NURS 6501 Scenario 1: A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days
Scenario 1: A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.
Week 1 Initial Post
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Explanation of Strep Throat
Strep throat is a disease caused by a bacterial infection. This bacterium is known at streptococcus or “group A strep” (CDC, 2021). As noted in scenario one, common symptoms of this disease are sore throat, swollen lymph nodes and red or white spots to the back of the throat.
Roles Genetics Play in Strep and Why the Symptoms
Genes are responsilble for the makeup of the pathogens that cause strep throat. The pathogens are the reason the individual in this scenario presented with the specific symptoms of a sore throat, swollen glands and exudate on the back of the throat. The microbes of the genus Streptococcus can release a wide variety of toxins against the defense of the human cell (Barnett et. al, 2015). This causes a decrease in the immune system and the microbes then cause an infection. Once the immune system has declined then the reported symptoms begin.
Physiological Response and Cells Involved
The physiological response to the use of the antibiotics was lip and tongue swelling, shortness of breath and wheezing. This happens when there is an exaggerated response to an antigen or allergen causing a hypersensitive reaction (Justiz-Vaillant, A. A., & Zito, P., 2019). In the scenario, the 16 year old boy experienced a type I hypersensitivity which effects the mast cells and basophils which leads to excessive production of the IgE antibody, which resulted in life threatening symptoms (Justiz-Vaillant, A. A., & Zito, P., 2019).
Barnett, T., Cole, J., Rivera-Hernandez, T., Henningham, A., Paton, J., Nizet, V., & Walker, M. (2015). Microreview: Streptococcal toxins: role in pathogenesis and disease. Cellular Microbiology 2015. doi:10.1111/cmi.12531
Centers of Disease Control and Prevention. (2021). Disease or condition of the week: Strep throat. Retrieved from
Justiz-Vaillant, A. A., & Zito, P.M. (2019) Immediate hypersensitivity reactions. In StatPearls. Treasure Island, FL: StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513315/Bottom of Form
Discussion: Alterations in Cellular Processes
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At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally.
Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans.
For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.
- By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
By Day 3 of Week 1
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
- The role genetics plays in the disease.
- Why the patient is presenting with the specific symptoms described.
- The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
- The cells that are involved in this process.
- How another characteristic (e.g., gender, genetics) would change your response.
Read a selection of your colleagues’ responses.
By Day 6 of Week 1
Respond to at least two of your colleagues on 2 different days and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Submission and Grading Information
To access your rubric:
Week 1 Discussion Rubric
Post by Day 3 of Week 1 and Respond by Day 6 of Week 1
To Participate in this Discussion:
Week 1 Discussion
Practicum Manual Acknowledgment
The Practicum Manual describes the structure and timing of the classroom-based and practicum experiences and the policies students must follow to be successful in the nurse practitioner (NP) specialties.
Click here and follow the instructions to confirm you have downloaded and read the entire MSN Nurse Practitioner Practicum Manual and will abide by the requirements described in order to successfully complete this program.
What’s Coming Up in Week 2?
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Next week, you will examine alterations in the immune system and the resultant disease processes. You will also consider patient characteristics, including racial and ethnic variables, that may impact altered physiology.
Practicum – Upcoming Deadline
In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are required to take several practicum courses. If you plan on taking a practicum course within the next two terms, you will need to submit your application via .
For information on the practicum application process and deadlines, please visit the web page.
Please take the time to review the for your courses.
Please take the time to review the practicum manuals, FAQs, Webinars and any required forms on the web page.
Welcome to the new semester.
There are some changes from the previous semesters. As you can see, we have different modules now. We have eight separate modules. Module 1 includes week 1 &2. We will focus on Foundational Concepts of Cellular Pathophysiology.
Pathophysiology is an intense course. But if you take one 1 week at a time, you can handle it. I am teaching this course for a longer period. My advice is to finish reading for each week and take notes of the key points. Read more on the topic where your foundation is not that strong.
Always reach out to me if you have any trouble, rather than waiting till the end.
I hope you all have the required textbooks already.
Please complete all required readings.
We have a discussion in week 1. There are 4 scenarios given. I am assigning the scenarios for all. Case studies can be seen under week 1. Make sure you choose another case study to respond.
Please post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation -role genetics plays in the disease, why the patient is presenting with the specific symptoms described, physiologic response to the stimulus presented in the scenario and why you think this response occurred, the cells that are involved in this process, and how another characteristic like gender or genetics would change your response.