Massachusetts Institute of Technology Colonoscopy MRI And Case Report Discussion – Description
create a collaborative environment in which you can strengthen your use of medical terminology and critical thinking skills while constructively sharing ideas and opinions regarding a medical scenario.
Directions
SCENARIO
Identifying Data:
This 72-year-old female presents with a biopsy proven adenocarcinoma of the sigmoid colon at 20 cm.
History of Present Illness:
The patient has been noted to have some bright red bleeding intermittently for approximately 8 months, initially presumable of a hemorrhoidal basis. She recently has had an intensification of rectal bleeding but no weight loss, anorexia, or obstructive pain. No significant diarrhea or constipation. Some low back pain, is probably unrelated. A recent colonoscopy by Dr. Scoma revealed a large sessile (attached by a broad base) polyp, which was partially excised at 20-cm level, showing infiltrating adenocarcinoma at the base. The patient is to enter the hospital at this time after home antibiotic and mechanical bowel prep, to undergo sigmoid colectomy and possible further resection.
1. Using the scenario above, answer the following questions:
A. What chronic symptoms did this patient have? Describe the symptoms using medical terms.
B. What was the cause of her chronic symptoms?
C. What procedure did she have recently that diagnosed her condition? Name the procedure and briefly describe it.
D. The patient is scheduled for what procedure? Briefly explain the procedure.
Follow these guidelines when answering the questions:
Use a maximum of 100 words.
Be clear, concise, and well organized using as many pertinent medical terms as possible.
Be free of grammatical, mechanical, and format errors.
Be in your own words (do not copy text directly from a website, text, or other reference materials) and contain citations from all sources used.
Post your answers to the Discussion Board.
Click on the Reply button at the bottom of this page.
In the Message box, type your answer to the questions then click Post Reply.
Note: You will not be able to see your classmates’ posts until you have posted your response. You may subscribe to the forum so that you will receive a notification when there are new postings to read.
2. Respond to at least two other classmates using the following guidelines:
Explain whether you agree or disagree with your classmate’s answer and why.
Include a minimum of 2 complete sentences with no more than a maximum of 3 sentences.
Be clear, concise, and well organized using as many pertinent medical terms as possible.
Be free of grammatical, mechanical , and format errors.
Be in your own words (do not copy text directly from a website, text, or other reference materials) and contain citations from all sources used.
Note: No credit will be given for “Thank you”, “I agree”, “Good job” etc.
Assignment 2: Discussion – MRI Report
Module 10: Nervous System
Purpose
The purpose of this discussion forum is to create a collaborative environment in which you can strengthen your use of medical terminology and critical thinking skills while constructively sharing ideas and opinions regarding a medical scenario.
Directions
SCENARIO
Identifying Data:
MRI was performed through the brain, cervical spine, and upper thoracic region.
Scans were generated in the transaxial, sagittal, and coronal (frontal) planes.
MRI Report:
Evaluation of the brain parenchyma demonstrates the presence of multiple areas of abnormal increased signal intensity scattered through the white matter of both cerebral hemispheres. These areas are periventricular in location . The pattern is most compatible with a demyelinative process. Scans through the cervical spine and spinal cord demonstrate no definite areas of abnormal increased or decreased signal within the cord. The discs are intact. Evaluation of the upper thoracic region demonstrates an appearance similar to that of the cervical region.
Note: The image to the left is an example and is not the MRI of this scenario.
1. Using the scenario above, answer the following questions:
A. What is an MRI? Briefly explain how it works.
B. What combining forms indicate the regions of the body imaged?
C. What is the brain parenchyma?
D. From the report, what is a likely diagnosis (Alzheimers, Parkinsons, Amyotrophic lateral sclerosis, and Multiple Sclerosis) ? Explain why.
Follow these guidelines when answering the questions:
Use a maximum of 100 words.
Be clear, concise and well organized using as many pertinent medical terms as possible.
Be free of grammatical, mechanical, and format errors.
Be in your own words (do not copy text directly from a website, text, or other reference materials) and contain citations from all sources used.
Post your answers to the Discussion Board.
Click on the Reply button at the bottom of this page.
In the Message box, type your answer to the questions then click Post Reply.
Note: You will not be able to see your classmates’ posts until you have posted your response. You may subscribe to the forum so that you will receive notification when there are new postings to read.
2. Respond to at least two other classmates using the following guidelines:
Explain whether you agree or disagree with your classmates answer and why.
Include a minimum of 2 complete sentences with no more than a maximum of 3 sentences.
Be clear, concise, and well organized using as many pertinent medical terms as possible.
Be free of grammatical, mechanical and format errors.
Be in your own words (do not copy text directly from a website, text, or other reference materials) and contain citations from all sources used.
Note: No credit will be given for “Thank you”, “I agree”, “Good job” etc.
Assignment 3: Discussion – Case Report
Purpose
The purpose of this discussion forum is to create a collaborative environment in which you can strengthen your use of medical terminology and critical thinking skills while constructively sharing ideas and opinions regarding a medical scenario.
Directions
SCENARIO
A 22-year-old man who was a known heroin abuser was admitted to an emergence department comatose, with shallow respirations. Routine laboratory studies and chest x-ray studies were done after the patient was aroused. He was then transferred to the ICU. He complained of left-sided chest pain. Examination of the chest film showed three fractured ribs on the right and a large right pleural effusion. Further questioning of a friend revealed that he had fallen and struck the corner of a table after injecting heroin.
The diagnosis was traumatic hemothorax secondary to rib fractures and a chest tube was inserted into the right pleural space. No blood could be obtained despite maneuvering of the tube. Another chest x-ray showed that the tube was correctly placed in the right pleural space, but the fractured ribs and the pleural effusion were on the left. The radiologist then realized that he had reversed the first film. A second tube was inserted into the left pleural space, and 1500 ml. [6 to 7 cups] of blood was evacuated.
Note: The image above is an example and is not the x-ray of this scenario.
1. Using the scenario above, answer the following questions:
A. What did the initial chest x-ray show? Explain the medical terms used.
B. In this scenario, the patient’s hemothorax was caused by the rib fracture. What one word term is used to indicate when one condition (hemothorax) is caused by another condition (rib fracture).
C. What procedure was used to relieve the condition?
D. What is the lesson from this case report?
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