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A 65-year-old obese African American male patient presents to
his HCP with crampy left lower quadrant pain, constipation, and
fevers to 101˚ F. He has had multiple episodes like this one over
the past 15 years and they always responded to bowel rest and
oral antibiotics. He has refused to have the recommended
colonoscopy even with his history of chronic inflammatory
bowel disease (diverticulitis), sedentary lifestyle, and diet
lacking in fiber. His paternal grandfather died of colon cancer
back in the 1950s as well. He finally underwent colonoscopy
after his acute diverticulitis resolved. Colonoscopy revealed
multiple polyps that were retrieved, and the pathology was
positive for adenocarcinoma of the colon.
Write 2-3 pages
· Explain why you think the patient presented the symptoms
described.
· Identify the genes that may be associated with the
development of the disease.
· Explain the process of immunosuppression and the effect it
has on body systems.

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A 65-year-old obese African American male patient presents to his HC.docx

  • 1. A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon. Write 2-3 pages · Explain why you think the patient presented the symptoms described. · Identify the genes that may be associated with the development of the disease. · Explain the process of immunosuppression and the effect it has on body systems.