BLG 143 Lecture 4: BLG 143 Lecture 5 - Properties Of Water
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A 49-year-old woman presents to the emergency room complaining of a two-day history of fever. She had been well until two months ago when she presented to her primary care physician with palpitations and heat intolerance. She was diagnosed with hyperthyroidism. Her palpitations and heat intolerance symptoms improved with treatment, and one week prior to presentation, she reported no significant symptoms. Two days ago she noted the onset of a sore throat with fatigue. Yesterday she developed a fever to 100.8° F (38.2° C). She took acetaminophen with resolution of her fever. Today she developed a temperature of 101° F (38.3° C) with associated chills and lightheadedness. She therefore came to the emergency room. Vitals: Temp 100.5° F (38.1° C) BP 101/68 HR 105 O2 sat 98%. She is a thin woman, appearing fatigued but in no acute distress.
CBC | Patient Results | Normal Range |
WBC | 3.6 K/ul | 3.5 â 11 K/ul |
Hb | 11.5 g/dL | 11.5 â 15.5 g/dL |
Hct | 37% | 36 â 47% |
MCV | 86 fL | 81 â 99 fL |
MCH | 30.1 pg | 26 â 33 pg |
RDW | 12.74% | < 15% |
Platelets | 157,000/ul | 150,000 â 450,000/uL |
Cell type | Patient Results | Normal range |
Granulocytes (%) | 2 | 39 - 75 |
Lymphocyte (%) | 86 | 16 - 47 |
Monocyte (%) | 7 | 4 - 12 |
Eosinphil (%) | 2 | 0 â 7 |
Basophil (%) | 3 | 0 |
1. Based on her lab results, what do you suspect is causing her fever? Support your answer with the abnormal lab results and the vital signs that she presented.
2. Do you expect to find any abnormalities in her lymphocyte population? Why or why not? If so, what specific abnormalities?
3. Would you expect someone in her demographic to be susceptible to the cause of her fever? Why or why not?
Please type your answer:
Based on below tables just answer the questions in button:
Sample Case Study
Mrs. King is a 43-year-old married mother of four. Mrs. King is 5â 4â tall, weighs 160 pounds, and has a history of mild hypertension. Her blood pressure is controlled with a low-sodium diet, and although her doctor told her for years that she should exercise, she tried running but found it unpleasant and discontinued all forms of exercise. She is currently sedentary. Her grandmother died as a result of heart disease from years of diabetes and high cholesterol.
Daily Diet Evaluation
Use the information below to determine the amount of Calories in the food consumed by Mrs King for Breakfast Lunch and Dinner. Her meals are described in the following tables.
Mrs Kings breakfast is a Grande 2% Milk Caffe Mocha with whipped cream
Menu item | Caffee Mocha with Whipped Cream | Total grams | Energy (calories) | |||
Amount (grams) | 16 fl oz | |||||
Carbohydrates | 44 g | |||||
Protein | 13 g | |||||
Saturated Fat | 9 g | |||||
Total Fat | 15 g | |||||
Cholesterol | 50 mg | 50 mg | ||||
Mrs Kingsâs Breakfast Calorie Intake =363 | ||||||
Mrs Kings lunch (Pizza/Salad and a Soda)
Menu item | Pizza w/ Pepperoni | Taco salad | Grape soda | Total grams | Energy (calories) | |||
Amount (grams) | 2 slices 142g | 1 serv. 261 g | 12 fl oz 372g | |||||
Carbohydrates | 39.8 g | 26.6 g | 41.7 g | |||||
Protein | 20.2 g | 17.4 g | 0 g | |||||
Saturated Fat | 4.4 g | 6.0 g | 0 g | |||||
Monounsaturated Fat | 6.2 g | 4.5 g | 0 g | |||||
Polyunsaturated Fat | 2.4 g | 1.5 g | 0 g | |||||
Total Fat | 13 g | 12 g | 0 g | |||||
Cholesterol | 28 mg | 5 mg | 0 mg | 33 mg | ||||
Mrs Kings Lunch Calorie Intake = 807.4 | ||||||||
Mrs Kings Dinner
Menu item | Steak | Cup Mashed Potatoes | Iced tea | Total grams | Energy (calories) | |||
Amount (grams) | 251 g | 1 cup 242 g | 1 cup 8 fl oz | |||||
Carbohydrates | 0 g | 35 g | 20.4 g | |||||
Protein | 62 g | 4 g | 0 g | |||||
Saturated Fat | 21 g | 1.4 g | 0 g | |||||
Monounsaturated Fat | 23 g | 1.7 g | 0 g | |||||
Polyunsaturated Fat | 2.2 g | 3.2 g | 0 g | |||||
Total Fat | 46.2 g | 7 g | 0 g | |||||
Cholesterol | 196 mg | 0 mg | 0 mg | 196 mg | ||||
Mrs Kings Dinner Calorie Intake =964 | ||||||||
Mrs Kings total g Carbohydrate consumed is __830___________g
Mrs Kings total g Protein consumed is ________466_____g
Mrs Kings total g Fats consumed is ____839_________g
Questions:
Mrs Kings Total Calorie Intake is = __________kCalories
Mrs Kings Total Energy Expenditure is = __________kCalories
Mrs Kings Excess Calories on this Day is = __________kCalories
In your opinion was Mrs Kings diet in line with the Acceptable Daily Macronutrient recommendations: (Use your calculations to support your argument) (Describe Mrs Kings AMDR for Carbohydrates/Proteins and Fats)
(please explain in 4-6 completed sentences)