Students much review the case study and answer all questions with a scholarly response using APA and include 3 scholarly references. Answer both case studies on the same document. Turn it in Score must be less than 20% .Testicular Cancer Case Studies A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. Studies Results Routine laboratory studies Within normal limits (WNL) Ultrasound the testicle Solid mass, right testicle associated with calcifications HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5) CT scan of the abdomen Enlarged retroperitoneal lymph nodes CT scan of the chest Multiple pulmonary nodules Diagnostic Analysis At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes. Critical Thinking Questions 1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer? 2. What might be the side effects of cytotoxic chemotherapy? 3. What was the purpose of preserving his sperm before chemotherapy? 4. Is this young man’s age typical for the development of testicular carcinoma?Knee Injury Case Studies A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable. Studies Results Routine laboratory values Within normal limits (WNL) Long bone (femur, fibula, and tibia) X-ray No fracture Arthrocentesis with synovial fluid analysis Appearance Bloody (normal: clear and straw-colored) Mucin clot Good (normal: good) Fibrin clot Small (normal: none) White blood cells (WBCs) <200 WBCmm3 (normal: <200 )Neutrophils <25% (WNL) Glucose 100 mg dL within10 of serum glucose level)Magnetic resonance imaging (MRI) the knee Blood in joint space. Tear posterior aspect medial meniscus. No cruciate or other ligament tears Arthroscopy meniscus Diagnostic Analysis The radiographic studies long bones eliminated any possibility fracture. Arthrocentesis indicated a bloody effusion, which was probably result trauma. fibrin clot further evidence bleeding joint. Arthrography tear knee, common injury for gymnasts. corroborated that finding. Transarthroscopic meniscectomy performed. Her postoperative course uneventful. Critical Thinking Questions 1. One potential complications arthroscopy is infection. What signs and symptoms infection would you emphasize your patient teaching? 2. Why evaluated synovial fluid analysis? 3. are special tests used to differentiate type Tendon ? Explain how they performed (Always on boards) ..

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