RM an 8-year-old girl is taken to the local clinic and presents with excessive thirst, frequent urination, and weight loss History: RM, an 8-year-old girl in previously good health, has noticed that, in the past month, she is increasingly thirsty. She gets up several times a night to urinate, and finds herself gulping down glassfuls of water. At the dinner table, she seems to be eating twice as much as she used to, yet she has lost 5 pounds in the past month. In the past three days, she has become nauseated, vomiting on three occasions, prompting a visit to her pediatrician

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Chief Complaint: RM an 8-year-old girl is taken to the local clinic and presents with excessive thirst, frequent urination, and weight loss History: RM, an 8-year-old girl in previously good health, has noticed that, in the past month, she is increasingly thirsty. She gets up several times a night to urinate, and finds herself gulping down glassfuls of water. At the dinner table, she seems to be eating twice as much as she used to, yet she has lost 5 pounds in the past month. In the past three days, she has become nauseated, vomiting on three occasions, prompting a visit to her pediatrician Questions 1. At the doctors office, blood and urine samples are taken. The following lab results are noted blood glucose level 545 mg/dl (normal 50 170 mg/dl) blood pH level 7.23 urine tested positive for glucose and for acetone /acetoacetate (i.e. ketone bodies) (normally urine is free of glucose and ketone bodies) (normal - 7.35 - 7.4) A. Based on objective findings above (i.e., lab values), what disease state could RM be experiencing? B. There are two different types of this disease. Name both types of this disease and provide a brief description of each addressing age of onset and pathophysiology of each. Include in your answer(s) the organ and cell-type involved and any changes that might occur in the organ or cell-type or peripheral tissues C. What type of this disease leads to the above signs and symptoms? (i.e., what type does RM have?) D. Why is her blood-glucose level elevated? E. Why would her blood pH level be decreased? F. At the office, RM is breathing rapidly and taking deep breaths. What physiological purpose does this serve? G. RM has a fruity odor to her breath. What is causing this and what is the condition called? H. Explain why RM is urinating so frequently?

 

Transcribed Image Text from this Question
Chief Complaint:
RM an 8-year-old girl is taken to the local clinic and presents with excessive thirst, frequent urination, and weight loss
History: RM, an 8-year-old girl in previously good health, has noticed that, in the past month, she is increasingly thirsty. She gets up several times a night to urinate, and finds herself gulping down glassfuls of water. At the dinner table, she seems to be eating twice as much as she used to, yet she has lost 5 pounds in the past month. In the past three days, she has become nauseated, vomiting on three occasions, prompting a visit to her pediatrician
Questions
1. At the doctor’s office, blood and urine samples are taken. The following lab results are noted blood glucose level 545 mg/dl (normal 50 170 mg/dl) blood pH level 7.23 urine tested positive for glucose and for acetone /acetoacetate (i.e. ketone bodies) (normally urine is free of glucose and ketone bodies) (normal – 7.35 – 7.4)
A. Based on objective findings above (i.e., lab values), what disease state could RM be experiencing?
B. There are two different types of this disease. Name both types of this disease and provide a brief description of each addressing age of onset and pathophysiology of each. Include in your answer(s) the organ and cell-type involved and any changes that might occur in the organ or cell-type or peripheral tissues
C. What type of this disease leads to the above signs and symptoms? (i.e., what type does RM have?)
D. Why is her blood-glucose level elevated?
E. Why would her blood pH level be decreased?
F. At the office, RM is breathing rapidly and taking deep breaths. What physiological purpose does this serve?
G. RM has a fruity odor to her breath. What is causing this and what is the condition called?
H. Explain why RM is urinating so frequently?

The post RM an 8-year-old girl is taken to the local clinic and presents with excessive thirst, frequent urination, and weight loss History: RM, an 8-year-old girl in previously good health, has noticed that, in the past month, she is increasingly thirsty. She gets up several times a night to urinate, and finds herself gulping down glassfuls of water. At the dinner table, she seems to be eating twice as much as she used to, yet she has lost 5 pounds in the past month. In the past three days, she has become nauseated, vomiting on three occasions, prompting a visit to her pediatrician appeared first on commompapers.org.

 
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