Dr. Jones had a patient who was experiencing a significant ketoacidosis such that her blood pH was 7.25. She presented at the ER stating that she had respiratory issues. Using what you know about protein structure/function with regard to pH, EXPLAIN the patientâs symptoms. Use graphs, if necessary.
Dr. Jones had a patient who was experiencing a significant ketoacidosis such that her blood pH was 7.25. She presented at the ER stating that she had respiratory issues. Using what you know about protein structure/function with regard to pH, EXPLAIN the patientâs symptoms. Use graphs, if necessary.
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Patient
32 year-old female with a history of poly-substance abuse, including IV drug use, who presented at the ER with fever, abdominal pain, nausea, vomiting, headaches and myalgia (muscle pain). She also had toothache for which she had taken approximately 50 acetaminophen tablets over a 24 hour period. She was transferred to a medical center ER for the acetaminophen overdose.
Physical exam showed patient alert and oriented with normal vital signs. Right upper quadrant pain was noted, as well as mild jaundice.
Diagnostic
Laboratory testing indicated the following liver function tests and other tests:
| AST | ALT | GGT | LDH | BUN | Creatinine | Acetaminophen |
| 791 U/liter | 1,398 U/liter | 166 U/liter | 826 U/liter | 83 mg/dl | 10.1 mg/dl | 15µg/ml |
| Hepatitis A IgM | Hepatitis A IgG | Hepatitis B Surface Antigen | Hepatitis B Surface Antibody | Hepatitis B Core IgM | Hepatitis C Total (IgM/IgG) |
| Negative | Negative | Negative | Negative | Negative | Positive |
Her hospital course was significant for acute renal and liver failure, with improvement after dialysis was performed.
Based on the patientâs history, presenting symptoms and LFT results, which of the following viruses would be most likely to be the problem?
BK virus
JC virus
Hepatitis B or C
CMV
After reviewing the serologic test results, which organism is the causative virus?
Hepatitis B
Hepatitis C
Hepatitis A
Hepatitis D
What are the modes of transmission for this virus? Which was most likely in this case?
Based on how she was infected, would she be at risk for any other viral infections? Which ones?
Why would it be important to determine the genotype of the virus with which she is infected?
If she had received a vaccination for the virus, would this infection have been prevented? Why or why not?
please i need an answer for all of these questions. this is due 10/19.
32 year-old female with a history of poly-substance abuse, including IV drug use, who presented at the ER with fever, abdominal pain, nausea, vomiting, headaches and myalgia (muscle pain). She also had toothache for which she had taken approximately 50 acetaminophen tablets over a 24 hour period. She was transferred to a medical center ER for the acetaminophen overdose.
Physical exam showed patient alert and oriented with normal vital signs. Right upper quadrant pain was noted, as well as mild jaundice.
Diagnostic
Laboratory testing indicated the following liver function tests and other tests:
| AST | ALT | GGT | LDH | BUN | Creatinine | Acetaminophen |
| 791 U/liter | 1,398 U/liter | 166 U/liter | 826 U/liter | 83 mg/dl | 10.1 mg/dl | 15µg/ml |
| Hepatitis A IgM | Hepatitis A IgG | Hepatitis B Surface Antigen | Hepatitis B Surface Antibody | Hepatitis B Core IgM | Hepatitis C Total (IgM/IgG) |
| Negative | Negative | Negative | Negative | Negative | Positive |
Her hospital course was significant for acute renal and liver failure, with improvement after dialysis was performed.
Based on the patientâs history, presenting symptoms and LFT results, which of the following viruses would be most likely to be the problem?
BK virus
JC virus
Hepatitis B or C
CMV
After reviewing the serologic test results, which organism is the causative virus?
Hepatitis B
Hepatitis C
Hepatitis A
Hepatitis D
What are the modes of transmission for this virus? Which was most likely in this case?
Based on how she was infected, would she be at risk for any other viral infections? Which ones?
Why would it be important to determine the genotype of the virus with which she is infected?
If she had received a vaccination for the virus, would this infection have been prevented? Why or why not?
please i need an answer for all of these questions. this is due 10/19.