Achieving the exact intended goal is not an easy thing and itrequires a skill called “Accuracy”, which enables individuals to accomplishtheir missions in a perfect and effective way.
In the field of medicine, thisis what a physician does all the time while treating his patients by pinpointingthe correct diagnosis depending on an ambiguous information and a medicalhistory. Even though there is an inaccurate medical history, the physicianshould build up a connection with his patients to take out the accurateinformation for diagnosing and curing the patients. As a future doctor, I wouldsay that success is all about the way of getting the accurate information,which prevent any medical error that can be fatal.v Background and history: After meeting thepatient, he gave me the consent then I started interviewing him by asking him questions relevant to hismedical history.
The patient was so cooperative by giving full answersand even adding more information, such as mentioning the blood type. Thepatient will be named YYY for the sake of confidentiality. YYY is a male fromSaudi Arabia, married, ages 53-year-old, used to work as a chemical engineer inan industry in Al-jubail industrialcity, but currently lives in Dammam city.vPresent history: The reason that made YYY show up to King Fahad University Hospital is a slight pain inhis stomach and noticing that his urine is darker than usual, as well as thechanging of his skin color. Before he presents to the hospital, he expected thesesymptoms to be normal or caused by contaminated food and dehydration. As longas YYY was able to live his life normally, he evaluated the pain 3 out of 10which means there is a mild pain (considering 10 is severe pain and 0 means no pain at all). Thepain increases by exercising or making a lot of movements and decreases bysleeping or having rests.The physician has done 2blood tests, anti-HCV antibodiestesting and HCV RNA testing, for detection of Hepatitis C Virus (HCV)and unfortunately both werepositive, so he was diagnosed to be infected with hepatitis C in a latestage.
v Past history: YYY had the cleftlip and palate defect, so he had undergone a cleft lip surgery, the surgeontrimmed the tissues and sutured the lip together. After that, he had to make aspeech improvement since he was young. At the age of 10, he has done alveolarbone graft, which is addingbone to the gum ridge.
After he completed 27-year-old, he decided to doa double jaw surgery to match the jaws because there was a 1.2cm distancebetween his maxilla and mandible.vFamily history: YYY is married andhas 3 lovely daughters and one son. YYY has one parent alive, his fatherunfortunately died by a car accident in 1994, but the mother is alive, she is 74-year-old.YYY’s mother is diabetic and she is a carrier of sickle cell anemia. He has 5brothers and 8 sisters, all of them are healthy but some are carriers of sicklecell anemia, none are affected.
vSocial history: YYY and his family livein a satisfying place in a supportive environment and having a stable lifeuntil two of his daughter got married, they no longer live with them. They donot exercise at summer, but they walk around the house during winter since theweather is cold. In addition, they do not have a strict healthy diet but theirdiet is considered healthy since they always eat from home and rarely junk foodvDrug and allergy history: YYY does not haveany allergies against any kind of food, animals, or drugs. He also never drinksalcohol, but he is a heavy smoker, smokes one packet a day of Davidoff brand.The doctor prescribed for him acombination of ribavirin and pegylated interferon. This dual therapy has sideeffects including nausea, muscle aches and hair loss.
The physician ordered YYY to use his drugs regularly andnot be afraid after noticing these symptoms.v Biological aspects: “Hepatitis C is a liver disease causedby the hepatitis C virus: the virus can cause both acute and chronic hepatitis,ranging in severity from a mild illness lasting a few weeks to a serious,lifelong illness” (World Health Organization,2018). Hepatitis C is serious because it israrely eliminated from the body but not because it attacks the liver acutely.
When it persists, it leads to cirrhosis or other liver diseases in a largenumber of those infected.- Causes of hepatitis C This type of hepatitis does not spread byfood, water, or casual contact and there are no vaccines available. its transmissionis blood-borne and it mostly involves exposure to infected syringes, needles, orunscreened blood products for HCV. It can also be transmitted through anyactivity that involves blood exposure, such as, the passage of the virus fromthe mother to the child perinatally and unprotected sexual contact.
Individualswho received blood transfusion before 1992 have a high risk of acquiring thisdisease, because the blood donated before that time was not screened for theHCV. The pathophysiological effects of this disease in our body can include poorability of filtering toxins and hindering the ability of bile production,therefore fatty acids won’t be broken down properly.