Essay about Case Study

Example Number 2

McKenzie Chavez

Precisely what is the significance of every of D. W. is actually laboratory results? The testing that were operate for the patient D. W. were performed to determine an analysis and treatment. Even though the disease systemic laupus erthematosus (SLE) doesn't have a test that specifically medical diagnosis this disorders, there are check that are run to help with figure out contributing factors. The significance of the positive antinuclear antibody (ANA) titer is the fact 98% of individuals with systemic lupus test out positive, though it is not enough for a diagnosis of lupus (healthy individuals can easily test positive) it is a good indication along with other analysis test in the presence of lupus. The anti-double-stranded GENETICS antibody (anti-dsDNA) is a specific type of ANA antibody seen in about 30% of people with systemic laupus. Less than 1% of healthier individuals get this antibody, rendering it helpful in credit reporting a diagnosis of systemic laupus. A positive value is also a sign of more serious lupus. Anti-smooth muscle antibody is a bloodstream test that detects the existence of antibodies against smooth muscle. This check can help separate lupus and autoimmune hepatitis. C-reactive proteins (CRP) is actually a protein manufactured by the hard working liver, and large levels of CRP in your bloodstream may imply you have inflammation due to lupus. ESR as well tests to get inflammation. This measures the number of a proteins that makes the red blood cells heap together (Lupus foundation of America). C3 and C4 test are low due to, Enhance proteins are used up by inflammation brought on by lupus, which explains why people with irritation due to effective lupus often times have low enhance levels (Lupus foundation of America). Given that the majority of tests will be non-specific, how is SLE diagnosed?

Systemic lupus erythematosus is a disease that is not easily clinically diagnosed. Many clinical tests must be done to determine when a patient is definitely has SLE. Due to SLE mimicking a number of other diseases, as well as affecting a large number of systems in the body a full head to toe assessment needs to be done on the patient at every checkup should occur every 6months after medical diagnosis. According to the American College of Rheumatology you will find 11 prevalent criteria inside the diagnosis of lupus. Having 4 or more with the criteria is a great indication of lupus along with lab values. A malar break outs over the face or face in the shape of a butterfly, discoid allergy (red, brought up disk shaped patches), photosensitivity, oral ulcers, arthritis, serositis/pericarditis/pleuritis, kidney disorder (persistent protein or cell casts in urine), neurologic disorder (seizure or psychosis), blood disorder (anemia, leukopenia, lymphopenia, thrombocytopenia), abnormal ANA, or unusual anti-double-stranded DNA or anti-Sm, positive antiphospholipid antibodies. Other possible symptoms or indications can include fever, fatigue, hair thinning, and hands turning white-colored or blue when cold. What top priority problems must be addressed with D. Watts.?

At this point in her disease process the most important problem which should be addressed is definitely slowing down her disease and limiting flare ups. One step to managing laupus is to be familiar with disease as well as impact. Finding out how to recognize the warning signs of a flare can help the patient take steps to ward this off or reduce their intensity. A large number of people with lupus experience increased fatigue, pain, a rash, fever, abdominal pain, headache, or dizziness just before a flare (Lupus, a patient care guide). Developing ways to prevent flares can also be helpful, such as understanding how to recognize her warning signals and maintaining good connection with her health care group. It is also critical that she gets regular health care, instead of seeking help only if symptoms worsen. Results from a medical exam and laboratory focus on a regular basis allows the physician to note virtually any changes and also to identify and treat flares early. If new symptoms are discovered early, remedies may be more beneficial. Providing assistance...

References: Gill, J. M. (2003, 12 , 1). Associated with SLE. In AAFP. Retrieved April 7, 2013, by

Lab test to get lupus (n. d. ). In Lupus foundation of America. Retrieved April 7, 2013, from

" Lupus: A Patient Attention Guide for Nurses and Other Health Professionals, Phase 4: Care of the Laupus Patient. " Arthritis, Musculoskeletal and Pores and skin Diseases Home Page. N. s., n. g. Web. almost eight Apr. 2013..

Lupus symptoms and treatment (2013). In Cerebritis. Net. Retrieved 04 7, 2013, from

Sewell, N. (2004). Plasmapheresis. In itzarion. com. Gathered April 7, 2013, via

Smeltzer, S. C., Bare, N. G., Hinkle, J. D., & Cheever, K. H. (2010). Brunner & Suddarth 's book of medical-surgical nursing (12th ed. ). Philadelphia, PENNSYLVANIA: Lippincott Williams & Wilkins.


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