Governors State University NURS 6150 – Advanced

Governors State University NURS 6150 – Advanced Pathophysiology Genetics Case Study Jane and Jackie, 30 year old twin sisters, adopted when they were two years old, lived mirrored lives to this point. They do everything together, from having a double wedding, living next door to each other, and making any appointments, medical or social together. Today they made an appointment with their OB/GYN. Information was as follows: Jane Information: Jackie’s Information: BP 115/70 BP 165/96 HR 70 HR 96 Resp. 20 Resp, 22 Temp 98.6 Temp 99.2 N/A Normal U/A + Hematuria + Proteinuria Weight No gain Weight +15 pounds C/O Intermittent Headache C/O Has lower back and stomach at times relieved with pain at times and is relieved also Tylenol by Tylenol. Other: This individual is noted to have some loss of muscle mass in her arms and legs and less subcutaneous tissue overall. The physician uses the ultrasound to assess Jackie’s back and abdomen. He finds that her kidneys are about 4 times larger than normal and appear to have numerous fluid filled cysts noted. At this point he asks BOTH sisters to see a nephrologist and to be scheduled for MRI’s of the kidneys. The MRI showed that Jackie’s kidneys were indeed larger and filled with cysts. Jane’s kidneys were somewhat larger than normal, and no cysts were present at this time. The sisters went to see the nephrologists who requested that they have MRI’s of the brain and an echocardiogram. Jane’s MRI and echocardiogram were normal. Jackie’s brain MRI and echocardiogram were not. Jackie had a cerebral angiogram that followed which confirmed complications of her disease process, an Intracranial aneurysm and Mitral regurgitation. Jackie undergoes a procedure called Coil Embolization Therapy to resolve the aneurysm. 1. What is an Intracranial aneurysm ? How does Coil Embolization Therapy resolve the problem.? Please be specific of the procedure. 2. What is Mitral Valve Prolapse and how will it affect Jackie’s health care needs before procedures in the future? 3. What education is needed to be shared with these sisters related to their children having this condition in the future?

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