NR 283 Week 8 Discussions: Ms. X, a 32-year-old Hispanic woman (GRADED A)
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Course
NR 283
Institution
Chamberlain College Of Nursing
Ms. X, a 32-year-old Hispanic woman, has had a history of intermittent pleuritic chest pain and joint pain for the past several years. Recently, she went to her physician because she … that an eryth ematous, butterfly-shaped rash had … on her face. Further lab tests … protein in her urine. He...
Ms. X, a 32-year-old Hispanic woman, has had a history of intermittent pleuritic chest pain
and joint pain for the past several years. Recently, she went to her physician because she
noticed that an erythematous, butterfly-shaped rash had appeared on her face. Further lab
tests indicated protein in her urine. Her blood test indicated the presence of numerous
antinuclear antibodies, especially anti-DNA, and mature neutrophils containing nuclear
material. A diagnosis of systemic lupus erythematosus (SLE) was made.
1. Discuss possible reasons why SLE was not diagnosed earlier. (See SLE—Clinical
Signs and Symptoms.)
The clinical looks of SLE varies because different combinations of effects
develop in each individual which makes it hard to diagnose the disorder.
2. Discuss how the presence of antibodies can cause such widespread damage in organ
systems. (See SLE—Pathophysiology.)
Immune complexes, especially those with anti-DNA antibody, are deposited in
connective tissues anywhere in the body, activating complement and causing
inflammation and necrosis.
3. Discuss treatments for SLE and a prognosis for the patient in this case. (See SLE—
Treatment.)
Systemic lupus erythematosus is usually treated by a rheumatologist, and the
specific treatment often depends on the severity and symptoms of the disease.
4. Identify the type of immune response involved.
Antibody was involved for self-antigens
5. Discuss what Matt can expect in the future.
The prognosis for SLE is much improved now with early diagnosis and careful
treatment, providing most individuals with an active life and normal life span.
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