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 48 year old female is admitted with the diagnosis of pancreatitis. She is complaining of nausea, vomiting and severe muscle weakness. The electrocardiogram shows frequent premature ventricular contractions. Her symptoms are most likely due toA 24 yr old presents in the emergency department with a history of cramping legs and lethargy. On detailed history, the nurse understood that the client is suffering from diarrhea for the last one week. What should the nurse do first? Answer Choices: a. Administer anti-diarrheal medications b. Give IV fluid c. Monitor serum electrolyte d. Collect stool for C/SThis 58-year-old nuclear power plant worker saw his family physician because of increasing fatigue and weakness. He also reported pain in his lower back and arms when he walks. Physical examination revealed that the man had pale mucous membranes and hepatosplenomegaly. The physician orders a complete blood count (CBC) and urinalysis (UA). A follow-up appointment is scheduled for the following week. Laboratory Data The CBC revealed that the patient had anemia. His leukocyte count and differential count were normal, except for a rouleaux (rolled coin) appearance of the RBCs. The UA was normal. The patient was called and requested to return to the laboratory for additional tests. The physician ordered an ESR, kidney screening profile, liver blood profile, and radiographic skeletal survey, with the following results: ESR—50 mm/hr Kidney profile—normal Liver profile—normal, except for increased globular protein Skeletal survey—bone lesions in various sites What follow-up laboratory tests…
- Mr. B is a 57-year-old man who was admitted yesterday after starting to pass black stools. He has a two-day history of severe stomach pains and has suffered on and off with indigestion for some months. He is a life-long smoker, with mild chronic heart failure (CHF) for which he has been taking enalapril 5 mg twice daily for 2 years. He also recently started taking naproxen 500 mg twice daily for arthritis. He works a stressful job and drinks large amounts of caffeinated coffee daily. Yesterday his hemoglobin was reported as 9.3 g/dL, hematoocrit 30%, RBC's 3.2, platelets 162, INR 1.1 with Liver Function Test normal. He was mildly tachycardic (110 bpm) and had a slightly low blood pressure of 100/77 mmHg and was given 1.5 L of saline. He has just returned from an endoscopy this morning and has been newly diagnosed as having a bleeding duodenal ulcer. They took a biopsy to determine if he is positive for H-pylori. He has been written up for his usual medication for tomorrow if he is…Some of her laboratory results were as follows: Case 2// A 15-year-old woman presented to the surgical unit with acute pancreatitis. Plasma (fasting) Cholesterol 33.4 mmol/L (3.5-5.0) Triglyceride 69.1 mmol/L (0.3–1.5) HDL cholesterol 0.9 mmol/L (1.0-1.8) Amylase < 20 U/L (<200) On examination, she had eruptive xanthomata on her arms and thighs and fundoscopy revealed lipaemia retinalis. What is you r probable diagnosis and discussion ?Write TRUE if the statement is correct. If the statement is incorrect, write FALSE and CORRECT the word/s that made the statement wrong. 1. Central vein TPN should be weaned off gradually to prevent rebound hyperglycemia. 2.Peripheral parenteral nutrition infuses up to 4 liters of 10%emulsion daily. 3.Low serum albumin results to increased oncotic pressure leading to diarrhea. 4.In giving tube feedings, the nurse must warm the formula to avoid diarrhea. 5.The formula given to patients should not be warmed using a microwave to avoid the destruction of fat-soluble vitamins.
- 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 pregnantAn old patient suffers from difficulty in evacuation process and lose of weights. During the diagnostic procedures, the physician examine his bowel sounds and identify the presence of mild ascites. He also noted the following symptoms and signs: Phlebitis, Aphthous ulcer, episcleritis and spider naevus. His total bilirubin is 1.5 mg/dl , albumin is 4 g/dl and prothrompine time is 3 sec. laboratory measured In addition, skip lesions between healthy areas diagnosed during the study of the inside of view of the entire colon. A) Calculate and explain the scoring for the Child-Pugh Grading with this case and identify his class. B) Identify the specific types of diseases he is suffering from and the physical examination that used in this case.A 38-year-old female presents to the clinic with complaints of alternating diarrhea and constipation. She reports some abdominal discomfort and bloating that are relieved with her bowel movement. She states that her episodes are worse in times of stress. She denies any blood in her diarrhea. She denies any weight loss or anorexia. Her physical exam is all within normal limits. She has been prescribed a cellulose-containing dietary supplement, which her doctor says will increase the bulk of her stools. 1. What is the most likely diagnosis? 2. What is the biochemical mechanism of the dietary supplement’s effect on the intestines?
- A child is to receive phenobarbital 2 mg/kg IV on call as a preoperative sedative. The child weighs 64 pounds. How many milligrams will the child receive for this dose?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?A 22-year-old comes to the emergency department with light-headedness, diarrhea and fatigue during the past 6 months. She has a 2-year history of gluten-sensitive enteropathy. Her pulse is 100/min. Physical examination shows generalized pallor and glossitis. A peripheral blood smear shows macroovalocytes and hypersegmented neutrophils. Her hemoglobin concentration is decreased, serum homocysteine concentration is increased, and serum methylmalonic acid concentration is within the reference range. This patient most likely has a deficiency of which of the following vitamins? a) Folic acid b) Niacin c) Vitamin B1 (thiamine) d) Vitamin B6 (pyridoxine) e) Vitamin B12 (cobalamin)