Objective: Apply knowledge of skeletal, muscular and nervous physiology to clearly, accurately and logically analyze a case study.
Scenario
Brandon Wilkes is a star quarterback and is looking forward to next week’s game when scouts from his top pick school will be attending. Brandon confided to the coach that he had been depressed recently and last week began feeling weaker in the weight room during training sessions. The coach explained that he was working hard and he could rest after the season was over.
One minute three seconds before half time, Brandon ran out of the pocket when he couldn’t find anyone open, made it 15 yards before a defender took him down at the knee. At the hospital, X-rays confirmed a spiral fracture of the tibia and fibula. As the radiologist examined the pictures, she noticed excessive bone loss in the shaft of the tibia.
Bloodwork came back from the lab and revealed a blood calcium level of 12.5 mg/dL. The normal range is 8.5-10.5 mg/dL.
3) While waiting for the final hormone analysis to come back from the lab, Dr. Wasserkrug asks Brandon a few questions. Analyze and provide relevant reasoning behind why Dr. Wasserkrug would find it necessary to ask Brandon the following questions:
- a) Are you taking a Vitamin D supplement?
- b) Have you been taking more antacids than normal?
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