Anatomy Case paper Essay

You be a first-year RN disciple and you volunteered to work for San Antonio Hospital in the ER Department. Patient John free energy was brought by the ambulance after he collapsed at work. The tri climb on nurse is assessing him for further military rating by the ER Physician on duty. Based on your issue of Anatomy and using your critical thinking skills, you were given the following criteria al roughly Mr. vigour 1. Personal History 65 years old, married with 2 children. 2. Medical History Diabetes Mellitus, high strain pressure, Renal Stones, Anemia, Acne, Prostatic Hyperplasia, goodish Dystrophy, Hemiplegia, Coronary artery indisposition, G.E.R.D. and ED. The Triage Nurse asked the patient to wait for his turn, until Dr. Johnson examines him.A. DefinitionsDiabetes Mellitus a disorder in which the pancreas no eight-day make believes enough insulin, or cells in the dead remains stop responding to the insulin cosmos produced. This causes high levels of glucose in the line of descent and cannot be absorbed into the cells in the body. Hypertension is abnormally high blood pressure, blood pressure is a lineament of measurement to be equal to(p) to tell what the force is against the walls of the arteries as the centre pumps blood through the body.Renal Stones a Kidney stone is a hale mass which is made up from crystals that separates from the urine and builds up on the privileged surfaces of the kidney. Anemia is a specialise where the body has a deficiency of hale hemoglobin (red blood cells) to carry adequate oxygen to the tissues in the body. Acne is an unhealthy scratch disease that occurs when the hair follicles becomes inflamed or infected repayable to clogging of sebaceous glands. Prostatic Hyperplasia benign enlargement of the prostate gland. Muscular Dystrophy is a group of inherited disorders that involve muscle flunk and muscle loss in stages decline over a stopover of time. Hemiplegia is paralysis of one side of the body.Co ronary arteria Disease condition due to a parryage or narrowing of depressed blood vessels that supply the blood and oxygen to the stock ticker. Gastroesophagel Reflux Disease (G.E.R.D.) condition due to when the muscle at the end of the esophagus doesnt pie-eyed causing the abide contents (food or gastric acid) that leaks screeningwards from the resist into the esophagus. Erectile Dysfunction (E.D.) a sexual dysfunction which is the inability to achieve, or maintain an erection of the penis long enough to engage in satis eventory sexual intercourse.Blood Calcium level Normal value range from 8.5 to 10.2 mg/dL. none gm/dL = grams per deciliter haemoglobinMale 13.8 to 17.2 gm/dLFemale 12.1 to 15.1gm/dLC. Based on your knowledge of the normal values and Mr. zips condition, explain the homeostatic disruption of each problem that Mr. Doe suffers from. Diabetes Mellitus He close toasis in correlational statistics with diabetes is the hemostatic system which is obligated for checking, maintain, and balancing the proper rise and lead of glucose levels in the blood. In Mr. Does body since he had diabetes, his pancreas produces besides not enough or no insulin. People with type II diabetes is normally developed later in life and becomes resistant to the set up of insulin overall, but can be reversed and controlled. Hypertension Homeostatic disturbances that could be responsible for Mr. Does HTN could be a result from whatsoever of the medication he is taking.Another factor is his weight, diet, and lack of physical exercise. In a normal system the force of blood against the artery walls doesnt form a negative effect. Therefore, would not cause physical him to have any serious health conditions. However, when a mortal deal Mr. Doe suffers from HTN, the force of the blood against the artery wall thus resulting in center field disease. Renal Stones In a normal system the calcium levels in the blood are at a safe level, and helps with contracting musc les, releasing hormones making sure that nerves and the brain are military operation properly. In uniform Mr. Doe who has too high calcium levels in his blood can cause renal stones can begin to develop.Renal stones block the ability of homeostasis to occur. When these calcium deposits get lodged and block urine from existence able to exit in order empty out the bladder, thus the body isnt able to function properly. Anemia Healthy hemoglobin (red blood cells) are extremely important in a persons system, because they are rich carriers of oxygen to the tissues in the body. When a person like Mr. Doe loses this ability many negative symptoms can occur in the body. The cause of Mr. Does anemia whitethorn be a result from any Non-Steroidal Anti-inflammatory Drug (NSAID) he may be on for any number of the other complications he is suffering from.He may also have a vitamin deficiency which would be a factor in low iron levels. Without proper homeostasis it would be light-headed to to a lower placestand why a patient like Mr. Doe is experiencing this condition. Acne In a normal system the hair follicles on different surfaces of the body function properly and do not become clogged. When a person has hair follicles becomes plugged with oil from the sebaceous glands mixed with dead skin cells will result in acne. Homeostasis correlates to the removal of toxins from the body, and causes a disturbance which results ignition system and infections in the skin. Prostatic Hyperplasia As men age they are to a greater extent(prenominal) prone to experience enlargement of their prostate glands.Mr. Doe is experiencing this condition which is more common for men his age, due to the homeostatic disturbance in his hormones and cellular growth. Muscular Dystrophy Muscle fibers in a normally functioning system are extremely touch and resistant to damage and injury. In a person who is suffering from muscular dystrophy these fibers become weaker gradually over time and become mor e susceptible to damage. This is caused to defective genes that are involved in making proteins that protect the muscle fibers. Disturbance in homeostasis could factor that is responsible for some of these genetic mutations.Hemiplegia Most great deal have normal functions with movement on both sides of their body. When someone like Mr. Doe suffers from one side of their body having the same paralysis and limitations of movement. This is most often the starring(p) culprit that is heard about hemiplegia. The homeostatic disturbance in Mr. Does system related to HTN which could also be what is causing his movement disorder. Having a stroke could also be responsible for this condition and may have gone un-detected and untreated because Mr. Doe may not have realized he was having a stroke.Coronary Artery Disease (CAD) The coronary arteries (which are the major blood vessels that supply the heart with oxygen, blood and nutrients) can become damaged if a high beat of cholesterol is cont inuously deposited over time. Homeostatic disturbances such as HTN and diabetes are indicators of why Mr. Doe is experiencing this disease. This is turn can cause him to suffer from a heart attack. G.E.R.D. In a normal functioning system after a person eats a meal the food goes to the stomach to begin the digestion process.The homeostatic disturbance that causes a patient like Mr. Doe to experience a reflux of stomach acid relaxation of muscles in the lower esophageal sphincter and its failure to close and prevent the back flow of food or liquid from returning upwards. E.D. As most men age and are in Mr. Does age begin to start experiencing issues, or complications with their prostate and the ability to perform sexually. A patient that is younger is able to maintain an erection for a longer period of time and perform a satisfactory sexual intercourse. Not have to worry or be concerned with experiencing this complication. Due to the fact Mr. Doe has an enlarged prostate gland and dia betes could be a leading indicator resulting in some of the homeostatic disturbances that is resulting in him having erectile dysfunction.D. Upon histologic examination of mammal pancreas under the microscope, describe the different features of this Specimen. Figure 1 Anatomy of the pancreasUpon histological examination of a normal human pancreas the Aplha cells which produce glucagon, and Beta cells which produce insulin can easily be identified under the microscope. The bulk of the pancreas is an exocrine gland secreting pancreatic fluid into the duodenum after a meal. However, scattered through the pancreas are several hundred thousand clusters of cells called islets of Langerhans. Upon histological exam of a human pancreas with diabetes it is easy to identify the difference in the cells from a healthy pancreas. The reason is due to the fact the Beta cells are either attacked, or rejected the insulin which is causing the insulin production to be affected. The important cells ar e responsible for elevating the glucose levels in the blood which are also being affected due to the diabetes. The following describes the process of insulin in the pancreas The islets are endocrine gland tissue containing four types of cells. In order of abundance, they are the beta cells, which free insulin and amylin