A child was brought to hospital with vomiting, dizziness and sweating. The child developed all these problems and diarrhoea only after consumption of fruits, fruit juices or sweets made from jaggery and sugar. The child mother informed on questioning that the child was normal on breast feeding. On examination his weight was found to below normal and had liver enlargement. His blood glucose level was below normal but reducing substances were found in urine. Write your diagnosis.
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A child was brought to hospital with vomiting, dizziness and sweating. The child developed all these problems and diarrhoea only after consumption of fruits, fruit juices or sweets made from jaggery and sugar. The child mother informed on questioning that the child was normal on breast feeding. On examination his weight was found to below normal and had liver enlargement. His blood glucose level was below normal but reducing substances were found in urine. Write your diagnosis.
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- A child was brought to hospital with vomiting, dizziness and sweating. The child developed all these problems and diarrhea only after consumption of fruits, fruit juices or sweets made from jaggery and sugar. The child mother informed on questioning that the child was normal on breast feeding. On examination, his weight was found to be below normal and had liver enlargement. His blood glucose level was below normal but reducing substances were found in urine. GIVE and EXPLAIN your diagnosis.Patient A: Has Diabetes insipidus. They have polyuria and dilute urine. They present with some signs of sever dehydration including increased thirst, rapid respirations and rapid heart rate. Their blood pressure is low Patient B: Has Diabetes mellitus type 1. They are not taking medication for it. They are confused and lethargic. They are breathing heavy and fast and the breath has a fruity odor. They have polyuria and increased thirst. Explain the difference between diabetes insipidusand diabetes mellitus (I swear, if you write "The name", so help me...). This answer should address the cause for these two diagnoses and what organs or organ systems are at fault, or would be investigated for this disease.Patient A: Has Diabetes insipidus. They have polyuria and dilute urine. They present with some signs of sever dehydration including increased thirst, rapid respirations and rapid heart rate. Their blood pressure is low Patient B: Has Diabetes mellitus type 1. They are not taking medication for it. They are confused and lethargic. They are breathing heavy and fast and the breath has a fruity odor. They have polyuria and increased thirst. 4: For Patient A, the doctor orders a Head CT scan. She does not order this for Patient B. What would the doctor be looking for in the CT scan, and whywould this not be ordered for patient B?
- A 14-year-old male student was seen by his physician. His chief complaints were fatigue; weight loss; and increases in appetite, thirst, and frequency of urination. For the past 3 to 4 weeks, he had been excessively thirsty and had to urinate every few hours. He began to get up three to four times a night to urinate. The patient has a family history of diabetes Mellitus 1. Based on the preceding information, can this patient be diagnosed with diabetes?A 12-year-old boy presents to the clinic with complaints of frequent urination, constant thirst, and weight loss despite a voracious appetite. Physical examination and laboratory tests were done and results are shown below. Use this information to answer questions 4-5. Physical Exams and Tests Results Normal Range Height 5 feet, 3 inches Weight 50 kg Percentage Adipose Tissue 30% Blood Pressure 90/55 Plasma Fasting Glucose 340 mg/dL 70-110 mg/dL Plasma Na+ 142 mEq/L 140 mEq/L Plasma BUN 9.5 mg/dL 10 mg/dL Urine Glucose 15 mg/dL 0-15 mg/dL Urine Na+ 280 mEq/L/day 15-250 mEq/L/day 4. The plasma osmolarity in this patient is: A) 290 mOsm/L B) 306 mOsm/L C) 312 mOsm/L D) 320 mOsm/L 5. The total body water in this patient is: A) 15 L B) 20 L C) 26 L D) 35 LA 2 yr old boy is underweight and apathetic. Examination shows generalized edema and patches of cutaneous depigmentation. Serum albumin concentration is decreased. Biopsy shows fatty liver. The most likely diagnosis is deficiency of Calories(marasmus) Iron Protein(kwashiorkor) Riboflavin Vitamin A Vitamin B1( thiamine) Vitamin b12(cobalamin) Vitamin G Vitamin D Vitamin K
- A 14-year-old male student was seen by his physician. His chief complaints were fatigue; weight loss; and increases in appetite, thirst, and frequency of urination. For the past 3 to 4 weeks, he had been excessively thirsty and had to urinate every few hours. He began to get up three to four times a night to urinate. The patient has a family history of diabetes Mellitus Question: What further tests might be performed to confirm the diagnosis?Mrs. Reyes is an 80 year old mother of twelve and grandmother of45 children. She complains of sudden, overwhelming desire to void that cannot be controlled long enough to reach the toilet. She urinates frequently and in small amounts. Even her sleeping at nights is interrupted because she needs to go to the toilet. 1. What type of incontinence does Mrs. Reyes have? Support your answer.Mrs. Reyes is an 80 year old mother of twelve and grandmother of45 children. She complains of sudden, overwhelming desire to void that cannot be controlled long enough to reach the toilet. She urinates frequently and in small amounts. Even her sleeping at nights is interrupted because she needs to go to the toilet. 1. What do you think caused this type of incontinence? Explain it briefly.
- Match the following patients to their condition. Patient 1 – 20-year-old male with complaints of extreme fatigue and thirst Patient 2 – 18-year-old female experiencing frequent and painful urination Patient 3– 70-year-old man with severe lower back pain. Fever. Chills and painful urination. Patient 4– 40-year-old male with abdominal pain and swelling. History of heavy drinking Patient 5– 18-year-old female- underweight and fatigued Patient 6– 20-year-old male on the wrestling team Patient 7– 27-year-old female with fatigue. Nausea. Tender breasts. Conditions: - Kidney Stone - Urinary Tract Infection - Dehydration and Fasting - Liver Disease - Fasting or Eating Disorder - Diabetes - Healthy pregnantHiro is a 46-year-old male who has recently acquired severe food poisoning, which caused 72 hours of frequent vomiting and diarrhea. The third day after his symptoms began, Hiro experienced heart palpitations and confusion. He had trouble answering simple questions and felt disoriented. His care team was concerned about these new symptoms and decided to perform a urinalysis and several blood tests to determine the cause. These are Hiro’s results: Blood Calcium Level: 4.6 mEq/L Blood Sodium Level: 140 mEq/L Blood Potassium Level: 2.9 mEq/L Urine Specific Gravity: 1.020 Hiro’s electrolyte imbalance is caused by vomiting and diarrhea. Which of the following could also cause his condition? (Select all that apply.) Excessive laxative use Diuretics Excess aldosterone secretion Diabetic ketoacidosis Folic acid supplementsHiro is a 46-year-old male who has recently acquired severe food poisoning, which caused 72 hours of frequent vomiting and diarrhea. The third day after his symptoms began, Hiro experienced heart palpitations and confusion. He had trouble answering simple questions and felt disoriented. His care team was concerned about these new symptoms and decided to perform a urinalysis and several blood tests to determine the cause. These are Hiro’s results: Blood Calcium Level: 4.6 mEq/L Blood Sodium Level: 140 mEq/L Blood Potassium Level: 2.9 mEq/L Urine Specific Gravity: 1.020 How is Hiro’s specific gravity level related to his level of hydration?