Written Assignment: This count for 60 percent of the total assessment marks for this

module.

You need to submit an individual Report.

In a 2000 words report you need to ,

CASE STUDY 3

A 69-year-old man with no prior medical history presents over the course of several months with
new-onset nonspecific joint pain and swelling without evidence of erosions. The joints involved
include his wrists, elbows, hands, and knees.Because of the severe pain, the patient was
placed on steroids and was given analgesics, some of which contained acetaminophen. The
patient also took additional analgesics to help control the pain. Seven months ago, he began
noticing stiffness in both hands in the morning that lasted longer and longer. Stiffness now
lasted more than 1 hour every morning and included hands, wrists and ankles. He also had
increasing difficulty standing for long periods at work or at home due to foot and ankle pain. He
began taking ibuprofen 800mg 3 times daily and found it helped him get through his day with
less pain and stiffness. Three months ago, he noticed pain in his right and left shoulders during
daily chores. He also began feeling extremely tired and short tempered. He had no energy to do
his usual activities. Ibuprofen was no longer very effective for his pain or stiffness. The patient
was admitted to the emergency room for weakness and hematemesis. On admission the
patient's hematocrit was 21%. Endoscopy demonstrated a large bleeding ulcer and fresh blood
in the stomach and proximal duodenum. A 2-dimensional echocardiogram before starting
immunomodulators was performed, showing a poorly visualized pericardial structure in the
subcostal view that appeared to be compressing the right ventricle.

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APS6020 BIOLOGY & LABORATORY INVESTIGATION OF DISEASE

CASE STUDY 3 WRIT2 ASSESSMENT

NAME OF STUDENT:

ASSESSED BY:

APS6020 : Biology & Laboratory Investigation of Disease (2000 words).

Student Name:

Assessed by:

Section Case Study 3

Case Study & Introduction (5%)

 Have key features of the case been summarised.  Poor/Satisfactory/Good/Very-
good/Excellent
 Does the patient history and the introduction clearly
and effectively explain the case and the testing that  Poor/Satisfactory/Good/Very-
was to be undertaken in order to diagnose the good/Excellent
patient.

(Total: /5%)

2
Main Discussion (50%)
 Does the case discussion relate the results to  Poor/Satisfactory/Good/Very-
potential clinical diagnoses? good/Excellent

 Are alternative diagnoses suggested and/or

excluded with reference to other test results  Poor/Satisfactory/Good/Very-
provided or additional testing required? good/Excellent

 Are anomalous results highlighted?

 Does the discussion provide a concise and clear  Poor/Satisfactory/Good/Very-

rationale for the suggested patient diagnosis/es? good/Excellent

 Poor/Satisfactory/Good/Very-
good/Excellent

(Total: /50%)
Conclusion (10%)
 Is there an appropriate conclusion for the  Poor/Satisfactory/Good/Very-
diagnosis? good/Excellent

 Where appropriate, have additional tests been  Poor/Satisfactory/Good/Very-

recommended for confirmation of diagnosis? good/Excellent

 If appropriate what is the patients prognosis, has  Poor/Satisfactory/Good/Very-

treatment been recommended? good/Excellent

(Total: /10%)
Presentation of Results (15%)
 Are results well presented with appropriate Poor/Satisfactory/Good/Very-
calculations? good/Excellent
Poor/Satisfactory/Good/Very-
 Are all graphs appropriately labelled and correct units good/Excellent
used?
Poor/Satisfactory/Good/Very-
 Is reference made to the correct results using the good/Excellent
correct units in the body of the discussion? (Total: /15%)
References (10%)
Are references of acceptable quality, up-to-date Poor/Satisfactory/Good/Very-
references which support introduction, project work, good/Excellent
and discussion? (Total: /10%)
General Presentation (10%)
Was the assignment well organised presentation, Poor/Satisfactory/Good/Very-
logically structured using good written expression? good/Excellent
Good written expression. Adherence to scientific
journal format guidelines? (Total: /10%)

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General Comments:
Total: /100

TOTAL: /60