Scenarion A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient's roommate

Scenarion A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient's roommate. The roommate states that he does not know how long the patient had been lying there. The patient received naloxone in the field and has become responsive. He complains of burning pain over his left hip and forearm. Evaluation in the ED revealed a large amount of necrotic tissue over the greater trochanter as well as the forearm. EKG demonstrated prolonged PR interval and peaked T waves. Serum potassium level of 6.9 mEq/L.  

Questions:

• 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.