My artistic wall by Noah Luna https://padlet.com/12276520/7t95sdcb8yzb en-us 2018-09-07 11:19:02 UTC 2019-01-11 13:22:25 UTC hello@padlet.com Anna Garcia 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/286467327 Height-64 in
Race-Hispanic 
Gender-female
weight-165 lb]]> 2018-09-27 12:39:47 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/286467327 Suspects and motives 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/286467702 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  ]]> 2018-09-27 12:40:32 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/286467702 known substance 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/286467838 The evidence at the crime scene was Acetylsalicylic acid ]]> 2018-09-27 12:40:51 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/286467838 blood evidence 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/286467976 The Blood at the crime scene belonged to Anna Garcia ]]> 2018-09-27 12:41:08 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/286467976 Finger print evidence 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/286468174 Finger print at crime scene is Anna Garcia ]]> 2018-09-27 12:41:29 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/286468174 hair evidence 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/286468516 The hair found at the crime scene belong to Anna Garcia ]]> 2018-09-27 12:42:05 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/286468516 time of death 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/286468605 7:00 am
the formula used was rectal temperature divided by 1.5 equals approximate hours since death ]]> 2018-09-27 12:42:13 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/286468605 blood spatter evidence 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/286468686 The blood spatter at the crime scene was analyzed and determined that Anna was hit Falling down or near the ground]]> 2018-09-27 12:42:23 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/286468686 DNA evidence 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/286468804 The DNA found at the crime scene was determined to be Anna's DNA]]> 2018-09-27 12:42:38 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/286468804 Autopsy report 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/286468891 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  ]]> 2018-09-27 12:42:49 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/286468891 Glucose Tolerance test 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/306317741 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 ]]> 2018-11-20 13:06:46 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306317741 Insulin level test 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/306318677 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 ]]> 2018-11-20 13:08:47 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306318677 Anna Food Diary 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/306320516 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.]]> 2018-11-20 13:12:48 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306320516 Anna's stomach contents 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/306322440 In Anna's stomach she had starch and lipid acid but no glucose and proteins ]]> 2018-11-20 13:17:22 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306322440 diet 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/306324009 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,]]> 2018-11-20 13:20:52 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306324009 general Background of diabtes 1976337852 https://padlet.com/12276520/7t95sdcb8yzb/wish/306324265 Diabetes is a problem with your body that causes blood glucose (sugar) levels to rise higher than normal. ]]> 2018-11-20 13:21:15 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306324265 Symptoms 1976337852 https://padlet.com/12276520/7t95sdcb8yzb/wish/306325391 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.]]> 2018-11-20 13:24:04 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306325391 Exercise for diabetes 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/306325640 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  ]]> 2018-11-20 13:24:32 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306325640 Symptoms and diagnosis 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/306326758 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 ]]> 2018-11-20 13:27:15 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306326758 2.3.3. autopsy report 1976337852 https://padlet.com/12276520/7t95sdcb8yzb/wish/306326907 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.]]> 2018-11-20 13:27:34 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306326907 Sickle cell 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/306329658 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. ]]> 2018-11-20 13:33:48 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306329658 Sickle cell disease 1976337852 https://padlet.com/12276520/7t95sdcb8yzb/wish/306330866 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.]]> 2018-11-20 13:36:07 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306330866 Medical history and treatment 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/306332658 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
]]> 2018-11-20 13:39:33 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306332658 Family inheretance in SCD 1976337852 https://padlet.com/12276520/7t95sdcb8yzb/wish/306333222 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.]]> 2018-11-20 13:40:44 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306333222 diary entries 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/306334271 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.]]> 2018-11-20 13:42:46 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/306334271 4.1.2 Autopsy Report 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/318725704 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.
]]> 2019-01-09 12:25:17 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/318725704 4.2.1 Medical History Document 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/318726285 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

]]> 2019-01-09 12:27:40 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/318726285 high blood pressure symptoms and treatment 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/318726708 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.
]]> 2019-01-09 12:29:23 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/318726708 4.4.1 8702078 https://padlet.com/12276520/7t95sdcb8yzb/wish/318726785 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.]]> 2019-01-09 12:29:43 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/318726785 AVE inhibitor and how it can help Anna 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/318727066 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]]> 2019-01-09 12:30:54 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/318727066 Medical history update 8702078 https://padlet.com/12276520/7t95sdcb8yzb/wish/318727563 2019-01-09 12:32:58 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/318727563 4.3.1 Detection of FH.. 1976337852 https://padlet.com/12276520/7t95sdcb8yzb/wish/318727777 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.]]> 2019-01-09 12:33:47 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/318727777 premature ventricular contractions (PVCs), ventricular tachycardia, and ST elevation. 12276520 https://padlet.com/12276520/7t95sdcb8yzb/wish/318727975 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.]]> 2019-01-09 12:34:32 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/318727975 4.3.3 Atheroclerosis 1976337852 https://padlet.com/12276520/7t95sdcb8yzb/wish/318733568 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.]]> 2019-01-09 12:54:41 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/318733568 5.1.1 8702078 https://padlet.com/12276520/7t95sdcb8yzb/wish/319634450 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]]> 2019-01-11 12:51:07 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/319634450 describe how to perform each test and the test results 8702078 https://padlet.com/12276520/7t95sdcb8yzb/wish/319635461 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
]]> 2019-01-11 12:53:59 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/319635461 Anna's Cholesterol test results. (4.3.1 8702078 https://padlet.com/12276520/7t95sdcb8yzb/wish/319637841
  • 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%

    • ]]>     2019-01-11 13:01:44 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/319637841     Anna's family FH Test results (4.3.2) 8702078 https://padlet.com/12276520/7t95sdcb8yzb/wish/319638607 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. ]]>     2019-01-11 13:04:40 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/319638607     By Amanda Noah, Gianna , Brooklyn 8702078 https://padlet.com/12276520/7t95sdcb8yzb/wish/319643023 2019-01-11 13:17:52 UTC https://padlet.com/12276520/7t95sdcb8yzb/wish/319643023