Chief Complaint: 8-year-old girl with excessive thirst, frequent urination, and

Question

Chief Complaint: 8-year-old girl with excessive thirst, frequent urination, and weight loss. History: Cindy Mallon, 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 glassfulls 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 A. At the doctors office, blood and urine samples are taken. The following lat resuits are noted blood glucose level 545 mg/dl (normal 50 170 mg/di) blood pH level 7.23 urine-tested positive for glucose and for acetone acetoacetate (ie. ketone bodies) (normally urine is free of glucose and ketone bodies) (normal 7.35-7.45) 1. Why is her blood sugar level elevated? (2points) 2. Why is her blood pH level decreased? (2 points) 3. Cindy has a fruity odor to her breath. Why? (2 points) 4 Explain why Cindy is urinating so frequently? (2 points) 5. How is Cindy's condition like that of starvation? Address the role of glucose transport in your answer. (3 points) B. Following her visit to the pediatrician, Cindy undergoes a diabetic care training program, learning how to self-inject insulin subcutaneously and check her blood- glucose level at home with chemstrips. In addition, she learns the importance of carrying candy and glucagon with her at all times as well as eating the right amounts of food at the right times each day 6. Given that she is being treated with insulin, what type of diabetes does she have? What dangers confront Cindy as she gives herself insulin artificially ona daily basis? Why must she carry candy and glucagon with her at all times? (3 points)

Explanation / Answer

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