Jordan is a 35-year-old woman who presents with intermittent diarrhea with cramping that is relieved by defecation. The diarrhea is not bloody or accompanied by nausea and vomiting. Review of past medical history includes some childhood stomach issues, HTN, and a recent cholecystectomy. She works in the environmental department of a large hotel. . She denies alcohol and cigarette.

Diagnosis: Irritable Bowel Syndrome (IBS)

I.      Discuss the epidemiology of IBS?

II.     What is your treatment goals for this patient?

III.    Discuss First line and second line drug therapy for IBS. Please include pharmacotherapeutic information.

Using APA 6th ed. Work must be supported by peer-reviewed article published within 5 years. 

Jordan is a 35-year-old woman who presents with intermittent diarrhea with cramping that is relieved by defecation. The diarrhea is not bloody or accompanied by nausea and vomiting. Review of past medical history includes some childhood stomach issues, HTN, and a recent cholecystectomy. She works in the environmental department of a large hotel. . She denies alcohol and cigarette.

Diagnosis: Irritable Bowel Syndrome (IBS)

I.      Discuss the epidemiology of IBS?

II.     What is your treatment goals for this patient?

III.    Discuss First line and second line drug therapy for IBS. Please include pharmacotherapeutic information.

  Using APA 6th ed. Work must be supported by peer-reviewed article published within 5 years. 

1. Please answer the question below.
   • What wasted resourses or wasted efforts have you seen/heard about in health care today?
2. Your essay should be:
   • Be a total of 200 words or more.
   • Original, work and will be checked for plagiarism.
   • Cite your sources type references according to the .

• I NEED THIS DONE BEFORE 10 PM  EASTERN TIME TODAY. 

Discussion Prompt 1

Review the following case study and discuss the questions that follow. 

EO is an 8-year-old girl with a history of asthma and allergy to bee stings. She has been brought to the clinic complaining of a throat infection. Her health care provider prescribes a course of penicillin to manage her current infection and cautions her parents to watch her closely for a reaction.

1. What type of reaction is the health care provider concerned about, and why?
2. Explain the role of IgE and mast cells in type I hypersensitivity reactions. Why might EO react adversely to the antibiotic with the first use?
3. What would you tell EOs parents to look for when they are assessing for a reaction?

Provide the case number in the subject line of the Discussion thread.

List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.

Identify people in the patients life you would need to speak to or get feedback from to further assess the patients situation. Include specific questions you might ask these people and why.

Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.

List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.

List two pharmacologic agents and their dosing that would be appropriate for the patients antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.

For the drug therapy you select, identify any co