Module 3 Case Chief Complaint: 49-year-old man with abdominal pain, fever and yellowing of the skin and whites of the ey

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Module 3 Case
Chief Complaint: 49-year-old man with
abdominal pain, fever and yellowing of the skin and whites of the
eyes.
History: Vincent Miller, a 49-year-old
accountant, has had a "drinking problem" throughout most of his
adult life. He has been hospitalized on several occasions over the
years. He reports dull pain in the right, upper quadrant of the
abdomen, intermittent fever of 3 weeks duration, and a yellowing of
the skin and the whites of the eyes. A diagnosis of
"alcohol-induced hepatitis (liver inflammation)" is listed in the
chart. With excessive intake of alcohol, the liver switches over
from the use of fats and carbohydrates as its primary "fuel" to the
use of alcohol as its primary fuel. This can lead to excessive
production of lactic acid,which, in turn, can cause inflammation of
the liver tissue.
Guiding
Questions
Answer the questions below and submit as a Microsoft Word
document or PDF.
1. Is the diagnosis consistent with the location of the
abdominal pain? Explain your answer. How does this differ
from circumstances of referred pain and what is the anatomical
basis of visceral referred pain?
2. What is the physical relationship
between the liver,gallbladder and duodenum? Be sure to
include other organs that may share anatomical features.
3. If Vincent's liver disorder
resulted in the production of a "gallstone," what danger might that
present for his pancreas? Be specific.
4. Propose a possible treatment for
the patient in this case study. How does this treatment
improve conditions for the patient? Are these
improvements seen at the cellular, tissue, organ or systemic
level?