Discuss treatment recommendations that would be made

Assignment Help Other Subject

Reference no: EM133820375

Pathophysiology

Mr. and Mrs. Kim, a couple in their late 50s, are concerned about their son, John, who is 14 years old. John is a tall, outgoing, cheerful-appearing adolescent, who is nevertheless nervous about having his parents accompany him as they seek advice about his possible problems. Mr. and Mrs. Kim have no other children.

John's penis and testicles are small for a 14-year-old. His testicles have not matured with puberty, and retain the appearance of those of a child. Mr. Kim says that John has gotten into trouble with school authorities over fighting with other boys in gym class and in the school hallways. This is a new problem during the current school year, but there have been other behavioral difficulties earlier in John's school career.

"People make fun of me," John says. "I'm getting tired of it."

On examination, it is noted that John's legs are exceptionally long in proportion to his trunk, which is short and stocky. In addition to the small testicles and penis, John has gynecomastia. His facial features are those of a normal 14-year-old.

Mrs. Kim says little but is clearly very agitated about her son. Mr. Kim does most of the talking, and he seems baffled and embarrassed. Extended history for the Kim family identifies no health problems with either parent. Mrs. Kim was 43 years old when she gave birth to John.

John is scheduled for lab tests to determine his hormone levels and also to have chromosomal testing.

Question 1. What is the likely diagnosis for John? Hire writer now!

Question 2. Discuss the genetic alterations of this disorder and the resultant clinical manifestations.

Question 3. Discuss treatment recommendations that would be made for John and his parents.

Reference no: EM133820375

Questions Cloud

Child for attention-deficit and hyperactivity disorder : A first-grade teacher has requested the school nurse evaluate a 6-year-old child for Attention-Deficit/Hyperactivity Disorder

Discuss potential strategies for implementing : Discuss potential strategies for implementing this concept in your developing nursing practice, sharing your thoughts on how it can be effectively integrated

What will the nurse ask this patient : A patient taking an MAOI is seen in the clinic with a blood pressure of 170/96 mm Hg. What will the nurse ask this patient?

What anti-slavery activist denounced the mexican war : According to Howard Zinn, what anti-slavery activist denounced the Mexican war as "one of aggression, of invasion, of conquest..."?

Discuss treatment recommendations that would be made : NUR 203 Pathophysiology Discuss the genetic alterations of this disorder and the resultant clinical manifestations.

Risk for financial liability : Identify three scenarios that put a hospital at risk for financial liability, and identify how that risk might be minimized.

When should charles van doren have become suspicious : When should Charles Van Doren have become suspicious and backed out of Twenty One?

For which hospital service you expect average room charge : For which hospital service would you expect the average room charge at the end of hospitalization to be greatest?

Apply an evidence-based practice model : Identify sources of evidence that could be potentially effective in answering a PICO(T) question. Explain the relevance of the findings from chosen sources

User Account

All Pages