Case Study: In 1910, a 40 year old patient was admitted to the hospital in an unconscious state. The spouse of the patient told doctors that the patient was breathing excessively, unable to think and talk properly (brain impairment), and unable to walk or run for more than a few minutes. Blood analysis indicated high amount of pyruvate, alpha keto glutamate. An empty bottle of some unknown medication was also found with patient. What do you suspect about this patient's diagnosis? Explain each symptom.
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- pathophysiology A client is on complete bed rest after a total hip replacement surgery while he is being treated for a mild postoperative surgical wound infection. Identify the underlying physiologic factors that could increase the nutritional needs of this client. give scientific rational A.Anabolism, polydipsia, hypertriglyceridemia B.Elevated protein plasma levels, hypotension, glycolysis C.Large abdominal girth, insulin resistance, acidosis Fever, increased white blood cell count, negative nitrogen plasma levelAn unresponsive client who has diabetes is brought to the emergency department with rapid, deep respirations. Additional findings include: blood glucose 24.9 mmol/L, arterial pH 7.2 and urinalysis showing presence of ketones and glucose. Which of the following statements best describes the underlying cause of this patient’s presentation? Question 64 options: a) Relative insulin deficiency, causing hyperglycemia, oxidative stress, renal dysfunction and acidosis b) Nocturnal elevation of growth hormone resulting in hyperglycemia in the morning c) Absolute insulin deficiency, increased counter-regulatory hormone, lipolysis and free fatty acid release d) Hypoglycemia causes release of glucagon, resulting in glycogenolysis and hyperglycemiaEmphysema is classed as a chronic obstructive pulmonary disease (COPD). Explain the anatomy, physiology related to this disease (not its clinical signs and symptoms). Include in your discussion the role proteases & antiproteases in normal and disease states.
- A 35-year old woman became severely depressed after the sudden death of her husband. Two months later, she was brought to the emergency room by her friend because of extreme weakness and lethargy. She appeared thin and pale. Upon history taking, the doctor found that she had not eaten for several weeks. Analysis of the plasma sample indicated elevated levels of alanine, acetoacetate, β-hydroxybutyrate and blood urea nitrogen (BUN). However, her plasma glucose concentration was low (55mg/dL). She was hospitalized, given intravenous feeding, antidepressant medications and subsequently shifted to a 1800kCal (7500kJ) diet. Her recovery was uneventful. Why did the patient have elevated levels of alanine, acetoacetate, β-hydroxybutyrate and blood urea nitrogen (BUN)? How could the patient maintain her plasma glucose levels within normal limits even though she was not eating?Suggest, why the patient’s recovery was smooth after being shifted to a 1800kCal diet.Suggest a reason or reasons why the Cori cycle takes place in the liver and in muscle.MARIA'S STORY Let's revisit Maria's case. She is a 35-year-old insulin-dependent diabetic who currently takes good care of herself. She did not take good care of herself as a teenager. She is on an insulin pump to try to control her blood sugar, but has recently passed out in public several times. a. What condition causes her to pass out? (hyperglycemia or hypoglycemia) b. Why does this condition develop? c. What is the appropriate treatment for the early stag this condition? DONOT d. Given that she has been a diabetic before she passes out? fong, why doesn't Maria realize she is in trouble monopambeachschooks.c
- A 58-year women is unconscious and was taken to the nearest emergency room from her work place. Her blood glucose: 50 mg/dL. Her son explains that she was taking a new medication prescribed 3 week ago (once a day during breakfast) prescribed for her Type 2 diabetes. If this is a drug that commonly can cause hypoglycemia give your opinion to which class of drugs it may belong.An adolescent is admitted to the intensive care unit with diabetic ketoacidosis. The nurse prepares a continuous insulin infusion of 100 units (U) regular insulin in 500 mL normal saline. How many units of regular insulin is in one mL of the solution?12 year old female presenting with respiratory fatigue, muscle weakness and spasms associated with reduced blood cell count, along with yellowing of the sclera. Which metabolic disorder would this be?
- A 35-year-old woman became severely depressed after the sudden death of her husband. Twomonths later, she was brought to the emergency room by her friend because of extremeweakness and lethargy. She appeared thin and pale. Upon history taking, the doctor found thatshe had not eaten for several weeks. Analysis of the plasma sample indicated elevated levels ofalanine, acetoacetate, β-hydroxybutyrate and blood urea nitrogen (BUN). However, her plasmaglucose concentration was low (55mg/dL). She was hospitalized, given intravenous feeding,antidepressant medications and subsequently shifted to a 1800kCal (7500kJ) diet. Her recoverywas uneventful.3.a) How could the patient maintain her plasma glucose levels within normal limits even though shewas not eating?bHypoglycemia comes about for various reasons and clinic symptoms usually occur at blood glucose concentrations: A.A patient is suspected to have thalassemia syndrome, explain what measures you would take to confirm the diagnosis of this syndrome.