Two weeks later, Ms. Spinosa is recovering well from her head injury. Her ICP has returned to normal. In the step down unit, she has polyuria with a urine volume of 8 L/day. Her serum sodium (Na+) is 150 mEq/L (high), and his plasma osmolality is 300 mOsm/kg (low). She is always asking for more cold liquids to drink. What type of hormonal alteration is Ms. Spinosa exhibiting? What is the possible cause of this alteration?
* Ms.Spinosa exhibiting ADH(Antidiuretic hormone) or Vasopressin deficiency which result in
symptoms like polyuria,hypernatremia and craving for fluids.
* Cause of ADH deficiency is disorder in the posterior lobe of pituitary gland in this case it is due to
head injury which result in damages in the pituitary gland.
Two weeks later, Ms. Spinosa is recovering well from her head injury. Her ICP has returned...
Amanda Richards is a 20-year-old junior in college. She is majoring in biology and hopes someday to be a pediatrician. About three months ago was diagnosed with a bipolar disorder and has been taking lithium. Amanda noticed that she was waking up once, sometimes twice a night, with the need to go to the bathroom. More recently, she has noticed that she needs to go to the bathroom during her school day much more frequently than before, sometimes as often as...
Case Study A Ms. KL is 50 yo, 5’6” (167.6 cm) tall, and currently weighs 105 lbs (47.7 kg). She has not been feeling well lately and made an appointment to see her primary care physician. Following the medical history/physical examination, the physician ordered a comprehensive metabolic panel and complete blood count with differential; several of these lab tests are reported below. In addition, the clinical nutritionist in the physician’s office estimated that KL’s dietary intake averages less than...
1-12 please practice PATIENT CASE Mother's Chief Complaints "Our daughter has been vomiting and has had diarrhea for three days. She also has had a fever, but I've been giving her acetaminophen every six hours. The clear liquids and Pedialyte that she has been drinking don't seem to be helping much and she looks so sickly." HPI J.L. is a 4%-month-old Asian American female infant who was taken to the emergency room of a local hospital because her parents were...
Case: Review Medical Nutrition Therapy: A Case Study Approach - Case 6 Heart Failure with Resulting Cardiac Cachexia. Reviewing chapter 13 of Nutrition Therapy and Pathophysiology will also help you to understand the disease and pathophysiology of this case. 1. Calculate Mrs. Maney's energy and protein requirements. Show your calculations and explain your rationale for the formula you chose for your calculations. (15 points) 2. The MD consults the RDN for nutrition assessment and enteral feeding recommendations. Do you feel...