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Title: Sam, a case study for A&P. Post by: chieuduongnd on Sep 29, 2011 :) So I have this case study right here and really interested if someone could give me an opinion what disease this boy have. I have some diagnosis of my self but still unsure..
Basic scenario: Sam, 3years old, 13kg, 95cm. Good appearance, happy boy. Family health History: Father died because of heart attack. Significant symptoms: Runny nose, green and viscid sputum White, "Frosting" on face. Skin taste salty. Wheezing + rale breathing sounds. Lung X-Ray shows a hyperinflation and bronchial wall thickening. Greasy stools. ( Everything else is normal.) - Test : BP & PR: Normal. Blood cells count: Normal, slightly high level of Neutrophils. Decreased FEV1 and FVC during PFT test Sweat Chloride Test: Indetermine ??? (This quite makes me confused) So I came up with the idea that he might have Bronchiectasis, caused by CF. Any great idea what he might have? :-:) You can read the whole document here: :hey:Case Study (https://docs.google.com/viewer?a=v&q=cache:u57WrZLIyRgJ:sciencecases.lib.buffalo.edu/cs/files/typical_cold.pdf+green,+viscid+sputum&hl=en&gl=us&pid=bl&srcid=ADGEESgqZs44U0sdXhwsEhx1dTH2XM2QqMeF8xvNm8HXTfns0IZ1wdl7Wf9bU5a8ZUiX7noa7HQlyJYJRsSbMzM-LSWVNCVdH2JG44dPBjF4LW1wtmWfmSGrO3VI_iDs9ViGBAa_YmJn&sig=AHIEtbS97_L-Sc8HLe-5W1QZLx8ANrF-Ag&pli=1):hey: Title: Re: Sam, a case study for A&P. Post by: duddy on Sep 30, 2011 Would it be cystic fibrosis? Do you have to know the exact illness?
Title: Re: Sam, a case study for A&P. Post by: chieuduongnd on Sep 30, 2011 Yup that's what most people in my class come up with also.
We don't have to know the exact disease since it's just a case study. But I'm just confused why is the sweat chloride test does not show up positive if he has CF ??? Title: Re: Sam, a case study for A&P. Post by: bio_man on Sep 30, 2011 Title: Re: Sam, a case study for A&P. Post by: chieuduongnd on Sep 30, 2011 To test the chloride level in sweat, hence determine whether the person have CF or not. Click here (http://www.medicinenet.com/sweat_chloride_test/article.htm) :P :P
Title: Re: Sam, a case study for A&P. Post by: how_mendel on Oct 1, 2011 The inherited CF gene directs the body's epithelial cells to produce a defective form of a protein called CFTR (or cystic fibrosis transmembrane conductance regulator) found in cells that line the lungs, digestive tract, sweat glands, and genitourinary system. When the CFTR protein is defective, epithelial cells can't regulate the way chloride (part of the salt called sodium chloride) passes across cell membranes. This disrupts the essential balance of salt and water needed to maintain a normal thin coating of fluid and mucus inside the lungs, pancreas, and passageways in other organs. The mucus becomes thick, sticky, and hard to move. Normally, mucus in the lungs traps germs, which are then cleared out of the lungs. But in CF, the thick, sticky mucus and the germs it has trapped remain in the lungs, which become infected. |