{"id":14692,"date":"2024-03-12T01:41:35","date_gmt":"2024-03-12T01:41:35","guid":{"rendered":"https:\/\/www.writemyessays.app\/blog\/questions\/j-c-is-an-82-year-old-white-man-who-was-evaluated-by-gi-specialist-due-to-abdominal-discomfort-loss-of-appetite-weight-lost-weakness-and-occasional-nausea\/"},"modified":"2024-03-12T01:41:35","modified_gmt":"2024-03-12T01:41:35","slug":"j-c-is-an-82-year-old-white-man-who-was-evaluated-by-gi-specialist-due-to-abdominal-discomfort-loss-of-appetite-weight-lost-weakness-and-occasional-nausea","status":"publish","type":"questions","link":"https:\/\/www.writemyessays.app\/blog\/questions\/j-c-is-an-82-year-old-white-man-who-was-evaluated-by-gi-specialist-due-to-abdominal-discomfort-loss-of-appetite-weight-lost-weakness-and-occasional-nausea\/","title":{"rendered":"J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea."},"content":{"rendered":"

J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.

Past Medical History (PMH):
<\/strong>Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.

Labs:
<\/strong>Hb 12.7 g\/dl; Hct 38.8% WBC 8.2; Glycemia 74mg\/dl; Creatinine 0.8 mg\/dl; BUN 9.8 mg\/dl; AST 21 U\/L ALT 17 U\/L; Bil T 1.90 mg\/dl; Ind 0.69 mg\/dl; Dir 1.21 mg\/dl.

Diagnostic test:
<\/strong>Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.

Case study questions:<\/strong><\/p>\n

    \n
  1. Please name the potential most common sites for metastasis on J.C and why?<\/li>\n
  2. What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?<\/li>\n
  3. Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?<\/li>\n
  4. Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.<\/li>\n
  5. Describe the carcinogenesis phase when a tumor metastasizes.<\/li>\n
  6. Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.

    <\/li>\n<\/ol>\n

    Submission Instructions:<\/strong><\/p>\n

      \n
    • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.<\/li>\n
    • You should respond to at least two of your peers by extending, refuting\/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) <\/li>\n
    • All replies must be constructive and use literature where possible.<\/li>\n
    • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.<\/li>\n
    • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. <\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

      J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.Past Medical History (PMH):Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[13],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/14692"}],"collection":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/comments?post=14692"}],"version-history":[{"count":0,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/14692\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/media?parent=14692"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/disciplines?post=14692"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/paper_types?post=14692"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/tagged?post=14692"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}