Question 1Scenario 1: Acute Lymphoblastic Leukemia (ALL)An 11-year-old boy is brought to the clinic by his parents who states that the boy has not been eating and listless. The mother also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. PMH: Negative. Easily reached developmental milestones. PE: reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. LABS: CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. DIAGNOSIS: acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his parents. CONFIRMED DX: acute lymphoblastic leukemia (ALL) was made after extensive testing. Question 1.Explain what ALL is? Question 2Scenario 1: Acute Lymphoblastic Leukemia (ALL)An 11-year-old boy is brought to the clinic by his parents who states that the boy has not been eating and listless. The mother also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems. PMH: Negative. Easily reached developmental milestones. PE: reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern. LABS: CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl. DIAGNOSIS: acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his parents. CONFIRMED DX: acute lymphoblastic leukemia (ALL) was made after extensive testing. Question 1.Why does ARF occur in some patients with ALL? Question 3Scenario 2: Sickle Cell Disease (SCD)A 15-year-old male with known sickle cell disease (SCD) present to the ER in sickle cell crisis. The patient is crying with pain and states this is the third acute episode he has had in the last 10-months. Both parents are present and appear very anxious and teary eyed. A diagnosis of acute sickle cell crisis was made. Question 1.Explain the pathophysiology of acute SCD crisis. Why is pain the predominate feature of acute crises? Question 4Scenario 2: Sickle Cell Disease (SCD)A 15-year-old male with known sickle cell disease (SCD) present to the ER in sickle cell crisis. The patient is crying with pain and states this is the third acute episode he has had in the last 10-months. Both parents are present and appear very anxious and teary eyed. A diagnosis of acute sickle cell crisis was made. Question 1.Discuss the genetic basis for SCD.Question 5Scenario 3: Hemophilia8-month infant is brought into the office due to a swollen right knee and excessive bruising. The parents have noticed bruising about a month ago but thought the bruising was due to the attempts to crawl. They became concerned when the baby woke up with a swollen knee. Infant up to date on all immunizations, has not had any medical problems since birth and has met all developmental milestones. FH: negative for any history of bleeding disorders or other major genetic diseases. PE: within normal limits except for obvious bruising on the extremities and right knee. Knee is swollen but no warmth appreciated. Range of motion of knee limited due to the swelling.DIAGNOSIS: hemophilia A. Question 1.What is the pathophysiology of Hemophilia

Regulatory agencies are the physical manifestation of health care legislation. Each agency has a specific mission that is carried out under the authority of Congress. Choose a health care organization of interest to you. Write a 1,000-1,250 word paper that addresses the following: Describe the purpose, mission, and goals of this health care organization. Provide an overview of the type of health care organization and the community it serves. Identify the regulating agencies that oversee the organization. What are the specific responsibilities assigned to regulating agencies? How do regulating agencies support heath care and the stakeholders in health care? Identify a health care issue/topic relevant for this organization (workplace safety, patient safety, quality, fraud and abuse, injury, etc.). Discuss the relevance of this issue or topic for the organization. Describe the role of the organization or administrator in compliance. What are the actions a health care administrator takes to comply with health care legislation?