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
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

 

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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