What is beriberi? What is the difference between dry beriberi and wet beriberi? Which type did JH have?
What is beriberi? What is the difference between dry beriberi and wet beriberi? Which type did JH have?
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
Related questions
Question
Read the case report. The case report includes findings from the patient's history, physical exam, and diagnostic tests. A series of clinical questions can be found at the end of the report.
Each answer to each question should be a minimum of 100 words in length. Restating the question and citing sources does not count toward this limit.
Overview
The B vitamins are found widely in animal and vegetable foods. The main functions of these vitamins are as co-factors for metabolic processes or as precursors of essential metabolites. Deficiencies in B vitamins can cause severe disease and/or death.
History of Present Illness
JH is a 55-year-old homeless male patient presented to the emergency department with a 1-week history of progressive dyspnea and generalized edema. He had experienced several loose stools with intermittent abdominal pain localized to the right upper quadrant for four months. He denied smoking or using illicit drug use, but confessed excessive and protracted alcohol consumption and a dietary pattern restricted to intake of only carbohydrates; specifically, eating cookies and highly processed foods that had been thrown out by a local convenience store.
Diagnosis and treatment
The patient was diagnosed with cardiac beriberi by the attending physician. Thiamine (vitamin B1) was administered intravenously (100 mg) followed by a daily intravenous infusion of 100 mg for the remaining hospital stay. With thiamine supplementation, JH's condition steadily and gradually improved. JH was given permission to leave hospital two weeks after admission.
Clinical Questions
1 What is beriberi? What is the difference between dry beriberi and wet beriberi? Which type did JH have?
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< To Do
Physical Exam
Assignment Details
PHSO V01 - Human Physiology - 71270-71268
JH appeared to be chronically ill-looking, but alert with
mild hyperventilation. He had icteric sclera without
evidence of anemia on physical examination. Jugular
veins were distended to the angle of the mandible.
Cardiac examination showed a regular rate with no
murmurs. Bibasilar crackles were auscultated in both
lungs. There was a tender, enlarged, and palpable liver
below the right costal margin. Both lower extremities
were warm to touch and showed edema in a
symmetrical fashion. Neurologic examination revealed
no abnormalities.
Blood
Pressure
Heart Rate
Respiratory
Rate
SpO2
Body
Temperature
◄ Previous
Dashboard
188
Vital Signs
158/103
mmHg
98 bpm
Calendar
22 breaths
per minute
99.5%
36.5 °C
..llLTE
Submit Assignment
To Do
Normal
Values
120/80
mmHg
60-100 bpm
12-18
breaths per
minute
> 95%
36.1-37.2 °C
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Transcribed Image Text:3:43
< To Do
Physical Exam
Assignment Details
PHSO V01 - Human Physiology - 71270-71268
JH appeared to be chronically ill-looking, but alert with
mild hyperventilation. He had icteric sclera without
evidence of anemia on physical examination. Jugular
veins were distended to the angle of the mandible.
Cardiac examination showed a regular rate with no
murmurs. Bibasilar crackles were auscultated in both
lungs. There was a tender, enlarged, and palpable liver
below the right costal margin. Both lower extremities
were warm to touch and showed edema in a
symmetrical fashion. Neurologic examination revealed
no abnormalities.
Blood
Pressure
Heart Rate
Respiratory
Rate
SpO2
Body
Temperature
◄ Previous
Dashboard
188
Vital Signs
158/103
mmHg
98 bpm
Calendar
22 breaths
per minute
99.5%
36.5 °C
..llLTE
Submit Assignment
To Do
Normal
Values
120/80
mmHg
60-100 bpm
12-18
breaths per
minute
> 95%
36.1-37.2 °C
Notifications
Next ►
Inbox
 alt="3:43
< To Do
Clinical Findings
Assignment Details
PHSO V01 - Human Physiology - 71270-71268
Electrocardiogram demonstrated normal sinus rhythm.
His chest x-ray showed cardiomegaly with mild
pulmonary congestion and pleural effusion. Significant
laboratory findings for JH are provided below:
Dashboard
pH
PaCO2
Bicarbonate
Aspartate
transaminase
(AST)
Alanine
transaminase
◄ Previous
Value
188
7.25
35 mm Hg
Calendar
9 mmol/L
(ALT)
Total bilirubin 2.0 mg/dL
Serum lactate
5.5 meq/L
Free fatty
450 mg/dL
acids (FFAS)
Triacylglycerols 200 mg/dL
...I LTE
115 IU/L 0-40 IU/L
Normal
Range
7.35-7.45
82 IU/L 0-40 IU/L
35-45
mm Hg
24-28
mmol/L
To Do
Submit Assignment
0.2-1.2
mg/dL
0.5-2.2
meq/L)
190-420
mg/dL
40-150
mg/dL
Notifications
Next ►
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Transcribed Image Text:3:43
< To Do
Clinical Findings
Assignment Details
PHSO V01 - Human Physiology - 71270-71268
Electrocardiogram demonstrated normal sinus rhythm.
His chest x-ray showed cardiomegaly with mild
pulmonary congestion and pleural effusion. Significant
laboratory findings for JH are provided below:
Dashboard
pH
PaCO2
Bicarbonate
Aspartate
transaminase
(AST)
Alanine
transaminase
◄ Previous
Value
188
7.25
35 mm Hg
Calendar
9 mmol/L
(ALT)
Total bilirubin 2.0 mg/dL
Serum lactate
5.5 meq/L
Free fatty
450 mg/dL
acids (FFAS)
Triacylglycerols 200 mg/dL
...I LTE
115 IU/L 0-40 IU/L
Normal
Range
7.35-7.45
82 IU/L 0-40 IU/L
35-45
mm Hg
24-28
mmol/L
To Do
Submit Assignment
0.2-1.2
mg/dL
0.5-2.2
meq/L)
190-420
mg/dL
40-150
mg/dL
Notifications
Next ►
Inbox
Expert Solution
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INTRODUCTION
Vitamins are the organic molecules that exist in minute quantities in food and are essential to normal metabolism.Vitamins are either fat-soluble or water-soluble.Fat soluble are Vitamin A,D,E,K which dissolve in lipids.Water-soluble are B vitamins and vitamin C.
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