Explanation During a school nurse visit, Person A, who was 15 years old and active as well as had an outstanding academic performance, was prescribed antibiotics after being diagnosed with strep throat infection. Her height and weight were recorded to be 5 ′ 3 ″ and 107 lb, respectively. Four months later, Person A was 96 pounds and appeared tired with decreased appetite. She reported to have suffered from sinus and other infections, besides it was hard to train her for sports team. Her doctor advised her to decrease her training and eat more to which she agreed. But in early June, when Person A was examined by her physician for a pre-employment physical examination, she was 91 pounds and that concerned her physician although Person A assures that she feels and looks fine. On the MD physician’s reference, she consulted an outpatient clinical dietician, and it was then that her dependence on diet beverages came to light. Person A strongly disagrees on using dietary aids claiming to have enough will power to reduce food intake. However, she is not willing to reduce the intensity of her training, which was a sign of compensatory exercise, which in medical terms is a form of purging. Person A’s mother was later informed by the dietician about a possible eating disorder. The dietician conferred with the physician and Person A’s parents and sent information about eating disorders, possible outcomes, and treatment options. It was after three months Person A was admitted to the hospital and referred for an in-patient eating disorder evaluation when the clinic was notified that she had fainted at gym class. Person A’s height is 5’3”, and she weighs 96 lb during her sports physical visit. She is 15 years and four months old

Person A weight status during sports physical visit. Introduction: The status of eating disorders among adolescents is assesessed by their body mass index (BMI). BMI of an individual is calculated by dividing a person's weight (kg) by square of his or her height( m 2 ). The BMI value is then used to determine the BMI-for-age percentile on the basis of age and gender of the child and considered underweight, healthy, overweight, and obese accordingly.

Nutrition Through the Life Cycle (MindTap Course List)

6th Edition

ISBN: 9781305628007

Author: Judith E. Brown

Publisher: Cengage Learning

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Concept explainers

Eating behaviors

The term "eating behaviors" is an umbrella term that encompasses aspects such as food selection and motivations, feeding habits, dieting, and eating behavior-related concerns such as obesity and eating disorders. Eating behavior is influenced by various …

Question

Chapter 15, Problem 1.5CS

Summary Introduction

To determine: Person A weight status during sports physical visit.

Introduction: The status of eating disorders among adolescents is assesessed by their body mass index (BMI). BMI of an individual is calculated by dividing a person's weight (kg) by square of his or her height( m²). The BMI value is then used to determine the BMI-for-age percentile on the basis of age and gender of the child and considered underweight, healthy, overweight, and obese accordingly.

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What are Bruces options at this point? Bruce and his parents moved to a semi-tropical region of the United States when he was about 3 years old. He loved to be outside year-round and swim, surf, snorkel, and play baseball. Bruce was fair-skinned, and in his childhood years, was sunburned quite often. In his teen years, he began using sunscreens, and although he never tanned very much, he did not have the painful sunburns of his younger years. After graduation from the local community college, Bruce wanted an outdoor job and was hired at a dive shop. He took people out to one of the local reefs to snorkel and scuba dive. He didnt give a second thought to sun exposure because he used sunscreen. His employer did not provide health insurance, so Bruce did not go for annual checkups, and tried to stay in good health. In his late 20s, Bruce was injured trying to keep a tourist from getting caught between the dive boat and the dock. He went to an internist, who treated his injury and told Bruce he was going to give him a complete physical exam. During the exam, the internist noticed a discolored patch of skin on Bruces back. She told him that she suspected Bruce had skin cancer and referred him to a dermatologist, who biopsied the patch. At a follow-up visit, Bruce was told that he had melanoma, a deadly form of skin cancer. Further testing revealed that the melanoma had spread to his liver and his lungs. The dermatologist explained that treatment options at this stage are limited. The drugs available for chemotherapy have only temporary effects, and surgery is not effective for melanoma at this stage. The dermatologist recommended that Bruce consider entering a clinical trial that was testing a DNA vaccine for melanoma treatment. These vaccines deliver DNA encoding a gene expressed by the cancer cells to the immune system. This primes the immune system to respond by producing large quantities of antibodies that destroy melanoma cells wherever they occur in the body. A clinical trial using one such DNA vaccine was being conducted at a nearby medical center, and Bruce decided to participate. At the study clinic, Bruce learned that he would be in a Phase Ill trial, comparing the DNA vaccine against the standard treatment, which is chemotherapy, and that he would be randomly assigned to receive either the DNA vaccine or the chemotherapy. He was disappointed to learn this. He thought he would be receiving the DNA vaccine.

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