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The Case of The Crying Baby
1,000
27 April 2018
The Case of
The Crying Baby
INTRO
Sara and Matt had a daughter named Kayle.
First few weeks of life Kayle was a thriving, beautiful baby with blue eyes. Growing at a normal rate.
At 6 weeks old, Kayle began crying all day and all night.
Doctors told Sara and Matt they were being overly anxious and overprotective new parents
At 3 months old, Kayle's symptoms and crying was getting even worse. They sought out a specialist.
Symptoms
1
Fevers
2
Symptoms
Lump on groin
3
Rashes
4
Yellow discharge and low amount of urine in diapers
What should the doctor's have been looking at?
Bodily Systems
Urology (urine system): hernia, rashes, low urine
Reproductive: bulging groin, yellow discharge
DOCTOR VISITS
DOCTOR VISITS
Hubble
Doctor Hubble
- had big background in pediatric urology
Saw the serious, ongoing symptoms
- requested urine sample
- sample contained an overwhelming amount of puss and blood cells
Puts Kayle on antibiotics for a urinary tract infection and requests more tests
- test results proved Kayle's kidney function was decreased on the right and limited on the left
Hubble refers Dr. Lefttt and Dr. Wright
Where are the kidneys?
Superior to the rectum
Inferior to the heart
Lateral to the esophagus
Proximal to the liver
Superior to the coccyx
What do the kidneys do?
- Every day, the two kidneys filter about 120 to 150 quarts of blood to produce about 1 to 2 quarts of urine, composed of wastes and extra fluid
What happens when they don't function properly?
- puts stress on other body parts
- cardiovascular system
- blood isn't clean or chemically balanced
Doctor Leftt
Leftt
Takes x-rays
- finds the kidneys to be abnormally shaped
- concludes it is a genetic disorder
Wants to do surgery
- re-implant four ureters higher into the bladder
- prevents urine from going back into the kidneys
- hopes kidneys will begin to properly function
Risks?
Risks
- long hospital stay
- uncomfortable
- bruising
- urine infections
Rates?
Rates
- 95-98% success rate
- Dr. Leftt is highly skilled and had been involved in cases like this before
- no ethical problem
Pros?
Pros
- Without surgery, Kayle's kidney would fail within a year or two
- make it more likely for Kayle to survive
- Prevent scarring
- Body would maintain homeostasis easier
Wright
Feels there's no urgency for surgery
- let bladder grow and things will work themselves out
- use antibiotics constantly
- weekly analysis and tests
Wright
Long-term affects
Negatives
Matt and Sara were very concerned about how different the approaches to Kayle's problems were.
Fears:
Worried the long-term use of antibiotics would make her body immune and would eventually stop working.
Will need surgery by age 8 or younger.
Not many clinical trials done because of the criticism from other doctors.
Positives
- No surgery for Kayle
- No long hospital stay
- Alternative approach
- no ethical problem
Which parts of the body are being affected?
THE BODY
Urology
Urology
Program location
- hernia
- rashes
- low urine
Kidneys
Ureter
Bladder
Reproductive
Reproductive
- bulging groin
- yellow discharge
Parents
Parents
Stress
- no sleep
- weight loss
- headaches
- low energy
Surgical
DECISION
I choose the surgery route for Kayle due to the fact that as Kayle is approaching being 6 months old, she is already developing infections and becoming immune to antibiotics. Kayle could eventually become resistant to the medical treatment all together.
Pros: quick fix & happy, healthy baby, 95-98% chance of success
Cons: hospital stay, 5-3% chance of not going well, expensive, many future appointments
Works Cited
"Your Kidneys and How They Work." U.S. Department of Health and Human
Services, 2014. Accessed 3 May 2018.
"What is urology?." Urology Care Foundation. Accessed 3 May 2018.
"Reproductive System: Facts, Functions & Diseases." Live Science. Accessed 22 Mar.
2018.
"Periodic Table." Royal Society of Chemistry. Accessed 3 May 2018.