A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. Studies Results Routine laboratory studies Within normal limits (WNL) Ultrasound the testicle Solid mass, right testicle associated with calcifications HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5) CT scan of the abdomen Enlarged retroperitoneal lymph nodes CT scan of the chest Multiple pulmonary nodules Diagnostic Analysis At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes. Critical Thinking Questions 1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer? 2. What might be the side effects of cytotoxic chemotherapy?
The Governess: The governess wishes the best for each individual person in the novel, which is evident through her caring personality towards Miles and Flora. The governess’ purpose is to provide an example to the readers that supernatural elements cannot only harm someone physically but also mentally. The society of the book influenced the governess because back in the 1800s, people believed in supernatural elements which are exemplified by witchcraft trials previously. In addition, the members of society discuss the past events regarding those who were in the governess’s former place. Therefore, it acts as a way to play with the governess’s mental state in order to develop the behavior and reactions she has to the two characters, who are preconceived as ghosts. Mrs. Grose: Mrs. Grose believes in holding trust among the governess despite the governess’s constant suspicion. In addition, she also makes sure the children are being cared for properly just like the governess because she had taken care of the children prior to the arrival of the governess. Mrs. Grose’s purpose is to be the housekeeper in Bly and she plays the role of the only source that is available to obtain information about Miss Jessel and Peter Quint. The society of the book influenced Mrs. Grose through the concept of higher status. In the novel, Mrs. Grose’s employer is superior to her and the person of higher rank in society causes her to fear to anger her employer, which prevents her from involving the employer into the conflict early. Miles: Miles is one of the two children that the governess is taking care. Throughout the plot, he values working together with his sister such as switching spots in distracting the governess. In addition, he also values his relationship with Peter Quint. He has become corrupt from Quint influencing negatively by teaching him bad words when they spent so much time together. Miles’s purpose in the book is to play the role of the deception towards the governess with his attractiveness and charming personality. He distracts the governess from noticing his abnormality and cleverness in order to convince the governess that her time taking care of the children will be perfectly normal and run smoothly. Society has influenced Miles through the personalities of the other members of the society due to Miles’s young age and inability to distinguish what is right and wrong. Peter Quint is suspected of having taught the child immoral ideas. Flora: Flora values using the proper manner necessary for each situation as well as working with her brother, indicating she values the connection to her family members. Flora’s purpose is to mislead the governess into thinking that everything is going smoothly. She shows her affectionate and well-mannered side to make her first misconduct a shock to the readers and the governess. Society has influenced Flora because her sightings such as those of Miss Jessel which she knows are abnormal have caused her to feel reticent about herself in order to avoid talking about the ghost. Peter Quint: Peter seemed to care about sexual promiscuity and embraced actions preconceived to be immoral in society. Peter’s purpose is to be the ghost or the hallucination to instigate the governess’s behavior and actions in the book. Peter has been influenced by society because his personality clashed with moral ideas established in society. Society made him realize he doesn’t fit with moral standards causing him to be involved with terrible actions such as drinking and then having slipped on an icy path, which led to his death. Miss Jessel: Having been the previous governess, Miss Jessel also values the children and hoped that she took good care of the children when she was alive. Her purpose is to be the gh>GET ANSWER