Case #5 A 2I-year-old man runs 5 miles 6 days a week. He is healthy, and has had

Question

Case #5 A 2I-year-old man runs 5 miles 6 days a week. He is healthy, and has had no health issues to date. He realizes the importance of proper diet and adequate hydration levels for his jogging hobby. Ile decides to run in the city-sponsored marathon. The evening prior to the event, his dinner consists a small plate of pasta (approximately 75% of his daily carbohydrate load) with a small steak of 4 to 5 ounces (140g) and a glass of red wine (approximately 3 ounces). At the start of the race, the patient felt well; however, at the 14th mile, he begins to feel weak and nauseous. His femoral and gastroenemius muscles begin cramping. Ile continues to hydrate himself with water through a Camel flak water bottle, and is stubbornly determined to finish the race. His pace slows to a crawl, but he does cross the 26.2-mile finish line in just under 4.5 hours. He returns home still feeling a bit light-headed, weak, and quite sore. That evening. he has very little appetite, but appears to have an unquenchable thirst.

Explanation / Answer

1. Normal reference range for Creatinine - 0.6 - 1.2 mg/dL; BUN - 7-18 mg/dL; Potasium - 3.5 - 5.0 mmoles/L

2. Reason for elevated levels of these compounds and others - The normal function of kidney is to maintain the levels of compounds in the body. Under kidney dysfunction the levels of these substances will increase.

3. Need for Urine analysis - Since elimination of urine is crucial for the body where the water balance is maintained and the unnecessary waste and excess nutrients are eliminated. Changes in it depicts that the person has problem in kidney or in metabolic functioning. Hence it is needed to rule out the disease possibility.

4. Yes he should be concerned about the cardiac results since there is a cardiac block and hypertension.

5. Based on the results the person is prone to have hypertension and diabetes.

6. The therapeutic approach is to take antihypertensive drugs and anti diabetic drug and to maintain with healthy balanced diet devoid of high fats and processed sugars.

7. It is not a dangerous life threatening disease, instead it is an normal life style modification disorders. Balanced diet, exercise will help to improve the status and to maintain the metabolites in control.

Related Questions

Navigate

• Browse (All)
• Browse C
• Subjects

---

---

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.