i need the answer quickly 3. A 15-year-old boy presented with a history of episodic vomiting associatedwith subacute encephalopathy from the age of one year. There were 2-3 monthsof asymptomatic periods between the episodes. He was born of non-consanguineous parents at full term had a normal perinatal period with noevidence ofbirth asphyxia. During the hospital stay he had 2 episodesofconvulsiveseizures. Investigations revealed high blood ammonia (288 ug/dL, normallevel is 40-80 ug/dL), markedly elevated levels of citrulline (2200 umoles/L,normal is 1-55 umoles/L), and low blood urea (5 mg/dL, normal is around 7 to20 mg/dL). He was treated with anticonvulsives and sodium benzoate, adviseda restricted protein diet. What is the reason for the presented symptoms? Whyblood urea concentration is reduced? For the answer:a) specify the compound 90% of body nitrogen is excreted in;b) write down the process damaged in this patient;c) point out the enzyme deficient in this clinical case;d) explain the mechanisms of ammonia toxicity;e) explain the expediency of prescribed diet and sodium benzoate.

We get most of the nitrogen that we need via eating proteins. The nitrogen that we get from these…

Answered: 3. A 15-year-old boy presented with a…

Health Safety And Nutrition F/Young Child

9th Edition

ISBN:9781305144767

Author:MAROTZ

Publisher:MAROTZ

Chapter6: Childhood Illnesses

Section: Chapter Questions

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23. A 48-year-old woman comes to the emergency department 2 hours after the sudden onset of severe flank pain. She also has a 2-month history of mild exacerbation of her baseline constipation. She has had no fever, chills, pain with urination, or increased urinary frequency. She has a history of infrequent urinary tract infections, with the most recent occurring more than 5 years ago. She has no personal or family history of renal calculi. Her pulse is 92/min, and blood pressure is 138/88 mm Hg. Physical examination shows no other abnormalities. Laboratory studies show: Serum Na* 144 mEq/L K+ 3.8 mEq/L CI- 100 mEq/L HCO₂- Ca2+ 27 mEq/L 10.6 mg/dL Urea nitrogen 19 mg/dL Creatinine Phosphorus Urine blood Which of the following is the most likely cause of these findings? A) Hyperoxaluria B) Hyperparathyroidism C) Hyperuricemia D) Hypervitaminosis D. E) Milk-alkali syndrome 0.8 mg/dL 2.9 mg/dL 2+
21.Write the pathophysiology of patient with peritonitis?
2. A 74-year old women with history of rheumatic fever (in her twenties) presented to her physician with complaints of increasing shortness of breath (dyspnea) upon exertion. The typical swelling she's had in her ankles for years hes started to get worse over the past two months. In the pest week, she's hed a decreased appetite, some nausea and vomiting and tenderness in the right upper quadrant of the ebdomen. On physical exemination, the patient's juguler veins were noticeably distended. Auscultation of the heert revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra "S.' heart sound. (iii) Examination of the patient's abdomen reveals an enlarged liver (hepatomegaly) and a moderate degree of ascites ('water' in the pericardial cavity). Explain these findings. (iv) Examination of the patient's ankles reveals significant "pitting oedema". Explain this finding. (v) What is the general term describing this condition?
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