Use the case study below on Toddler X to answer the question below: Toddler X, a 2-year old boy was brought into the emergency room, suffering from severe fast hypoglycemia. On physical examination, his liver was enlarged. The laboratory tests indicate- lactic acid, free fatty acid and triglyceride levels were elevated. A liver biopsy indicated that t hepatocytes contained greater than normal amounts of glycogen granules and lipid vacuoles. In Toddler X, which process is responsible for maintaining blood glucose levels between mea
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- Elsa is an 11-month-old girl. Her parents have brought her to her pediatrician because they have noticed she seems lethargic and pale. Both parents have noticed that she appears bloated, doesn’t want to eat as much as she has before, and is tired and “cranky all the time.” They suspected she might be suffering from anemia, since she was being fed a low-iron formula, so they had switched to a high-iron formula. The change made no difference in her symptoms. The pediatrician notes that Elsa’s belly appears swollen. Her vital signs show that her temperature is normal and her heart rate is on the low end of the normal range for her age. She has dropped from the 50th percentile in height and weight (at her last check-up) to the 10th percentile in both height and weight. Blood test results: Hemoglobin: 5 g/dl RBC: 4.6x106 cells/ml MCV: 65 WBC: 18,000 cells/microliter Platelet count: 250,000 As Elsa gets older, which of the following choices is NOT a likely complication of her…Mega-doses greater than 2,000 milligram daily of the vitamin may cause abdominal cramps and diarrhea. Group of answer choices vitamin C vitamin D vitamin E vitamin KThirty-six-year-old Mr. Clark keeps his appointment for a physical examination. He presents with subtle symptoms of fatigue and concern about his weight gain of 14 pounds in the last year. Friends and family have told him that his color looks “funny” (bronze-tinted) and have noticed that his face and hands look puffy. He admits to feeling depressed and is worried about missing too much work over the past several months because of “being sick a lot.” He states that he has less interest in having marital relations with his wife. According to Mr. Clark’s history he is a fragile asthmatic since adolescence and takes lots of medication to control his asthma, including prednisone and a steroid inhaler. Upon physical examination Mr. Clark exhibits the following: moderate muscle weakness, noticeable weight gain, particularly around the abdominal area which is striated. Fat pads are noted in the posterior neck and back (known as buffalo humps). His face is abnormally rounded, a condition…
- Learning Outcome: Obesity and related disorders can be treated non-inva-sively with use of dietary measures such as omega-3 fatty acids. Introduction: Obesity is a serious risk factor for chronic diseases like cardiovascular diseases (CVD), type 2 diabetes, and certain cancers. While treatment of obesity requires a multi-factorial approach, effective diet and exercise interventions play a large role in reducing disease risk. One approach receiving clinical attention is the use of omega-3 fats. Studies have shown that omega-3 fatty acids exert a cardio-protective effect resulting in reduced morbidity/mortality. Methods: A randomized case-control study was conducted to assess the effects of dietary omega-3 fats and exercise on CVD markers. Per FDA recom-mendations, participants consumed 1-2 grams of dietary omega-3 fats/day. Blood samples were obtained pre- and post-intervention to determine indicators such as lipids and HBA1C. Additionally, diet history, physical activity, and…a. Explain the function and metabolism of the following macronutrients: Carbohydrates (including fibre) to include: · The dietary role of carbohydrate · The structure of carbohydrate and the difference between complex and simple · The term glycaemic index (GI) in relation to the effect a food has on blood sugar · Examples of high, medium and low GI foods · The potential health consequences of a diet high in GI foods · Amount of energy provided by a gram of carbohydrate · Healthy eating guidelines with reference to type and kcalA 6-year-old boy is brought to the physician by his mother because of intermittent upper abdominal pain during the past 5 weeks and a rash for 1 week. Vital signs are normal. Physical examination shows yellow nodules over the extensor surfaces of the upper extremities. There's hepatomegaly and tenderness on palpation of the epigastric region. Serum studies show an increased amylase activity, increased chylomicron concentration, and a markedly increased triglyceride concentration. 3 months after beginning a fat-restricted diet, his serum chylomicron and triglyceride concentration decreased significantly, and the skin lesions resolve. A deficiency of which of the following enzymes is the most likely cause of these findings? a. Acetyl-CoA carboxylase b. HMG-CoA lyase c. HMG-CoA reductase d. Hormone-sensitive lipase e. Lipoprotein lipase
- Elsa is an 11-month-old girl. Her parents have brought her to her pediatrician because they have noticed she seems lethargic and pale. Both parents have noticed that she appears bloated, doesn’t want to eat as much as she has before, and is tired and “cranky all the time.” They suspected she might be suffering from anemia, since she was being fed a low-iron formula, so they had switched to a high-iron formula. The change made no difference in her symptoms. The pediatrician notes that Elsa’s belly appears swollen. Her vital signs show that her temperature is normal and her heart rate is on the low end of the normal range for her age. She has dropped from the 50th percentile in height and weight (at her last check-up) to the 10th percentile in both height and weight. Blood test results: Hemoglobin: 5 g/dl RBC: 4.6x106 cells/ml MCV: 65 WBC: 18,000 cells/microliter Platelet count: 250,000 In your own words, briefly describe how thalassemia is related to Elsa’s failure to thrive.3 year old child has been diagnosed with moderate dehydration. Describe the compensatory mechanisms that explain these signs and symptoms seen in the child: HR 140 and BP 100/60 RR 32 and SpO2 99% Include in your answer how these signs and symptoms compare to expected findings in a well 3-year-old child.A 6-month-old baby is being tested for an inborn metabolic defect after experiencing escalating failure to thrive and milestone regression. Hypotonia, apathy, deafness, hepatosplenomegaly, and widespread lymphadenopathy are all apparent on examination. An inspection of the fundus reveals a cherry red patch. A liver biopsy reveals sphingomyelin-loaded foamy hepatocytes. The body of a zebra may be seen via electron microscopy. What is your prognosis? Please elaborate.