The initial post must include responses to all the questions in both case studie

The initial post must include responses to all the questions in
both case studies.
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.
(Refer to Chapter 7, Immunity)
1. Discuss possible reasons why SLE was not
diagnosed earlier.
2. Discuss how the presence of antibodies can
cause such widespread damage in organ systems.
3. Discuss treatments for SLE and a prognosis for
the patient in this case.
Mr. F, age 46 years, has had a persistent unproductive cough for
several months that did not respond to cough medications. Recently, he has
developed a productive cough accompanied by fatigue, anorexia, and night sweats.
Examination indicated abnormal chest sounds and weight loss. A
chest radiograph showed a small cavity and infiltrate, the tuberculin test was
positive, and the sputum sample contained a small amount of blood and numerous
acid-fast bacilli, confirming the diagnosis of active tuberculosis. (Refer to
Chapter 13, Respiratory Disorders)
1. Discuss the pathologic changes occurring
during the development of active tuberculosis.
2. Discuss the transmission of TB and the
conditions predisposing to the development of TB.
3. Discuss the treatment of tuberculosis and the
precautions involved for health care personnel coming into contact with the
patient.
4. Suggest how family members or co-workers can
protect themselves.