By: Shanelle Johnson Caleb Martin Rafail Luzi Christopher Alvarado Cystic Fibrosis By: Shanelle Johnson Caleb Martin Rafail Luzi Christopher Alvarado

Case David Smith,34 Caucasian Born with cystic fibrosis He had delayed growth in teen years Weight Loss Nasal Congestion Has Cystic Fibrosis

What is Cystic Fibrosis A passed down through family which causes thick sticky mucus that builds up in the lungs, digestive tract, and other body parts. Most common lung disease in children and young adults. Life threatening disease.

History of Cystic Fibrosis Cystic fibrosis did not exist until the late 1930’s. In the 1930’s a Swiss pediatrician Dr. Fanconi called this disease celiac syndrome. Dr. Dorothy Anderson was the first to give the disease it’s definitive description. In the 1940’s Drs. Sydney Farber and Harry Shwachman say vitamin A was the cause of Cystic Fibrosis. In 2000, they say the median life expectancy has reached 37 years in 2005.

Organs affected by Cystic Fibrosis Sinuses Lungs Skin Liver Pancreas Intestines Reproductive Organs

Causes Caused by a defected gene that causes the body to produce abnormal thick sticky fluid called mucus. The mucus builds up in the breathing passages of the lungs and pancreas. Built up mucus in the lungs could be life threatening. Children usually be diagnosed by 2 years old. Lungs get clogged makes it hard for patient to breath.

Symptoms New Born Delayed Growth Failure to gain weight normally during childhood No bowel movements in first 24 to 48 hours of life Salty tasting skin Bowel Function - Belly pain from constipation Increased gas, bloating, or swollen Nausea/ loss of appetite Related to lungs -Fatigue -Cough -Increased mucus

Treatment Treatment for lungs Antibiotics to prevent lung and sinus infection. Inhaled medicines to clear the airways. Lung problems could be treated through aerobic exercise. Treatment for bowel Pancreatic enzymes to help absorb protein and fats. Monitor at home Avoid smoking, dust, dirt, fumes, household chemicals, fireplace smoke, and mold.

Doctors deal with Cystic Fibrosis Pulmonologist Social Worker Physical Therapist

Social Worker Help people overcome their problems Graduate degree and experience May engaged research, advocacy, and consulting Specialized field: Children Families Adolescents Elderly 900 hours of supervised field internship

Pulmonologist Specialized in the field of pulmary medicine: Diagnosis & treatment of disease condition and abnormalities of the lungs and cardio- pulmonary system and respiratory tract Internal medicine, physicians become certified Specialize in critical care trained in the management and treatment

Physical Therapist Type of treatment that helps with health problems make it hard. Move around & do everyday May relieve pain Graduate degree from accredited physical therapy program to become license.

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Final Treatment There is NO cure Prevent any further life complications Engage at least 3 times a week in a workout regiment & lastly antibiotics (zithromax)

Antibiotics Zithromax (500mg) used to reduce infections and mucus from the lungs of the patients. Take once a day with or without food, 5 times a week. It may cause upset stomach , diarrhea , vomiting and etc. David Smith will have to come in for a consultation.

Laboratory Results Aldosterone-Upright: 4-31 ng/dl Amylase-30-100 U/Liter Bilirubin-Total: 0.2-1.2,mg/dl;direct<0.3 mg/dl BUN:7-20 mg/dl Calcium-8.8-10.3 mg/dl CO2(total)-23-30 meq/l Creatine-0.5-1.4 mg/dl

Insurance Verification Form Name of primary insurance carrier: David Matt Smith. Subscriber: David Matt Smith. My Benefits, etc. I have a limit of $80.00 or number of visits of 5. Benefits are covered yearly from 3.4.78 through etc. My calendar deductible is $10.00 Co-pay Visits: $20.00 My Insurance is not Contracted. I spoke with Chris Chambers of my insurance carrier on 3/6/12, their contact number is 345-547-8900.

Sources "A History of Cystic Fibrosis." Cystic Fibrosis. N.p., n.d. Web. 1 June 2012. <http://www.aboutcysticfibrosis.com/cystic-fibrosis-history.htm>. "Cystic Fibrosis - When To Call a Doctor - Watchful waiting - Children's Health." Health Information, Resources, Tools & News Online - EverydayHealth.com. N.p., n.d. Web. 1 June 2012. <http://www.everydayhealth.com/health-center/cystic-fibrosis-when-to-call-a-doctor.aspx>. "Cystic fibrosis - PubMed Health." National Center for Biotechnology Information. N.p., n.d. Web. 1 June 2012. <http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001167/>. MLA formatting by BibMe.org.