Question

In: Anatomy and Physiology

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 1 year ago
Next > < Previous

Related Solutions

A 55 year old woman presented to her family with a 3 day history of burning...
A 55 year old woman presented to her family with a 3 day history of burning and pain over her left forearm. The symptoms were rather abrupt in onset, and she had not experienced anything like this before. Over the previous 2 days, several vesicles had developed in a band like distribution on her arm, and new ones were erupting daily. On the day she went to see her family doctor, the lesions had started turning purplish. At no time...
Nora, 55 yrs. female, present to her family physician with a 3-month history of fatigue and...
Nora, 55 yrs. female, present to her family physician with a 3-month history of fatigue and lethargy. Her height: 166 cm, Weight: 75 kg, her lab value showed that high fasting blood sugar and her HbA1C 8%, sedentary physical activity Diet History: estimate energy intake of approximately 2300 kcal/day, Nora states that she consumes soft drink more than (24 oz.), ice cream and chocolate candy daily 24 hr- recall: Breakfast: 1 sandwich of egg English muffin + 2 pancake 4...
Nora, 55 yrs. female, present to her family physician with a 3-month history of fatigue and...
Nora, 55 yrs. female, present to her family physician with a 3-month history of fatigue and lethargy. Her height: 166 cm, Weight: 75 kg, her lab value showed that high fasting blood sugar and her HbA1C 8%, sedentary physical activity Diet History: estimate energy intake of approximately 2300 kcal/day, Nora states that she consumes soft drink more than (24 oz.), ice cream and chocolate candy daily 24 hr- recall: Breakfast: 1 sandwich of egg English muffin + 2 pancake 4...
58-year-old nuclear power plant worker presented to his family physician complaning of increasing fatigue and weakness....
58-year-old nuclear power plant worker presented to his family physician complaning of increasing fatigue and weakness. He also reported pain in his lower back and arms when he walks. Physical examination revealed pale mucous membranes and hepatosplenomegaly. The physician ordered a complete blood count (CBC) and urinalysis (UA). A follow-up appointment was scheduled for the following week. Laboratory Data: The CBC revealed that the patient had anemia. His leukocyte count and differential count were normal, except for a rouleaux (rolled...
Brenda, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to...
Brenda, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she's had a decreased appetite, some nausea and vomiting,...
Emma, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to...
Emma, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she's had a decreased appetite, some nausea and vomiting,...
Samantha, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to...
Samantha, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she's had a decreased appetite, some nausea and vomiting,...
A 41-year-old woman presents to an outpatient mental health clinic on referral by her family physician....
A 41-year-old woman presents to an outpatient mental health clinic on referral by her family physician. She has complaints, signs, and symptoms indicative of a major depressive episode with melancholic features. She has undergone treatment for alcoholism within the last year. She is experiencing severe family stressors, namely, her children have moved out of the home. She is already receiving antidepressant therapy, mirtazapine, prescribed by her family physician, without improvement, and complains of weight gain as a side effect. To...
57 Year Old Woman with Fatigue Chief Complaint: Fatigue History of Present Illness: Ms. Jones is...
57 Year Old Woman with Fatigue Chief Complaint: Fatigue History of Present Illness: Ms. Jones is a 57 year old woman who presents to her primary care physician with a three month history of fatigue. She reports that she doesn’t seem to have as much energy as she used to for daily activities. She has also noted increased frequency of urination, often having to get up two to three times a night to go to the bathroom. She has increased...
Mr. Alvis, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and...
Mr. Alvis, age 57, presented to his physician with marked fatigue, nausea with occasional diarrhea, and a sore, swollen tongue. Lately, he also has been experiencing a tingling feeling in his toes and a feeling of clumsiness. Microscopic examination of a blood sample indicated a reduced number of erythrocytes, many of which are megaloblasts, and a reduced number of leukocytes, including many large, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were below normal. Additional tests confirm pernicious anemia....
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT