247 Lecture Notes - Lecture 1: Milk Allergy, Soy Milk, Pediatrics

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christinaluciano1001

2 Nov 2021

School

SUNY Oneonta

Department

Nutrition

Course

247

Professor

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Document Summary

You can work in groups to complete this case study but each and every one of you must submit your answers in the drop box for this case study via blackboard or via hard copy in class. He was born 1 month early at 36 weeks gestational age. His mom has been breastfeeding him exclusively for the past 4 months. His weight at birth was 7 lbs and. He nurses every 3 hours, stools 9-10 times per day and occasionally has flecks of red in his stool. Currently his weight is 11 lbs and 1 oz. Fw has an older sibling who was on soy formula as an infant because he spit up frequently when mom breast fed him and didn"t gain weight adequately. Fw has a red, bumpy rash on his face and arms. The pediatrician did a food allergy test which came back negative for all of the common allergenic foods.

Related Questions

QUESTION 1

Indications that an infant is getting enough food are

		six to eight wet diapers/day.
		one bowel movement/day.
		infant is alert and happy.
		any of the above.

QUESTION 2

The recommendation for folic acid is

		about 400 micrograms/day.
		necessary to prevent neural tube defects.
		lower than the RDA.
		a and b.

QUESTION 3

Cow's milk can be given after what age?

QUESTION 4

The risk associated with teenage pregnancy is a

		low-birthweight infant.
		high-birthweight infant.
		low incidence of miscarriage.
		high incidence of gestational diabetes.

QUESTION 5

The recommended order of introducing fruits and vegetables toinfants

		doesn't seem to matter.
		is fruits then vegetables.
		is vegetables then fruits.
		is to mix them together at the same meal.

QUESTION 6

Stress in the mother who breastfeeds has been shown to

		inhibit the quality of milk produced.
		cause greater milk production.
		inhibit the let-down reflex.
		cause weight loss in the infant.

QUESTION 7

Compared to breast feeding women, formula feeding women

		have identical nutrient needs.
		have fewer nutrient needs.
		need more water.
		need less water.

QUESTION 8

Supplementation of folic acid is known to prevent

		eclampsia in pregnant women.
		gestational diabetes in pregnant women.
		spina bifida and other neural tube defects.
		pregnancy-induced hypertension.

QUESTION 9

Breastfed infants need an additional iron source

		after they've been weaned.
		at about six months.
		at three months.
		they don't - they get enough iron from breast milk.

QUESTION 10

A woman who is not breastfeeding

		has the same nutrient requirements as non-lactating women.
		needs more nutrients than non-lactating women.
		has the same nutrient requirements as lactating women.
		has a greater need for water than lactating women.

emeraldhare78

Case Study

Identification/chief complaint: A 5 month-old male is brought to the doctors because of frequent nausea,vomiting, night sweats, tremors, and lethargy.

History of present illness: The patiet was exclusive breast fed during the first 4 months and was well. The onset of symptoms occured with the occasional addition of fruit juices to the child's diet.

Physical exam: Lazy-looking, slighly jaundiced, mild growth retardation, hepatomegaly.

Labs: Marked hypoglycemia,fructosemia

Treatment: Return to breast feeding as a sole food. Avoid fruit juices, fruits and sweets.

1. What are the "red flags" in the case?

2.What is the diagnosis?

3. What genes are affected? What is the role of these genes in normal individuals?

4. What "error" has occured to result in this condition?

5. How has this error affected the function of the gene?

(MC â 0.25) A 6-month-old Caucasian boy becomes ill after fruits and vegetables are added to his diet of breast milk. Mother feels that he used to become colicky when she ate fruit, although her pediatrician did not think this was significant. After 1 month of these new foods, the child has stopped gaining weight and the pediatrician feels an enlarged liver. Initial blood tests show a mild acidosis (pH 7.2) with increased lactic acid and low blood glucose. The urine reagent strip test reaction is positive for reducing substances in the urine, but the glucose oxidase test is negative for glucosuria. A glycogen storage disease is suspected, and a liver biopsy dose shows mildly increased glycogen with marked cellular damage suggestive of early cirrhosis. Assays for type IV glycogen storage disease are negative, and the initial frozen urine sample is reanalyzed and found to contain fructose. The most likely diagnosis and the reasons for hypoglycemia and glycogen accumulation is which of the following?

A. Hereditary fructose intolerance with inhibition of liver phosphorylase

B. Hereditary fructose intolerance with inhibition of glycogen synthase

C. Essential pentosuria with inhibition of liver phosphorylase

Please explain why the correct answer is correct, and what makes the other wrong.

247 Lecture Notes - Lecture 1: Milk Allergy, Soy Milk, Pediatrics

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