Question

1. Sheila Middlebrook, a 56-year-old woman with a history of alcoholism, has symptoms of abdominal pain and ascites. Dr. Hart has decided that a laparoscopy must be performed to determine the cause of Sheila's problems. Describe how a laparoscopy is performed. Review and discuss the abnormalities that can be diagnosed with this endoscopic procedure. What complications might occur as a result of this examination?

2. Dr. Lewis, an oncologist, reviewed the blood test results of Jennifer Wallace, a 55-year-old cancer patient, and concluded that she is experiencing neutropenia. What is neutropenia? Identify the blood tests that could be used to identify neutropenia. Would you expect Ms. Wallace's test results to be higher or lower than the normal range and why?

Answer 1

1.procedure of laparoscopy

The surgeon makes a small cut below the belly button.A needle or tube is inserted into the incision.Co2 is passed through the needle or tube.the gas helps expand the area and helps surgeon to visualise the inner organs.A tube is placed through the cut in your abdomen.A tiny video camera called laparoscope goes through this tube and used to see the organs.

The abnormalities such as tumour,ovarian cyst,endometriosis,ectopic pregnancy,obstruction in tubes, and pelvic inflammatory disease.

Complications include wound infection,abdominal wall hematoma,herniation and fascial dehiscence.

2.Neutropenia is an abnormal low count of a type of white blood cells calle neutrophils.

The tests like Complete Blood count and anti neutrophils antibodies.

Neutrophils level will be decrease.because chemotherapy of cancer patients cause neutropenia.