Glomerulonephritis And Cervical Cancer Healthcare Case Studies Help Students much review the case study and answer all questions ( Glomerulonephritis and C

Glomerulonephritis And Cervical Cancer Healthcare Case Studies Help Students much review the case study and answer all questions ( Glomerulonephritis and Cervical Cancer) with a scholarly response using APA and include 2 scholarly references. Case Studies will be submitted and have to be less than 20 % of plagiarism Glomerulonephritis
Case Studies
A 7-year-old boy was brought to his pediatrician because he had developed hematuria, which
required hospitalization. Approximately 6 weeks before his admission, he had a severe sore
throat but received no treatment for it. Subsequently, he did well except for complaints of
mild lethargy and decreased appetite. Approximately 3 weeks before admission, he had a
temperature of 101° F daily for 7 days. He complained of minimal bilateral back pain.
Physical examination revealed a well-developed young boy with moderate bilateral
costovertebral angle (CVA) tenderness. The remainder of the physical examination results
were negative. His blood pressure was 140/100 mm Hg in both arms and legs.
Studies
Urinalysis, p. 956
Blood
Protein
Red blood cell casts
Specific gravity
Color
Urine culture and sensitivity (C&S), p. 973
Blood urea nitrogen (BUN), p. 511
Creatinine, p. 190
Creatinine clearance test, p. 193
Renal ultrasound, p. 866
Intravenous pyelogram (IVP), p. 1057
Renal biopsy, p. 751
Anti-DNase-B (ADB) titer, p. 79
Total complement assay, p. 172
Results
+4 (normal: negative)
+1 (normal: negative)
Positive (normal: negative)
1.025 (normal: 1.010-1.025)
Red-tinged (normal: amber-yellow)
No growth after 48 hours
42 mg/dL (normal: 7-20 mg/dL)
1.8 mg/dL (normal: 0.7-1.5 mg/dL)
64 mL/min (normal: approximately 120
mL/min)
No tumor; kidneys diffusely enlarged and
edematous
Delayed visualization bilaterally; enlarged
kidneys, no tumor; no obstruction seen
Swelling of glomerular tuft, along with
polymorphonuclear leukocyte infiltrates in
Bowman’s capsule (findings compatible
with glomerulonephritis);
immunofluorescent staining, positive for
IgG
200 units (normal: ?170 units)
33 units/mL (normal: 75-160 units/mL)
Case Studies
2
Diagnostic Analysis
The blood, protein, and RBC casts in the boy’s urine indicated a primary renal disorder. The
elevated creatinine and BUN levels indicated that the problem was severe and markedly
affecting his renal function. Both kidneys were probably equally impaired. Intravenous
pyelogram (IVP) was helpful only in ruling out Wilms tumor or congenital abnormality.
Normally an IVP would not be performed in light of this patient’s impaired renal function. It
is presented here for demonstration of the information it can provide. Renal ultrasound is a
much safer test to visualize the kidney to exclude neoplasm. The ultrasound findings were
compatible with an inflammatory process involving both kidneys. Renal biopsy was most
helpful in suggesting glomerulonephritis. The history of recent pharyngitis, fever, the
positive ASO titer, the positive ADB titer, and the finding of immunoglobulin IgG antibodies
on the immunofluorescent stain all suggested poststreptococcal glomerulonephritis.
The patient was placed on a 10-day course of penicillin. He was given antihypertensive
medication, and his fluid and electrolyte balance was closely monitored. At no time did his
creatinine or BUN level rise to a point requiring dialysis. After 6 weeks, his renal function
returned to normal (creatinine, 0.7 mg/dL; BUN, 7 mg/dL). His antihypertensive medications
were discontinued, and he remained normotensive and returned to normal activity.
Critical Thinking Questions
1. At what point would the BUN and creatinine have signified the need for dialysis?
2. What was the cause of the patient’s hypertension?
3. What would you do if this patient had developed a swollen mouth and neck after the
IVP?
Cervical Cancer
Case Studies
The patient, a 28-year-old woman, has been sexually active with multiple partners since she
was 14 years old. She is now married and wants to have children. She has intermittent
breakouts of vulvar ulcers/sores but no other complaints. Her pelvic examination during a
routine visit with her gynecologist was normal. She had a lump in her left breast.
Studies
Sexually transmitted
infections (STIs), p. 756
Herpes simplex test, p. 731
Cytomegalovirus, p. 200
Chlamydia, p. 722
Gonorrhea, p. 761
Syphilis serology, p. 473
Pap smear, p. 743
Adequacy of specimen
Category
Epithelial cell
abnormalities
Human papillomavirus (HPV)
testing, p. 745
Breast sonogram, p. 871
Results
Positive for herpes simplex virus-2 (HSV-2) (normal:
negative)
No change in serology 4 weeks later
No antibodies detected
No antibodies detected
Culture negative
No antibodies detected
Adequate
Epithelial abnormality
Squamous, atypical cells
Positive for HPV 16
Benign fibroadenoma
Diagnostic Analysis
The patient was informed of her test results. Her herpes titers indicated that the disease was
rather chronic, not acute. No treatment was recommended. Because of her age,
mammograms were contraindicated. A breast ultrasound indicated the lesion was not
cancerous. A fibroadenoma is common in this age-group. Because of her positive HPV
results and suspicious Pap smear, further evaluation was recommended.
Studies
Results
Colposcopy, p. 595
Several suspicious areas
Biopsy
Squamous cell carcinoma
Cervical cone biopsy, p. 720 Invasive squamous cell carcinoma
Hysteroscopy, p. 614
No extension to the endocervical canal or uterus
Pelvic ultrasound, p. 887
No extension of tumor beyond the cervix
The patient was advised to have a radical hysterectomy. She refused because she wanted to
have a family. She began psychologic counseling for guilt over her past promiscuity, which
had increased her risk for cervical cancer. She became pregnant 1 year later and lost the
Case Studies
pregnancy during the second trimester. One year later, she developed a large pelvic mass,
which represented progressive, inoperable cervical cancer. Despite radiation therapy and
chemotherapy, she died at age 31 of cervical cancer.
Critical Thinking Questions
1. Why was mammography contraindicated for this patient?
2. How is sexual promiscuity related to the risk for cervical cancer?
2

Purchase answer to see full
attachment

Don't use plagiarized sources. Get Your Custom Essay on
Glomerulonephritis And Cervical Cancer Healthcare Case Studies Help Students much review the case study and answer all questions ( Glomerulonephritis and C
Just from $13/Page
Order Essay
Homework On Time
Calculate the Price of your PAPER Now
Pages (550 words)
Approximate price: -

Why Choose Us

Top quality papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.

Professional academic writers

We have hired a team of professional writers experienced in academic and business writing. Most of them are native speakers and PhD holders able to take care of any assignment you need help with.

Free revisions

If you feel that we missed something, send the order for a free revision. You will have 10 days to send the order for revision after you receive the final paper. You can either do it on your own after signing in to your personal account or by contacting our support.

On-time delivery

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.

Original & confidential

We use several checkers to make sure that all papers you receive are plagiarism-free. Our editors carefully go through all in-text citations. We also promise full confidentiality in all our services.

24/7 Customer Support

Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Try it now!

Calculate the price of your order

Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.

Essays

Essay Writing Service

You are welcome to choose your academic level and the type of your paper. Our academic experts will gladly help you with essays, case studies, research papers and other assignments.

Admissions

Admission help & business writing

You can be positive that we will be here 24/7 to help you get accepted to the Master’s program at the TOP-universities or help you get a well-paid position.

Reviews

Editing your paper

Our academic writers and editors will help you submit a well-structured and organized paper just on time. We will ensure that your final paper is of the highest quality and absolutely free of mistakes.

Reviews

Revising your paper

Our academic writers and editors will help you with unlimited number of revisions in case you need any customization of your academic papers