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Carlos (Anna’s father)/ non infected
Anna Garcia/ infected
Eric (Anna’s brother)/ non infected
Jason (Anna’s brother-in-law)/ non infected
Erin (Anna’s niece, Jason and Juanita’s daughter)/  non infected
maria/ infected.

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CBC results are normal – no abnormalities in red blood cell, white blood cell, or platelet count.

Full cholesterol panel

Total Cholesterol – 389 mg/dL

LDL – 243 mg/dL

HDL – 60 mg/dL

Triglycerides – 145 mg/dL

Fasting blood sugar – 85 mg/dL

Hemoglobin A1c – 7.1%

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describe how to perform each test and the test results

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describe how to perform each test and the test results

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Urinalysis

The results of the urinalysis test indicate positive for bacterial infection. Further tests need to be performed to identify the type of bacteria.

Treatment

Administration of pain medication containing Phenazopyridine Hydrochloride

Administration of antibiotics

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Patient’s Name
| Anna Garcia
Age
| 38 | Temperature | 100.6 °F
Date
| August 14 | Blood Pressure | 140/90
Height
| 5 ft. 4 in. | Pulse | 102 bpm
Weight | 165 lb | Respiratory Rate | 23 bpm

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Changes in the walls of large arteries consisting of lipid deposits on the artery walls.. It restricts the blood flow to the ateries. High cholesterol levels can lead to clogged arteries that come from a process known as atherosclerosis or hardening of the arteries.

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premature ventricular contractions (PVCs), ventricular tachycardia, and ST elevation.

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premature ventricular contractions (PVCs), ventricular tachycardia, and ST elevation.

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Premature ventricular contractions (PVCs) occur in most people at some point. Causes may include certain medications, alcohol, some illegal drugs, caffeine, tobacco, exercise, or anxiety.

Ventricular tachycardia occurs due to a problem with the heart's electrical impulses. The condition may develop as a complication of a heart attack or may occur in people with certain conditions, such as valvular heart disease.

ST elevations refers to a finding on an electrocardiogram wherein the trace in the ST segment is abnormally high above the baseline.

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DNA is taken from patients blood the section of DNA containing the LDL receptor gene is then amplified by the PCA. The amplified DNA is analyzed to see if there is a mutation.

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AVE inhibitor  and how it can help Anna 

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AVE inhibitor  and how it can help Anna 

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ACE stands for angioplasty-converting enzyme. These medications lower blood pressure by encouraging the blood vessels to relax and open. This promotes the free flow of blood.
This could help Anna blood pressure to lower and encourage the blood vessels to relax and open

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explain at least two possible treatment options to open blocked blood vessels? Medical Procedures and Surgery. your doctor may recommend one of several procedures or surgeries. Angioplasty is a procedure to open blocked or narrowed coronary (heart) arteries. It can improve blood flow, relieve chest pain, and possibly prevent a heart attack.

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high blood pressure symptoms and treatment 

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high blood pressure symptoms and treatment 

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Requires a medical diagnosis

High blood pressure often has no symptoms. Over time, if untreated, it can cause health conditions, such as heart disease and stroke.

Treatment consists of self care and diuretics

Eating a healthier diet with less salt, exercising regularly, and taking medications can help lower blood pressure.

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Patient’s Name
| Anna Garcia
Age
| 37 | Temperature | 98.7 °F
Date
| May 14 | Blood Pressure | 140/72
Height
| 5 ft. 4 in. | Pulse | 98 bpm
Weight | 158 lbs. | Respiratory Rate | 22 bpmPatient’s Name
| Anna Garcia
Age
| 37 | Temperature | 98.7 °F
Date
| May 14 | Blood Pressure | 140/72
Height
| 5 ft. 4 in. | Pulse | 98 bpm
Weight | 158 lbs. | Respiratory Rate | 22 bpm

Case History

Anna is a 37-year-old Hispanic woman with both Type 1 diabetes and sickle cell disease who was referred to a cardiologist for a full cardiac evaluation after two incidents of self-resolved chest pain. Anna is a nonsmoker who admits to eating a diet high in both calories and fat. Anna consumes three glasses of wine each day after work. Anna used to be an athlete, but has not kept up with formalized exercise. Anna takes a daily aspirin and does do a yoga home video as needed to help her deal with the stress of her illnesses and her job.

Anna has a family history of early heart disease as well as uncontrolled hypertension. Her father had a heart attack when he was only 41 years old.

Patient was evaluated by physical exam, blood work, cardiac stress test with electrocardiogram (EKG), and an echocardiogram. Results later prompted an angiogram

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Decendent
| Anna Garcia
Age
| 38
Height
| 64 in.
Weight | 165 lbs.
Race | Hispanic
Sex | Female
Blood

No evidence of alcohol.

Evidence of statins, equivalent to 40mg/day. NOTE: A prescription bottle for Vasotec, an ACE inhibitor, was found at the scene, although there is no evidence of this drug in the blood. The decedent most likely had not taken this medication for at least 3-4 days.

Blood glucose level 280 mg/dL (normal range 70-125 mg/dL)A stent is present in the left anterior descending coronary artery; however, scar tissue and clots partially block or occlude the lumen of the vessel. The right coronary artery is 80% occluded. Narrowing is also noted in the renal arteries as well as the cerebral arteries and provides evidence of atherosclerosis.

Evidence of mild peripheral vascular disease in the left leg.

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the pain is in my chest and my leg. My chest pain is really deep, making it hard to breathe.The nurse had to stick my arm FIVE times before she found a vein for my IV.physical therapy is here to help me get out of bed and do some exercises. Usually, we walk up and down the halls of the hospital together to try and get my legs moving. It hurts at first but it always hurts worse if I just sit in bed all day.I’ve been having so many pain crises this past year. They said this medicine is pretty new but that it can actually help me live longer. It should make me have fewer pain episodes and keep me from getting acute chest syndrome again.medicine will make things better not worse.

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The mutation is inhereted from the parents of an individual in an autosomol recessive pattern. If one parent has sickle cell trait and the other does not, children inherit the gene either as carriers or affected fully by the disease from the parent who has it and pass it on to their own kid.

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Patient is running a fever, is extremely lethargic, experiencing breathing problems, and appears to be in a lot of pain.

Sickle cell anemia

Severe anemia

Splenetic sequestration (sickling in the splenic vein resulting in a collection of a large amount of blood in the spleen, causing the spleen to be enlarged).

Intravenous hydration

Administration of pain medication

Red blood cell transfusion

Administration of antibiotics to prevent infection

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Sickle cell is caused by a single point mutation in the beta-hemoglobin gene. It converts GAG codon into GUG which encodes the amino acid valine instead of glutamic acid.

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sickle cell disease, an inherited group of disorders, red blood cells contort into a sickle shape. The cells die early, leaving a shortage of healthy red blood cells , and can block blood flow causing pain
anemia-a condition marked by a deficiency of red blood cells or of hemoglobin in the blood, resulting in pallor and weariness.

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Annas report showed the lens in her right eye appeared cloud and the blood vessels in both eyes were swollen Her vsion was most likely compromised. Her left kiddney was paled and showed ealy signs of necrosis.. Blood glucose levels were 280 mg/dL. She had protein and ketone in urine. Anna seems like she had diabetic retinopathy.

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16-On a hot day in August, Anna pushed herself too hard in a soccer game that went into overtime. She felt dizzy. She had a brief seizure in the ambulance.her cells where not getting enough glucose

25-she had to go to the bathroom quite often,she was really thirsty. but her friends took her to the doctor just to be sure she was OK. Luckily, Anna was given IV fluids and sent home after a few hours.

29-and she began to feel a bit dizzy. She immediately drank a juice box that was in her purse and she soon felt back to normal

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Brisk walking done at a pace that raises the heart rate is an aerobic exercise, and studies show beneficial effects when people with diabetes participate in aerobic activities

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Anna was always thirsty and had frequent urination becuase When you have diabetes, excess sugar (glucose) builds up in your blood. Your kidneys are forced to work overtime to filter and absorb the excess sugar. If your kidneys can't keep up, the excess sugar is excreted into your urine, dragging along fluids from your tissues. This triggers more frequent urination, which may leave you dehydrated. As you drink more fluids to quench your thirst, you'll urinate even more.

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Diabetes is a problem with your body that causes blood glucose (sugar) levels to rise higher than normal.

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instead, eat carbohydrates from fruit, vegetables, whole grains, beans, and low-fat or nonfat milk. Choose healthy carbohydrates, such as fruit, vegetables, whole grains, beans, and low-fat milk,

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In Anna's stomach she had starch and lipid acid but no glucose and proteins

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some things Anna ate that tested positive for glucose were soda, chips, crackers, and cheerios. The foods tha tested positive for starch were chip, crackers, and cheerios. the food that tested positive for protein was yogurt. soda, chips, and yogurt tested positive for lipids.

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This test measures the amount of insulin, the hormone that lets cells take in glucose.Anna Garcia insulin level started at 140 and went down dramatically showing she has type 1

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The glucose tolerance test is a medical test in which glucose is given and blood samples taken afterward to determine how quickly it is cleared from the blood. Anna Garcia had a glucose lv of 150-250. which means she has diabetes

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The Autopsy report Had no signs of struggle/foul play
Also Anna had lost of oxygen in her legs and hands , and blunt force trauma to her head

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The DNA found at the crime scene was determined to be Anna's DNA

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The blood spatter at the crime scene was analyzed and determined that Anna was hit Falling down or near the ground

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7:00 am
the formula used was rectal temperature divided by 1.5 equals approximate hours since death

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The hair found at the crime scene belong to Anna Garcia

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Finger print at crime scene is Anna Garcia

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The Blood at the crime scene belonged to Anna Garcia

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The evidence at the crime scene was Acetylsalicylic acid

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Alex Garcia-may wanted to get back at her for the divorced

Doug Green-May wanted to get back at Anna for ending there relationship
Eric Piedmont- May wanted to get rid of her because of jealousy
Lucy Leffingwell- may wanted to get Anna out of the way so she can expand there business

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Height-64 in
Race-Hispanic
Gender-female
weight-165 lb