The Purpose of this combined Unit 3 & 4 Case Study assignment is to further evaluate the physiology and pathophysiology of inflammation and immunity in the body as well as cancer. This case study assignment is intended to allow you to show evidence of achieving the following Course Learning Outcome (CLOs):
CLO3: Examine concepts of inflammation and immunity (ILO 1; PLO 1,7; MSN Essential I)
CLO4: Describe common microorganisms and resulting infectious processes (ILO 1; PLO 1,7; MSN Essential I)
CLO5: Examine relevant issues with regard to cancer biology and cancer epidemiology across the lifespan (ILO 1; PLO 1,7; MSN Essential I)
CLO6: Analyze the etiology and advanced pathophysiological alterations of selected body systems for common primary care diagnoses across the lifespan (ILO 1; PLO 1,7; MSN Essential I)
Directions:
Choose one of the following case studies to develop for your assignment submission.Based on this case develop an APA formatted paper addressing the following:
- Include an introduction and a conclusion
- Use headers to identify the portions of your paper
- Paper should be in APA format including a title page and reference page.
- Use headers to separate the topic areas
- Include at least 3 scholarly, peer reviewed research articles
- All sources should be timely and within 5 years
- Web sites used should be noncommercial (e.g., gov, edu, org) website’s. Remember that website’s are not considered scholarly but may have very useful information.
- Refer to Case Study grading rubric, found under “My Grades” for further details about how this assignment will be graded.
- This assignment will be run through the Safe Assign similarity checker to determine if there are areas of your paper that match other sources. You are responsible for checking this report to determine if any revisions are needed for your final submission.
Case Study Choice 1 (choose only 1)
Tonya is a 16-year-old high school student. Over the last week, she had been feeling tired and found it difficult to stay awake in class. By the time the weekend had arrived, she developed a sore throat that made it difficult to eat and even drink. On Monday morning, her mother took her to her doctor. Upon completing the physical exam, the nurse practitioner (NP) told Tonya and her mother that the lymph nodes were enlarged in her neck and she had a fever. The NP ordered blood tests and told Tonya she had mononucleosis, a viral infection requiring bed rest.
Based on the scenario above, answer the following questions in your APA formatted paper:
1. Innate and adaptive immune defenses work collectively in destroying invasive microorganisms. What is the interaction between macrophages and T lymphocytes during the presentation of antigen in this scenario?
2. Tonya’s illness is caused by a virus. Where are type I interferons produced, and why are they important in combating viral infections?
3. Humoral immunity involves the activation of B lymphocytes and production of antibodies. What are the general mechanisms of action that make antibodies a key component of an immune response?
4. Discuss the pathophysiology of the spleen involvement with this condition? What precautions if any should this patient take?
Case Study Choice 2 (choose only 1)
Patient Susan is a 60-year-old female who is presenting to her women health visit with her nurse practitioner. This is for her annual exam. Her last pap smear and mammogram were normal. Today, while performing her breast exam, her nurse practitioner notices dimpling in the left breast as the patient raises her arms over her head. When the NP mentions it to Susan she is surprised and denies noticing it before today. A firm, non-tender, immobile nodule is palpated in the upper quadrant of her breast. She reports no recent or abnormal drainage from her nipple. Further examination reveals palpable axillary lymph nodes.
Susan is about 30 pounds overweight. She reports drinking a glass of white wine before bed each night. She denies any history of tobacco use. She reports use of a combination birth control pill on and off for 25 years until she reached menopause. She is not currently taking any prescription medications. She had menarche at age 10 and menopause at age 55. Further serological testing reveals the presence of a BRCA-1 gene mutation.
Based on the scenario above, answer the following questions in your APA formatted paper:
1. What is the significance of the BRCA1 mutation and how does this contribute to the development of breast cancer (How does is lead to the development of breast cancer? Consider the pathophysiology of this process.
2. What risk factors are presented in this case study that may contribute to the development of breast cancer besides the BRCA1 mutation? Why do these contribute to the risk?
3. What are the likely locations of metastasis of this type of cancer? Why? How does metastasis occur?
4. Describe the conversation you would have with this patient as the NP provider to tell her she has breast cancer?
Due Date: The Week 3 and 4 combinded case study is due Sunday of Week 4 to the assignment link in Unit 3.