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https://docs.google.com/document/d/1d1df8xJEmQ2gbabJYlKt3szXKiruU6oL8FQ9UhJFV-c/edit#heading=h.gjdgxs

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https://docs.google.com/document/d/1ill9uyV6PtGqJVQHlNxLmkP_u3hsLOt2Zqun9l0do7o/edit#heading=h.gjdgxs

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https://docs.google.com/document/d/1SeZlW3ZfFeRhWEKY8cx3IW0X1TQiedtH07SJUmiyJ04/edit

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Anna was diagnosed with sickle cell anemia and Splenic sequestration at the age of 14 months
https://drive.google.com/open?id=0Bw_a6bRVJT4SdE82YVc3UE5KZ2M

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https://docs.google.com/document/d/1P8sRNKA9Sr9hSqK7B1Uoh6fb2ObWS_OkisBLCOxpqnY/edit

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Urinalysis

positive for bacterial infection

gross morphology

had serratia marcescens

gram stain

was bacillus and gram negative

bacterial identification

Anna had serratia marcescens

a history of sickle cell anemia, diabetes, heart disease, and hypercholesterolemia

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https://docs.google.com/a/lammersvilleusd.net/document/d/1gv-48Mgz4hNZRvFxggmM34JY7_9cyLdATY4zX03Ejwc/edit?usp=sharing

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Medical history analysis
As you can see Anna's medical history includes a history of heart disease and high cholesterol in her family.When Anna was a kid she was diagnosed with sickle cell disease which is basically when a group of disorders cause your red cells to break down.Anna has recently been feeling very thirsty, she said that no matter how much she drinks she still cant quench her thirst.

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Blood:
No evidence of alcohol
No evidence of non-prescription drugs or overdose of prescription drugs
Blood glucose – 280mg/dL
A1C – 11 percent
Urine
No evidence of non-prescription drugs or overdose of prescription drugs
Microalbumin test reveals significant protein in the urine Ketones in urine

Explanation of Results:
Internal Examination
Head and Neck:
Lens of the right eye appears cloudy. Blood vessels in both eyes are swollen. Abnormal blood vessels are present on the left retina. Vision was most likely compromised.

Examination of the oral cavity revealed significant plaque buildup on the teeth as well as severely receding gums. 4-5 unfilled dental cavities were visible.
Trunk
Left kidney appears pale and shows the beginning signs of necrosis. Right kidney appears normal.

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Blood:
No evidence of alcohol.
No evidence of non-prescription drugs or overdose of prescription drugs.
Blood glucose level 280 mg/dL (normal range 70-125 mg/dL)
Stomach Contents:
No evidence of toxins or poisons
125 mL of partially digested food present
Internal Examination
Gastrointestinal System:
The mucosa and wall of the esophagus are intact and gray-pink, without lesions or injuries. The gastric (stomach) mucosa is intact and pink without injury. The mucosa of the three parts of the small intestine, the duodenum, the jejunum, and the ileum, and the mucosa of the large intestine, the colon and rectum, appears normal. Approximately 125 ml of partially digested semisolid food is found in the stomach.

Sample of Anna's stomach content found.
Contains- Starch, no protein, lipids, glucose test

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Saturday – August 11, 2012
Breakfast
2 egg whites, scrambled, no butter
2 slices thick turkey bacon
1 slice whole wheat toast with 1 pat butter
1 cup coffee with artificial sweetener and 1 tbsp. light coffee creamer
Lunch
1 12oz can Sprite
1 turkey sandwich (2 slices whole wheat bread, 3 slices turkey lunch meat, 1 slice cheddar cheese, ½  tbsp. mayonnaise)
16 fat-free tortilla chips with salsa
Snack
1/4 cup dry roasted peanuts
1 small apple
Dinner
½ cup apple juice
6 ounces salmon filet
1 cup brown rice cooked with salt and butter
1 cup steamed broccoli
Dessert
½ cup sugar free lemon gel
Sunday – August 12, 2012
Breakfast
1 cup Cheerios
½ cup skim milk
½ cup blueberries
Lunch
1 cup low-fat strawberry yogurt
6 Ritz crackers
1 cup canned, low-sodium vegetable soup
1 12oz can cola
Snack
1 single serving bag potato chips
Dinner
2 slices thick crust pepperoni pizza (14” pizza)
2 cups tossed salad
4 tbsp. Caesar dressing
Dessert
1 cup vanilla ice cream with ½ cup mini marshmallows
5 Oreo cookies
Monday – August 13, 2012
Breakfast
1 cup whole milk
1 biscuit

# data[].attributes.body
Saturday – August 11, 2012
Breakfast
2 egg whites, scrambled, no butter
2 slices thick turkey bacon
1 slice whole wheat toast with 1 pat butter
1 cup coffee with artificial sweetener and 1 tbsp. light coffee creamer
Lunch
1 12oz can Sprite
1 turkey sandwich (2 slices whole wheat bread, 3 slices turkey lunch meat, 1 slice cheddar cheese, ½  tbsp. mayonnaise)
16 fat-free tortilla chips with salsa
Snack
1/4 cup dry roasted peanuts
1 small apple
Dinner
½ cup apple juice
6 ounces salmon filet
1 cup brown rice cooked with salt and butter
1 cup steamed broccoli
Dessert
½ cup sugar free lemon gel
Sunday – August 12, 2012
Breakfast
1 cup Cheerios
½ cup skim milk
½ cup blueberries
Lunch
1 cup low-fat strawberry yogurt
6 Ritz crackers
1 cup canned, low-sodium vegetable soup
1 12oz can cola
Snack
1 single serving bag potato chips
Dinner
2 slices thick crust pepperoni pizza (14” pizza)
2 cups tossed salad
4 tbsp. Caesar dressing
Dessert
1 cup vanilla ice cream with ½ cup mini marshmallows
5 Oreo cookies
Monday – August 13, 2012
Breakfast
1 cup whole milk
1 biscuit

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1. Anna may have died from cardiac death . The heart is a muscle. And so, like other muscles, it gets bigger if it is worked hard over time. Several health conditions cause your heart to work harder than normal. This is a very serious condition in which the left ventricle of the heart become thicker. This can cause person to have sudden cardiac death.  There Is evidence that Anna has left ventricular hypertrophy in Anna’s heart.

2. Anna may have also had a stroke and died because she had very high cholesterol levels and LDL levels(243 mg/dL). If your cholesterol levels are high plaque builds up on the inside of your blood vessels making them hard an narrow. If plaques tear or rupture, a blood clot may form at the plaque-rupture site — blocking the flow of blood or breaking free and plugging an artery downstream If blood flow to part of your brain is blocked by a blood clot, a stroke occurs.

3. Heart Attack-When you have high cholesterol or high LDL levels you may develop atherosclerosis. Atherosclerosis is a condition in which there is a build-up of fats, cholesterol, and other substances in and on the artery walls. This makes it harder for blood to travel to the body and transport oxygen. I believe that Anna experienced this condition in the coronary artery. Your coronary arteries are the arteries hat give oxygenated blood to your heart. If one develops atherosclerosis here they have a condition called coronary heart disease. If you have plaque build up in your coronary arteries then your heart does not receive the oxygen it needs from the blood and you may die from your heart's lack of oxygen. I think Anna died from her heart failing to pump blood due to lack of oxygen because of coronary artery disease. .