Case Study GI and Endocrine

Ms. Johnson, age 57, is referred to a gastroenterologist for chronic digestive problems. For at least a year, she reports her stomach aching after eating a small meal. The pain, which has increased recently, is described as being dull and accompanied with the sensation of fullness. Ms. Johnson also experiences occasional abdominal cramping and nausea at times other than after eating.

After obtaining a complete history and performing a physical examination, the gastroenterologist orders several tests. The test results support the conclusion that Ms. Johnson has chronic gastritis caused by an infection with the bacterium Helicobacter pylori.

· Explain what tests might the gastroenterologist have ordered, to help in Ms. Johnson’s diagnosis?

· Explain how common is a bacterial cause of chronic gastritis?

· Explain which other conditions can be the cause of chronic gastritis?

· Discuss why the liver is important and describe the functions it serves.

In high school, Jake was a tall and physically well-coordinated student who played on both the school’s basketball and football teams. Now in his second year of college, Jake visits the Student Clinic because of a sprained wrist. The nurse uses this as an opportunity to obtain a complete health history.

Jake mentions he feels clumsy in comparison to how he felt as a high-school athlete. He verbally expresses his awkwardness may be related to not playing sports now. He admits to no physical activity beyond walking across campus. Jake states college demands so much study time, and he also has a part-time job.

Jake states he had not been especially tall in grade school. His growth spurt came in junior high, and in high school he was a large and slender young man who reached six feet four inches in height. At one point, Jake scratched his head thoughtfully and said, “But you know, I think I’ve grown a lot since high school. And I’m still growing.” The nurse confirms Jake’s height has increased and begins to suspect Jake’s size may be due to an endocrine condition.

· Explain the condition Jake might have?

· Explain how would the diagnosis be confirmed?

· Create a 1-page chart that shows the similarities and differences between the different types of diabetes mellitus.

Additional Resources:

· American College of Gastroenterology:
http://gi.org/

· American Liver Foundation:
http://www.liverfoundation.org/

· National Institute of Diabetes and Digestive and Kidney Diseases:
https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults

· Oncology Nursing Society:
https://www.ons.org/

· Society of Gastroenterology Nurses and Associates:
https://www.sgna.org/

· American Diabetes Association:
http://www.diabetes.org/

· Endocrine Pathology Index:
http://library.med.utah.edu/WebPath/ENDOHTML/ENDOIDX.html

· MedlinePlus:
https://medlineplus.gov/endocrinesystem.html

· National Adrenal Disease Foundation:
http://www.nadf.us/

· National Institute of Diabetes and Digestive and Kidney Diseases:
https://www.niddk.nih.gov/health-information/endocrine-diseases

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