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1 pages/≈275 words
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APA
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Health, Medicine, Nursing
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Essay
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English (U.S.)
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Week 2 assignment
Essay Instructions:
An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.
Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.
An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.
Case study:
A 34-year-old Hispanic-American male with end-stage renal disease received kidney transplant from a cadaver donor, as no one in his family was a good match. His post-operative course was uneventful, and he was discharged with the antirejection drugs Tacrolimus (Prograf), Cyclosporine (Neoral), and Imuran (Azathioprine). He did well for 3 months and had returned to his job as a policeman. Six months after his transplant, he began to gain weight, had decreased urine output, was very fatigued, and began to run temperatures up to 101˚F. He was evaluated by his nephrologist, who diagnosed acute kidney transplant rejection.
Explain why you think the patient presented the symptoms described.
Identify the genes that may be associated with the development of the disease.
Explain the process of immunosuppression and the effect it has on body systems.
Resources:
Review the following Video Resources and Content Pages in the Lecturio Platform by clicking button below labeled Load Week 2: Learning Resources in a new window.
Cell Injury and Adaptation: Introduction (3:09 min)
Ischemia-reperfusion Injury (2:52 min)
Atrophy and Autophagy (11:42 min)
Hypertrophy (2:43 min)
Essay Sample Content Preview:
Week 2 Assignment
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Reasons for the Symptoms
The patient presented with weight gain, fatigue, and extremely decreased urine output, which are typical symptoms of acute kidney transplant rejection. He gained weight because of the impairment of kidney functions, which caused fluid retention and accumulation (Naik & Shawar, 2023). Extreme fatigue was due to decreased red blood cells because the kidney produces erythropoietin hormone involved in erythropoiesis (Suresh et al., 2020). Moreover, the patient had a decreased urine output because the kidney's excretory role was happening slowly.
Associated Genes
Acute kidney transplant rejection occurs because of one or more immune responses to a new body organ that it recognizes as foreign. The innate immune system summons antigen-presenting cells, collecting information about the graft. The first kidney transplant in 1954 was performed between identical twins, and it was successful because of less human leukocyte antigen (HLA) disparity (Tamargo & Kant, 2023). Tumor necrosis factor signals a general immune response to the transplanted kidney. Second, the complement pathway is initiated with C3, causing inflammation to protect the body from foreign antigens. T and B cells are acti...
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