A 43-year-old woman presented to her family physician with a two-year history of fatigue, diarrhea, and...

A 43-year-old woman presented to her family physician with a two-year history of fatigue, diarrhea, and constant dull abdominal discomfort. Stools were described as normal in frequency and intermittently loose in consistency. The patient, a marine biologist with an extensive travel history, noticed that her symptoms began after a busy year of fieldwork in Iceland, Denmark, and the Arctic, during which she began regularly consuming raw sushi and sashimi. Serum vitamin B12 was 157 pmol/ L, compared to a level of 435 pmol/ L two years ago.

Questions:

12.Which organism can cause this type of disease onset? Describe how a person may be infected by this organism?

13.Explain how the decrease of Vitamin B12 is related histologically.

14.How is the vitamin B12 deficiency and macrocytosis related?

A 62-year-old alcoholic presents to the emergency room with 8 hours of severe abdominal pain and vomiting. Physical examination discloses exquisite abdominal tenderness. Serum levels of amylase and lipase are elevated.

QUESTIONS:

These laboratory data indicate that this patient has suffered injury to which of the following internal organs?

.What would be the likely diagnosis of the patient?

The organ being describe function as both an exocrine and endocrine gland. The endocrine function is located in clusters found within the organ and is called as what?

Solutions

Expert Solution

Questions 12,13,14

Sydney Mullin answered 8 months ago

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