case study

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CASE STUDY 4

Case Study- Scenario for Case Study Week 2

Janessa Truss

Dr. Mary Helming

NURS 6501- Advanced Pathophysiology

3/14/2021

Examining why the patient presented the symptoms described

There is a possibility that the patient's has been experiencing acute diverticulitis, in which the diverticula is inflamed due to fecalitis or proximity to another disorder, causing pain, fever, and in general the condition is responsive to pathogens and hydration, as the last photo is shown where obstruction is now seen, the patient almost certainly has signs of bowel obstruction due to the size of the adenocarcinoma tumor (McCance & Huether, 2019). For instance, being in multiple episodes of lower quadrant pain, high fever, and constipation for 15 years suggest diverticular inflammation. Also, the fact that his father died of colon cancer in the past, after undergoing colonoscopy increases the possibility of the patient suffering from a close or similar condition.

The genes that may be associated with the development of the disease

The genes associated with the patient’s disease can be determined by examining his past relatives and the conditions that they experienced and the order of those conditions from one generation to another (McCance & Huether, 2019). According to the case, the hereditary relationships between first-degree family members and associations with the specific genetic order like TNFSF15 SNP rs7848647 are complicated. In relation to carcinoma, the patient's condition is linked to MLH1 genetic orders. , MSH2, MSH6 and PMS2 for being non-polypoid disorders. These genetic and hereditary condition for the patient is reflected by the condition of his paternal grandfather who died in 1950s of colon cancer, which is closely similar with his condition.

The process of immunosuppression and the effect it has on body systems

Immunosuppression is a reduction in activation or adequacy of an immune scaffold. Several segments of the immune scaffold themselves effectively affect different parts of the stable scaffold, and immunosuppression can occur as an uncomfortable response to the treatment of various conditions (Justiz-Vaillant & Zito, 2019). For example, unfocused immunosuppression can occur with ataxia telangiectasia, nutritional supplement deficiencies, and many types of malignancies such as those experienced by the patient in this case. The degree of immunosuppression generally includes the anticipated beneficial and detrimental effects of a reduction in the sustained capacity of the patient’s immune system.

Immunosuppression is an approach to prevent or suppress resistant parts of the immune system. This can be achieved through the treatment setting or usually the patient's illness. The interactions depend on the predefined causes. The model is medicine. For example, cyclosporine, which suppresses certain humoral immunity and undeniable cellular responses such as allograft release, delayed extreme sensitivity, and cyclosporine survival, is caused by limitation of certain immunocompetent lymphocytes and is reversible in the G0 or G1 cell cycle (Justiz-Vaillant & Zito, 2019). T lymphocytes cells are the primary target, although noise T cells can also suffocate. Cyclosporine further limits the production and arrival of lymphokines, including interleukin-2 or T-cell development factors, and makes patients more susceptible to inherently dangerous diseases that those with a common immunological framework do not normally experience.

References

Justiz-Vaillant, A. A., & Zito, P. M. (2019). Immediate hypersensitivity reactions. In stat-Pearls.. Treasure Island, FL: StatPearls Publishing.

McCance, K. L., & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO:Mosby/Elsevier.