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? 3. What was the purpose of preserving his sperm before chemotherapy? 4. Is this young man’s age typical for the development of testicular carcinoma?
each human society has a idea of the great-female and ugly girls had been an imperative element of literature, as Creed claims, ‘all human societies have a thought of the tremendous- female, of what it's miles about woman this is hocking, terrifying, horrific, abject’ (Horror and the big-female: An imaginary abjection by way of BARBARA CREED) and it's miles rooted in maternal as abject, mother because the critical agent of castration and because of this horrifying. these monsters are fabricated and it is mainly the patriarchal traditions and customs that created girl as monsters, as abject figures and still we refuse to acknowledge their genesis, that the stress of the start of the sizeable woman is the patriarchy. female is despatched returned to that point of ghastly start, faraway from the secure and comfortable area of ladies, and to the heterosexual marital mattress and to the area of the patriarchy where she is made and remade right into a monster however rebuked for being so. ‘likely no male human being is spared the terrifying surprise of threatened castration on the sight of the woman genitals’, Freud wrote in his paper, ‘Fetishism’ in 1927. Joseph Campbell, in his ebook, Primitive Mythology, stated that: . . . there's a motif taking place in certain primitive mythologies, in addition to in current surrealist portray and neurotic dream, which is thought to folklore as ‘the toothed vagina” the vagina that castrates. And a counterpart, the other manner, is the so-known as ‘phallic mother’, a motif flawlessly illustrated within the long hands and nose of the witch. (Horror and the immense-feminine: An imaginary abjection through BARBARA CREED) Horror always includes a monstrous different whose lifestyles precipitates a redrawing of the bounds between human and monster, ego and abject (monstrous our bodies: Femininity and agency in young person Horror Fiction by means of June Pulliam, 10). As Creed (sixty seven) assert: ‘Classical mythology also become populated with gendered monsters, a lot of which were female.’ In Homer’s Odyssey, he explains an come upon with some sirens that can be perceived as grotesque girls; they had been both unsafe and astounding creatures who engaged themselves with the tempting of sailors departing by way of with their bewitching tune. Their number one cause become to result in a shipwreck and in the end the dying of the sailing group. further it consists of the furies; the goddesses of pain and Circe; the malevolent sorceress who changed men into animals. Creed (sixty seven) similarly offers the case of Medusa: ‘The Medusa, along with her ‘evil eye’, head of writhing serpents and lolling tongue, was queen of the pantheon of girl monsters; men unlucky enough to examine her were grew to become straight away to stone.’ these ugly ladies have prompted beyond the classical duration; even Dante made use of them in his ‘Inferno’. He portrayed harpies as one with the body of a bird and the head of a lady; residing inside the infernal timber. The term metaphorically refers to nasty or stressful girls who had been merciless, vicious and violent. They have been personification of the detrimental nature of wind who being the marketers of punishment abducted and tortured people: here the repellent Harpies make their nests, […] they have extensive wings, a human neck and face, Clawed toes and swollen, feathered bellies; they caw Their lamentations within the eerie trees. (wikepedia) in the novel, Jennet Humfrye is proven as being so connected to her son that she couldn’t bear his separation. She felt so lonely and being an abject determine feels that she is an intruder to the mainstream, or what Kristeva calls a ‘deject’ or ‘ stray’ (eight). by means of definition, she dwells in a sector of loss, absence and preference, due to the fact that she has not resolved his primeval separation trauma. undergoing abjection of the self she will become powerless and incapable to discover with whatever within the out of doors global and locates the web page of meaninglessness and impossibility within itself. In Kristeva’s phrases, ‘there's nothing just like the abjection of self to show that each one abjection is in fact reputation of want on which any being, which means language, or choice is founded’ (five). whilst allowed to go to the house with the situation that she should never inform the boy about herself Jennet’s love grew stronger for her son and she or he deliberate on escaping with him. and then, sooner or later, the boy and his nanny have been out riding with a pony and entice an>GET ANSWER