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Exam (elaborations) NR 507 PATHOPHYSIOLOGY WEEK 7 TD3 Behavioral, Neurologic, and Digestive Disorders Discussion Part Three

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Discussion Part Three Disorders - Loading... This week's graded topics relate to the following Course Outcomes (COs). 1 Analyze pathophysiologic mechanisms associated with selected disease states. (PO 1) 2 Differentiate the epidemiology, etiology, developmental considerations, pathogenesis, and clinical and laboratory manifestations of specific disease processes. (PO 1) 3 Examine the way in which homeostatic, adaptive, and compensatory physiological mechanisms can be supported and/or altered through specific therapeutic interventions. (PO 1, 7) 4 Distinguish risk factors associated with selected disease states. (PO 1) 5 Describe outcomes of disruptive or alterations in specific physiologic processes. (PO 1) 6 Distinguish risk factors associated with selected disease states. (PO 1) 7 Explore age-specific and developmental alterations in physiologic and disease states. (PO 1, 4) Discussion A 19-year-old freshman in college has been brought to your office by campus security. The patient had been standing on top of the school chapel proclaiming that he was the prophet of God and that God was speaking to him. In fact he claimed to actually hear God’s voice. When he is in your office you notice that he is speaking very fast, can’t seem to sit still and his sentences at times don’t seem to make sense. He states, “I saw the professor sit on the ham sandwich and eat the raw calculus in his mind” • What is your differential diagnosis, how does it fit how might it not fit? • Based on the top of your differential what is the epidemiology of that disorder? Discussion Part Three (graded) Responses Lorna Durfee 6/14/2016 7:13:47 PM Discussion Part Three TAh 1e9 p-yaetiaern-to hlda dfr ebsehemn asnta innd cinogll eogne t ohpa so bf etheen sbcrhoouoglh ct htoa pyeolu prr oofcfliaciem biyn gc athmaptu hse s wecausr tihtye. hpreoapr hGeot do’fs G voodic aen. dW thheant hGeo ids wina ys osupre aokffiincge tyoo hui nmo. t iIcne ftahcatt, hhee icsl asipmeaedki ntog avcetruya flalys t, c“aI ns’atw se tehme ptoro sfiet ssstoilrl saint do nh itsh ese hnatemn cseasn dawt tiicmhe asn ddo ena’tt stheeem ra two mcaalkceu lsuesn isne .h Hise m sitnadte”s, What is your differential diagnosis, how does it fit how might it not fit? Based on the top of your differential what is the epidemiology of that disorder? Doctor Brown: My chosen differential is Differential #1: Schizophrenia. dMiscoCradnecr eth, aHt umetahneirf e&st sB irtassehlfe rws i(th2 0d1e4lu) seixopnlsa,i hna tlhluatc isncahtiizoonpsh, raenndi aa ibs rae aske vferorem e rmeaoltiitoyn. a l aTlh.,i s2 0d1is4o,r pd.e 1r 7re9s)u. l tTsh ien abuizthaorrres, rweliathted rthawatn r,e acnendt i sntaupdpieros phraiavtee sbheohwavni oasr s(oMcicaCtiaonncse et. rbeectewpeteonrs s (cMhiczCopahnrceen eiat. aanl,d 2 g0e1n4e,s p tph.a 1t 7h9a-v1e8 p0r)o. d Tuhctes rtehcaetp itnotresr aacrte wdyitshb ginludtianm, ate nDeIuSrCeg1u. l iEna 1ch, aonfd t hDe-saem hianso b aeceind soexeind aisne m acutlitvipalteo rp. o Apunloatthioenr ss uanscde rpetpibliicliattye dis. g Tehnee ekxnaocwt nm aetc thhains itsimmse w(MhiccCh amncueta etito. nals, i2n0 t1h4e, gpe. n1e8s0 c).ontribute to schizophrenia are not sAulsscoe, pTtiobhiyliatym gae, nMesiy haatav,e H baetetno rfio, uSnhdim iniz suc,h aiznodp Mhraetnsiuaz aankdi (m20a1jo5r) d reepproersts itohnat. s Tevheerya la re adcistirvuapttiendg- ipno-slycpheizpotipdher e(PniAa C1A (DP)I.S CT1h)e, fdiynsdbiningdsi nin a DndIS pCit1u iitsa rryel aatdeedn ytola ntee ucryacl lase- edleovnegloatpimone nptr odtierienc t1ly ( FvEiaZ t1h)e, aDdIhSeCsi1o-nb imndoilnegcu zliensc o-fri nthgee rp parrtonteerins o(Df DBIZS)C a1n.d Tkehnedyr ainre. dPeAvCelAopPm reegnut laanteds rneeguurlaalt edse tvheel ocpemnteronst.o mDayls mbiincdriont uibs uinlev onlevtwedo wrki tahn tdh feo nrmeuartailo n. The molecules that have been reviewed are involved in neural several neuropsychiatric disorders. Both DISC and DBZ are fdoeuvnedl oinp ment and aollsigoo edveinddernoccey ttheast a snudg gtheusst tihna rte dgiusltautribnagn oceli gino doelingdordoecnydter oacnydt ed idfefevreelnotpimatieonnt .a nTdh emrea jiosr depression (Tohyama et. al., 2015, p. 137). Tmhoer eN tahtaionn 1a0l 0I ngsetniteuttiecs r oefg iHoneasl rthel a(2te0d1 6to) rseclhaitzeo tphharte pnaiast r gisekn.o mThee a snpaelycisfeisc hgaevnee sf othuantd apnudt aH paartviaerndt aMt eridsikc aalr eS cshtiollo ul,n aknndo whins. t e aDmr. hSatevvee e MxacmCianrerdo ltlh, ef rroemgi othne w Bitrho atdh eI nstitute setnrcoondgeess tf olirn cko. m Tphleeym heanvt ec ofomupnodn tehnatt 4th. e Treh ea rCe 4a sgseonceia itsi opnasr tn oefa rt hteh ec oCm4 pgleenmee wnth ich ccaelslcualdaer dwehberrise. t hTeh iem smciuenntei sstys sftoeumn dh atsh aat pthaeth mwoayre t hstarto enlgimlyi na avtaersi aptaitohno cgoernrse laantdio n with ebxrapirne stissisoune o afn Cd 4nAeu, rthoen ss tfrroonmg ehru tmhea nc obrrraeilnasti othne yw iftohu sncdh Ciz4o pphrorednuicat.i o Wn hine nth eex naemuirnoinnsg, eosf ptehcei aclolym aptl esmyneanpt sceass.c aItd ies tpoo psrsoibmleo tteh asty Cna4p mtica yp rbuen iwnogr. k Wingit hw tiethst ointhge, rt hceoym fpoounnedn tthsa t oCf4 C ta4g isn tmhei csey nthaep sger efaotre pr rtuhnei pnrgu wniinthg .a Dnor.t hTehro pmroatse iLne chanleler do fC t3h.e TNhIeH h rieglhaeters t hthea lte vel apnru onpintigm guemts lreivde ol.f tHheo wexecveesrs, wcoitnhn teocoti omnusc wh ep druon ninogt nite ceadn s oim thpaati rt hmee bnrtaailn f upnecrftoiornm. s at tDhre. bLreahinn’esr wfeoerlks itnhgis t icsosuuled. hPeelrph eaxpps lsationp tphien gd ethlaiys epdr oacgees so fc oounlsde th aenlpd bthee t hshe rinkage of tIrnasntistfuotrems aotfi oHne naletehd, e2d0 1to6 )i.d entify the problem behind schizophrenia (The National How does it fit, or not fit? dUisaignngo tshise oDfS sMch-i5z,o wpher eknnioaw. Tthhaet stwecoo nodf Cchriatnergieo nis A th sayt madpdtoitmiosn aalrley n, einc eCsrsiatreyri foonr Aan, ya n ihnadlliuvcidinuaatli omnuss, ta hnadv dei soonreg aonf itzherde es poef etchhe. p Toshietirvee m suysmt pbteo monse: ionfc tlhued ipnogs idtievlue ssiyomnsp, toms tcori steursitaa ilnis tae dre ilnia tbhlee DdiSagMn-o5s ifso or ft hsec hdiizaogpnhorseins ioa.f Tschhisiz poapthiernent ieax ahsi bpiotss itthivreee i onfd itchaet ors Ifno rt hthise pdaisrtoircduelra.r Tchasee d, ewteer mdoi nnaotito hna voef aa ldl itahgen roesqius iirse db aisnefdo romna ptiroonv isduecdh iansf opramsta tion. mmeodreic calle harislyto aryn,d p mhyosreic palr eecxiasemlyin aanti oancc, utersattse adniadg pnroosciesd. uI rweso uthlda tw caonutl dto h ienlvpe dsetilginaetea tteh e uHseo wofe vderur,g gs.i vIe wn othueld i naflsoorm liakteio tno pdreotevrimdeidn,e Ii fa mth ecreer tiasi ann tohtahte trh mis epdaitciaeln tc oisn dexithioibni.t ing the criteria for schizophrenia. What is the epidemiology of that disorder? iAnlctlhuodueg. h H thoeld qeur easntido nW daiydh nso (t2 i0n1c4lu),d eex tphlea ient itohlaotg gye, nI eftoicusn dh atvhea ta int wimaps oimrtapnotr rtaonlet tion the featimoliolyg yh iosfto srcyh oizfo ppshyrcehnoias.i s .H Towhee vvearr,i amtioosnts p iant igeenntse tdicos n footr hthavise d ainseya bsea chkagvreo unnodt boere n rcoolme.p lOettehleyr icdoennttriifbieudti.n gW fhaactt oirss p foosrs tihbele d iesv tehlaotp emnvenirto onfm secnhtiazlo fpahcrteonrisa c ionuclldu dhea vgero aw ing cuepn itnra al nn eurrvboauns a sreyas,t etmhe iunsfee cotifo mn ainri jcuhainldah, oinofde c(tHioonlds,e cr o&m Wpliacyahtiso, n2s0 i1n4 o, bps. t7e7tr5ic).s , and As for the epidemiology of schizophrenia, the Centers for Disease Prevention (2013) state that the worldwide estimates for Schizoph rCenoinat rroanl gane db

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