams spells SUCCESS over our temples. Furthermore, a fantasy can’t be without a goal. Prophet Muhammad is one of the best individuals in history in light of the fact that, ‘ he was the main man in history who was especially effective on both the strict and common levels’ (Hart). At the end of the day, he followed a way, defeated all hindrances, and got prosperous. He followed his fantasy. My dad propelled himself harder, until he arrived at his own end goal. Furthermore, I also will keep on building my extension out of my own precious stone and graphene.

Regardless of their Britocentric direction, interpretations of Captain W.E. Johns’ Biggles stories have been generally welcomed outside the UK, albeit sure of the accounts make issues for non-British objective crowds.

One nation where Biggles is very famous is the Czech Republic. A few entries in Biggles Goes To War, notwithstanding, set in a concocted little Ruritanian-type nation situated at the eastern edge of Europe, may be viewed as messing up Czech perusers. In her Czech form thereof Petru�elkov�’s methodology is to transpose the activity to some place in the Middle East, changing huge numbers of the names, while leaving the storyline unaltered, even down to subtleties. She additionally incorporates a level of ambiguity, leaving certain things in the source content unknown in her transposition.

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