The purpose of this paper is to examine a case study and analyze the symptoms presented You will

The purpose of this paper is to examine a case study and analyze the symptoms presented. You will identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health. You must include references to support your assertions;  Please use APA formatting.

Develop a 3- to 4-page case study analysis in which you:

• Explain why you think the patient presented the symptoms described.
• Identify the genes that may be associated with the development of the disease.
• Explain the process of immunosuppression and the effect it has on body systems.

Scenario 1: A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatigue than usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

 The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.  

 Please make sure to include primary sources that have been published in the past 5 years to support your assertions in the paper. Remember, websites like the Mayo Clinic are not primary sources. Please also make sure to review the rubric for the assignment and use it to guide your paper.  Please make sure to use APA formatting.

 Please also include at least 3 primary sources in your references for this paper. 

course text:  McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.