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PRESENTED BY:
LARISA HELEN MAHAGA-AJALA
MARIA WATERHOUSE
NICOLE LEE
MARVI CRUZ
Case two
Patient History
55 year-old female
 Had excellent health up to date.
Psychological stress
 Marital stress.
 Recently ...
Recent Medical Problems
Fatigue
Headaches
Nausea
Vomiting
Diarrhea
Vertigo
Weight Loss
Abdominal pain
Excessive s...
Physical Examination
Swollen eyelids
Partial limb paralysis
Increased pigmentation of skin on palms and soles
White ba...
Laboratory Results
Low levels of ATP production
Unusually high levels of arsenic
Abnormal levels of cell death due to l...
Diagnosis
Malfunctioning organelle: Mitochondria
 Reasons:
 Low levels of ATP production.
 High levels of cell death t...
What Causes the Other Symptoms?
The significant other of the patient poisoned her
with arsenic.
Psychological rationale:...
Rationale (cont.)
Using information from physical
exaheadachesmination/symptoms
 From arsenic poisoning, possible sympto...
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Case Study 2

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Dr. Cruz, Dr. Lee, Dr. Waterhouse, and Dr. Mahaga-Ajala look into a case that would never occurred without a small piece of paper.

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Case Study 2

  1. 1. PRESENTED BY: LARISA HELEN MAHAGA-AJALA MARIA WATERHOUSE NICOLE LEE MARVI CRUZ Case two
  2. 2. Patient History 55 year-old female  Had excellent health up to date. Psychological stress  Marital stress.  Recently won lottery.
  3. 3. Recent Medical Problems Fatigue Headaches Nausea Vomiting Diarrhea Vertigo Weight Loss Abdominal pain Excessive salivation
  4. 4. Physical Examination Swollen eyelids Partial limb paralysis Increased pigmentation of skin on palms and soles White banding on fingernails Muscle weakness
  5. 5. Laboratory Results Low levels of ATP production Unusually high levels of arsenic Abnormal levels of cell death due to lack of ATP
  6. 6. Diagnosis Malfunctioning organelle: Mitochondria  Reasons:  Low levels of ATP production.  High levels of cell death that weren’t caused by programmed cell death but because of low production of ATP.  ATP is produced in the mitochondria.
  7. 7. What Causes the Other Symptoms? The significant other of the patient poisoned her with arsenic. Psychological rationale:  Previous marital stress.  Reason to kill because of newly obtained wealth from the lottery the patient won.
  8. 8. Rationale (cont.) Using information from physical exaheadachesmination/symptoms  From arsenic poisoning, possible symptoms include (but are not limited to):  Pigmentation of skin as show from previous picture.  Muscle atrophy; explains the partial limb paralysis and muscle weakness.  Gastrointestinal disorders; explains pain in abdomen.  Accompanied by: nausea, profuse sweating, diarrhea, and vomiting. • The vomiting could have also led to weight loss.  Other symptoms because of dehydration and loss of salts:  Dizziness (vertigo) and.

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