21 y/o female college student, was seen in the student health center for increasing episodes of abdominal fullness and discomfort with alternating diarrhea and constipation.

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Case study 2

21 y/o female college student, was seen in the
student health center for increasing episodes of abdominal fullness and discomfort with
alternating diarrhea and constipation. Reports being diagnosed with irritable bowel syndrome several
years ago, was told to eat more fiber, but nothing has seemed to be effective in reducing
her abdominal distress, is taking a heavy course load this semester, has to work 20 hours each
week for her work-study contract, and eats mainly fast foods and drinks several coals daily.

  Case study 3

 

Case Study 3

Mr. Begay is a 55-year old Native American man
admitted with a diagnosis of cirrhosis of the liver. He has been vomiting for 2 days and
noticed blood in the toilet when he vomits. He has had cirrhosis for 12 years, acknowledges that he
had been drinking heavily for 20 years but has been sober for the past 2 years. He complains of
anorexia, nausea, and abdominal discomfort. On his physical examination, the findings were
thin and malnourished, has moderate ascites, jaundice of sclera and skin, 4+ pitting edema of
the lower extremities, liver and spleen are palpable. The laboratory values are as follows:
total bilirubin: 15mg/dl, serum ammonia 220 mcg/dl, AST 190 U/L, ALT 210 U/L.

  Case study 4

 

Case study 4

75 y/o African-American male, was admitted to the
hospital emergency department with partial-

thickness burns that involved his face, neck, and
upper trunk, lacerated right leg, injuries

occurred about 24 hours earlier when he fell out
of a tree onto his burning gas grill while trying

to get his cat. Complains of slightly hoarse
voice and irritated throat, states that he tried to treat

himself because he does not have health
insurance, has been coughing up sooty sputum, and

complains of severe pain in left hip.

Leg wound is gaping and looks infected,
temperature 101.1 F, x-rays reveal a fractured right tibia

and fractured left hip, WBCs 26,400/μl with 80%
neutrophils (10% bands), and surgery is

performed to repair the left hip

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