CASE STUDY 9.5, PART 2 Recall Myra. Her mother was contacted by the EMTS, and she mentioned that her daughter had been losing weight and making frequent trips to the bathroom at night. The emergency squad noticed a fruity odor on Myra's breath. The decision was made to transport Myra to the emer- gency department. On arrival, her vital signs were as follows: Blood pressure Respirations Temperature Stat laboratory testing was ordered and the results are reported: Random Urine PH Protein Glucose Ketones Blood 5.5 Negative 98/50 mm Hg Rapid 99 °F Moderate Negative Serum Chemistries 500 mg/dL Glucose Ketones BUN Creatinine Positive 6 mg/dL 0.4 mg/dL Assist the physician's in explaining Myra's diagnosis to her mother. 1. Based on the preceding information, can Myra be diagnosed with diabetes? 2. Which type of diabetes is most likely to be diagnosed? 3. What is the cause of the fruity breath? 4. Why is Myra's respiration elevated?

Biochemistry
9th Edition
ISBN:9781319114671
Author:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Publisher:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Chapter1: Biochemistry: An Evolving Science
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CASE STUDY 9.5, PART 1
Myra, a 13-year-old girl. col-
lapsed while playing dodgeball
during recess at school.
Kyle Leo/Shutterstock
Transcribed Image Text:CASE STUDY 9.5, PART 1 Myra, a 13-year-old girl. col- lapsed while playing dodgeball during recess at school. Kyle Leo/Shutterstock
CASE STUDY 9.5, PART 2
Recall Myra. Her mother was contacted by the EMTS, and she mentioned that her daughter had
been losing weight and making frequent trips to the bathroom at night. The emergency squad
noticed a fruity odor on Myra's breath. The decision was made to transport Myra to the emer-
gency department. On arrival, her vital signs were as follows:
Blood pressure
Respirations
Temperature
Stat laboratory testing was ordered and the results are reported:
Random Urine
5.5
Negative
98/50 mm Hg
Rapid
99 °F
pH
Protein
Glucose 4+
Ketones Moderate
Blood
Negative
Serum Chemistries
500 mg/dL
Positive
6 mg/dL
0.4 mg/dL
Glucose
Ketones
BUN
Creatinine
Assist the physician's in explaining Myra's diagnosis to her mother.
1. Based on the preceding information, can Myra be diagnosed with diabetes?
2. Which type of diabetes is most likely to be diagnosed?
3. What is the cause of the fruity breath?
4. Why is Myra's respiration elevated?
Transcribed Image Text:CASE STUDY 9.5, PART 2 Recall Myra. Her mother was contacted by the EMTS, and she mentioned that her daughter had been losing weight and making frequent trips to the bathroom at night. The emergency squad noticed a fruity odor on Myra's breath. The decision was made to transport Myra to the emer- gency department. On arrival, her vital signs were as follows: Blood pressure Respirations Temperature Stat laboratory testing was ordered and the results are reported: Random Urine 5.5 Negative 98/50 mm Hg Rapid 99 °F pH Protein Glucose 4+ Ketones Moderate Blood Negative Serum Chemistries 500 mg/dL Positive 6 mg/dL 0.4 mg/dL Glucose Ketones BUN Creatinine Assist the physician's in explaining Myra's diagnosis to her mother. 1. Based on the preceding information, can Myra be diagnosed with diabetes? 2. Which type of diabetes is most likely to be diagnosed? 3. What is the cause of the fruity breath? 4. Why is Myra's respiration elevated?
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