Fatigue is often an important symptom of underlying hepatic disease. Intense pruritus and other dermatologic changes in the presence of elevated bilirubin and alkaline phosphatase suggest cholestasis. Transaminase elevations generally signify hepatocellular inflammation or necrosis. Hepatomegaly and elevated alkaline phosphatase may be the only signs of infiltrative disease and mass lesions. Bilirubin exceeding 10mg/dL is more often associated with carcinoma than with cholecystitis or stones.

Discuss the function of the autonomic system. Please be detailed and a bit lengthy if necessary, also leaving references.

Debate the pros and cons of free clinics and health screenings at your health care facility. Include information
based on diabetes, heart, and cholesterol screenings.

Identify a digestive disorder that is closely linked to a particular time or place.

For example, a lower incidence of colorectal cancer has been documented in parts of the world where the local diet consists primarily of fresh fruits and vegetables with low consumption of cooked red meat. (Note: colorectal cancer is an example—please do not use this disorder in your discussion.)

 

Discuss the causes and symptoms of your chosen disorder and possible treatment options.

Include information on the role of diet in mitigating or treating symptoms of the disorder.

Cite at least two sources in your response

Compare plans serving the typical Medicare and/or Medicaid population and those serving beneficiaries who have special needs and/or who are dual eligibles.