Question

7:22 ..4G < Back Homework1.doc Mr Murdock, a 64-year-old male, was brought to the emergency room in an inebriated state after being found lying in the street. He was confused, markedly pale, and underourished with jaundice of the conjunctiva and skin. His lab results revealed pernicious anemia with elevated liver enzymes and low albumin, and he's suffering from a folate deficiency. When the patient became articulate after a few days, he reported heavy alcohol drinking for several years, consuming at least a pint of whisky daily on intermittent binges During these times, his food intake was reduced and limited to bread and occasionally chicken but no fresh vegetables and rarely ned meat or fish What symptoms of folate deficiency did Mr. Murdock exhibit? b. How did his alcohol addiction contribute to the folate deficiency? c. What other groups of individuals (besides alcoholics) are at higher risk for folate deficiency? Why? d. What are the best food sources of folate? c. What's the relationship between folate and Vitamin B : f. Based on Mr. Murdock's medical and dict histories, what would you expect his B, status to be? Why? 2. Read the following case study, "Osteoporotic Elderly Woman", and answer the following questions. Mrs. Thomson is a 78 year-old woman whose doctor recently recommended that she have a DXA scan in order to determine her bone mineral density. The scan results indicate low bone mineral density. Mrs, Thompson refuses to take pills or supplements and is therefore, referred to a dictitian for nutritional counseling a. With Mrs. Thompson's diagnosis of osteopenia, intake of which micronutrients will be most critical components in her nutrition plan? b. What physiological role de these micronutrients play that makes them so important for her nutrition plan? c. What foods will be included in her diet plan as good sources of these micronutrients? d. What other lifestyle changes can Mrs. Thompson make to try to slow the advancement of her osteopenia! 3. Read the following case study, "Adolescent Female with Iron Deficiency Anemia", and answer the following questions. Dashboard Calendar To Do Notifications inbox

Answer 1

1)Mental confusion and Anemia are the symptoms of folate deficiency and Mr.murdock is exhibiting this symptoms.

B)Due to the alchoal addiction folate intake is decreased because alcohol impairs the folate absorption and also increases the excretion in body.

C)Women with pregnancy is also at a risk of folate deficiency.Along with non hispanic black women,patients with malabsorption syndrome and bowel resections,people who are taking oral contraceptives because they inhibit bioavailabiliy of folate.

D)Leaft greens,legumes, broccoli,citrus fruits, asparagus,eggs and beets etc are good food sources of folate.

E)Vitamin b12 and folate work closely together to make red blood cells and maintain function of iron in blood.And deficiency in B12 leads to falate deficiency.And they synthesis DNA for cell growth.

F) Low folate activated vitamin B 12.