-
Essay / Patient Assessment and Diagnosis - 1987
Regina Geis is a ten-year-old woman diagnosed with celiac disease. None of his immediate family have been diagnosed, including his parents and younger sister. Celiac disease is an autoimmune disorder of the digestive system that is usually indicated by long-lasting inflammation of the small intestine that occurs when a plant protein called gluten, usually found in grains like wheat, barley, and rye, is consumed, leading to interference in the absorption of nutrients from food (Calvo, Soriano del Castillo, & Vinuesa, 2012.) Regina was diagnosed with celiac disease at the age of five. After the diagnosis, she was put on a gluten-free diet. Regina was a healthy baby, toddler, and preschooler, or so her parents thought. Regina has had a few unexplained incidents. When she was just a baby, there were several times when she cried non-stop. When she was little, Regina would occasionally go to the emergency room with intense stomach aches. Additionally, when she was in preschool, her parents would sometimes receive a phone call from the school nurse saying, "Regina has a stomach ache and wants to come home." When doctors examined her, there was no explanation or answer as to the cause of her severe stomach pain. Since Regina's incidents were so far apart, her parents didn't think to worry. It wasn't until Regina started kindergarten that she began exhibiting symptoms characteristic of celiac disease. She showed great fatigue and when she was taken to the doctor, it was discovered that she was suffering from iron deficiency anemia. When more blood tests were done, doctors discovered that the iron deficiency anemia was part of a larger problem and, after more tests, officially diagnosed her as having celiac disease. T...... middle of paper ......D: TSTGP antibodies against tissue transglutaminase (tTG), IgA and IgG profile, serum. Mayo Medical Laboratories. Mayo Foundation for Medical Education and Research. http://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/83671 “Overview”. (2014). University of Chicago Celiac Disease Center. Retrieved March 9, 2014, from Cureceliacdisease.org http://www.cureceliacdisease.org/wp-content/uploads/2011/09/CDCFactSheets1_Overview.pdf “Symptoms.” (2014). University of Chicago Celiac Disease Center. Retrieved March 9, 2014, from Cureceliacdisease.org.http://www.cureceliacdisease.org/wp-content/uploads/2011/09/CDCFactSheets2_Symptoms.pdf “Treatment.” (2014). University of Chicago Celiac Disease Center. Retrieved March 14, 2014, from Cureceliacdisease.org.http://www.cureceliacdisease.org/wp-content/uploads/2011/09/CDCFactSheets6_Treatment.pdf