Alterations in Cellular Processes
At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally.
Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans.
For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.
Scen
a
rio
1
:
A
16
–
y
ear
–
old
boy
comes
to
cl
in
ic
with
chief
complaint
of
s
or
e
throat
for
3
days
.
Denies
fever
or
chills.
P
M
H
negative
for
recurrent
colds,
influenza,
ear
infecti
on
s
or
pneumonias.
NKDA
or
food
allergies.
Physical
e
x
am
reveals
temp
of
99.6
F,
pulse
78
an
d
regular
with
respirations
of
18.
HEENT
normal
with
exception
of
reddened
po
sterior
pharynx
with
white
exudate
on
tonsils
that
are
enlarged
to
3+.
Positive
anterior
and
posterior
cervical
adenopathy.
Rapid
strep
test
performed
in
office
was
positive.
H
is
H
CP
wrote
a
prescription
for
amoxicillin
500
mg
po
q
12
hours
x
10
days
disp
#20.
He
took
t
he
first
capsule
when
he
got
home
and
immediately
complained
of
swelling
of
his
tongue
and
lips,
difficulty
breathing
with
audible
wheezing.
911
was
called
and he was
taken
to
the
hospital,
where
he
received
emergency
treatment
for his
allergic
reaction
.P
By
Day
3 of
Week
1
Post
an
explanation
of the
disease
highlighted
in the
scenario
you
were
provided.
Include
the
following
in
your
explanation:
·
The
role
genetics
plays
in the
disease.
·
Why
the
patient
is
presenting
with the
specific
symptoms
described.
· The
physiologic
response
to the
stimulus
presented
in the scenario and
why
you
think
this
response
occurred.
· The
cells
that are
involved
in this
process.
·
How
another
characteristic
(e.g.,
gender,
genetics)
would
change
your
response.
Scenario
1
:
A
16
–
year
–
old
boy
comes
to
clinic
with
chief
complaint
of
sore
throat
for
3
days.
Denies
fever
or
chills.
PMH
negative
for
recurrent
colds,
influenza,
ear
infections
or
pneumonias.
NKDA
or
food
allergies.
Physical
exam
reveals
temp
of
99.6
F,
pulse
78
and
regular
with
respirations
of
18.
HEENT
normal
with
exception
of
reddened
posterior
pharynx
with
white
exudate
on
tonsils
that
are
enlarged
to
3+.
Positive
anterior
and
posterior
cervical
adenopathy.
Rapid
strep
test
performed
in
office
was
positive.
His
H
CP
wrote
a
prescription
for
amoxicillin
500
mg
po
q
12
hours
x
10
days
disp
#20.
He
took
the
first
capsule
when
he
got
home
and
immediately
complained
of
swelling
of
his
tongue
and
lips,
difficulty
breathing
with
audible
wheezing.
911
was
called
and
he
was
taken
to
the
hospital,
where
he
received
emergency
treatment
for
his
allergic
reaction
.
P
By
Day
3
of
Week
1
Post
an
explanation
of
the
disease
highlighted
in
the
scenario
you
were
provided.
Include
the
following
in
your
explanation:
·
The
role
genetics
plays
in
the
disease.
·
Why
the
patient
is
presenting
with
the
specific
symptoms
described.
·
The
physiologic
response
to
the
stimulus
presented
in
the
scenario
and
why
you
think
this
response
occurred.
·
The
cells
that
are
involved
in
this
process.
·
How
another
characteristic
(e.g.,
gender,
genetics)
would
change
your
response.