Choose any episode of House, M.D., watch it, and takes notes. Research the main
ID: 167936 • Letter: C
Question
Choose any episode of House, M.D., watch it, and takes notes. Research the main medical case using the CWI library resources and write a paper on what the episode got right, and what it got wrong as far as the physiology (I'm not interested in the characters). The paper should discuss the main medical condition in detail. Include sign and symptoms as presented in the show, explanations of the physiology and disease process as given by the show, and the treatment used. Contrast these with the true facts of the disease as researched. The finished paper must be Times New Roman, 12 point, single spaced and between 2000 and 2500 words in length. You must turn in your paper using .doc or .doc x formats (MS Word). Papers must be turned in using the blackboard assignment turn in the Assignment Folder. Look for the "Signature Assignment". I will not accept hard copies. Include a title page with your name, semester, "B227 "Signature Assignment", and the episode of House you're basing your paper off of (Season 20, Episode 5, "Simple Explanation" - for example) on it as well as a reference page listing a least 3 (three) separate sources for your research. The sources must be collegiate level - in other words, from peer reviewed journals or textbooks. Using "Google", "Wikipedia", or Dr. Oz will get you a lower than anticipated grade. If you're not sure how to source your paper, please ask the librarians. They actually love to help students. Use proper grammar and correct spelling. Make sure to cite your sources and don't copy another student's paper. Any student found copying or plagiarizing will be given a zero and reported to the college in the form of documentation that is tied to their permanent record. All signature Assignments will be graded. *If* you also have a CWID class this semester, you will upload your assignment to in addition to turning it in on blackboard. If you are not concurrently CWID section, you don't have worry about Task stream (but still upload t0 BB).Explanation / Answer
Season 2, episode 16 "Safe"
Patient history: A car accident in which she looses her heart gets a heart transplant-- Immunocompromised due to the operation, allergic to peanuts, penicillin and beestings. Stays at home in a clean room.
The patient's family and boyfriend were tested for the possible allergens that could have elicited an anaphylactic shock.
Symptoms: Anaphylactic shock occurs while she was in the clean room. Congstive heart failure later. ascending paralyis.
Diagnoses: CT Scan for Coronory heart disease: negative.
Blood work: No infection
heart biopsy: Negative for rejection
LP: No cerebral spinal infection. PCR tests were run for viral disease: Negative
EMG tests were normal.
Probabable diagnosis: guillain barre syndrome which is an autoimmune inflammatory disorder in which the immune system starts to attack the peripheral nerves. symptoms: quick paralysis.
Treatment: Plasma exchange to get rid of the over driven immune cells to stop the attack on the body.
Besides the treatment for guillain barre syndrome, paralysis reaches the lungs and she is put on assisted breathing.
Retracing the steps to the first anaphylactic shock it was realised it wasnt the boyfriend's penicillin that caused it. House diagnosed it as tick paralysis where he searched for a tick.
References:
I am citing papers where you can find information on tick paralysis
Edlow, J.A. and McGillicuddy, D.C., 2008. Tick paralysis. Infectious disease clinics of North America, 22(3), pp.397-413.
Garin, C.H. and Bujadoux, A., 1993. Paralysis by ticks. Clinical infectious diseases, 16(1), pp.168-169.
A Rajabally, Y., 2012. Treatment of Guillain-Barre syndrome: a review. Inflammation & Allergy-Drug Targets (Formerly Current Drug Targets-Inflammation & Allergy), 11(4), pp.330-334.
Van Den Berg, B., Walgaard, C., Drenthen, J., Fokke, C., Jacobs, B.C. and Van Doorn, P.A., 2014. Guillain-Barré syndrome: pathogenesis, diagnosis, treatment and prognosis. Nature Reviews Neurology, 10(8), pp.469-482.