83. A 6-month-old male infant who is limp and exhibiting obtundation in the morning is brought...
Fantastic news! We've Found the answer you've been seeking!
Question:
Transcribed Image Text:
83. A 6-month-old male infant who is limp and exhibiting obtundation in the morning is brought to the emergency department. Bedside blood analysis reveals a significant metabolic acidosis, including an elevated lactate level and a capillary blood glucose level of 35 mg/dL (1.9 mmol/L and 3+ ketones in the urine. His newborn screening results were normal. His parents report that he only recently has been able to sleep through the night without waking for a feeding and that he has had a few episodes of morning lethargy that improved after his first morning feeding. The infant appears small and nearly comatose. He has chubby cheeks, a short nose, and a relatively small chin. He has a temperature of 37.8°C, a heart rate of 155 beats/min, a respiratory rate of 15 breaths/min, and a blood pressure of 75/45 mm Hg. Cardiac examination reveals no murmur and a normal S1 and S2. The liver edge is palpable 3 cm below the right costal margin. The remainder of the physical examination findings are unremarkable. Of the following, the MOST likely diagnosis is a. fatty acid oxidation disorder b. glycogen storage disorder c. mitochondrial disorder d. organic acid disorder 83. A 6-month-old male infant who is limp and exhibiting obtundation in the morning is brought to the emergency department. Bedside blood analysis reveals a significant metabolic acidosis, including an elevated lactate level and a capillary blood glucose level of 35 mg/dL (1.9 mmol/L and 3+ ketones in the urine. His newborn screening results were normal. His parents report that he only recently has been able to sleep through the night without waking for a feeding and that he has had a few episodes of morning lethargy that improved after his first morning feeding. The infant appears small and nearly comatose. He has chubby cheeks, a short nose, and a relatively small chin. He has a temperature of 37.8°C, a heart rate of 155 beats/min, a respiratory rate of 15 breaths/min, and a blood pressure of 75/45 mm Hg. Cardiac examination reveals no murmur and a normal S1 and S2. The liver edge is palpable 3 cm below the right costal margin. The remainder of the physical examination findings are unremarkable. Of the following, the MOST likely diagnosis is a. fatty acid oxidation disorder b. glycogen storage disorder c. mitochondrial disorder d. organic acid disorder
Expert Answer:
Related Book For
Statistics For The Life Sciences
ISBN: 9780321989581
5th Edition
Authors: Myra Samuels, Jeffrey Witmer, Andrew Schaffner
Posted Date:
Students also viewed these medical sciences questions
-
The patient was a 6 month old male who presented with a 3 day history of increasing hypotonia and a 1 day history of dehydration. Three days prior to admission the mother had noticed decreased...
-
83. A 6-month-old male infant who is limp and exhibiting obtundation in the morning is brought to the emergency department. Bedside blood analysis reveals a significant metabolic acidosis, including...
-
A healthy young male is brought to the emergency department following a motor vehicle crash. His vital signs are a blood pressure of 84/60, pulse 123, GCS 10. The
-
In the context of channel-of-distribution structures, discuss the distinguishing features of the Japanese distribution structure. Now, explain why the Japanese have not embraced the U.S distribution...
-
Determine the annual interest rate that is needed for the following investments to accumulate to $50,000. 1. $10,414 for 20 years, interest compounded semiannually. 2. $7,102 for 10 years, interest...
-
f(x) = 2x + 3 and h(x) = -3x - 12. For each of the above sums of functions, graph each component piece. Compute the values at x = -2, x = -1, x = 0, x = 1, and x = 2 and plot the sum.
-
On January 1, 2020. Case Corporation purchased 3,000 of the 10,000 outstanding shares of common stock of Dow Corporation for \(\$ 28,000\) cash. At that date, Dow's balance sheet reflected the...
-
Ashkar Company ordered a machine on January 1, 2012, at an invoice price of $21,000. On the date of delivery, January 2, 2012, the company paid $6,000 on the machine, with the balance on credit at 10...
-
! Required information [The following information applies to the questions displayed below.] Allied Merchandisers was organized on May 1. Macy Company is a major customer (buyer) of Allied (seller)...
-
Effective January 1, 1970, Chrysler Corporation adopted the FIFO method for inventories previously valued by the LIFO method. The 1970 annual report stated, This . makes the financial statements with...
-
In one introductory statistics course, 32 students each took two exams. The professor wants to know if students tend to score differently on these two exams, so they conduct a hypothesis test
-
Polaski Company manufactures and sells a single product called a Ret. Operating at capacity, the company can produce and sell 42,000 Rets per year. Costs associated with this level of production and...
-
The sketch on the left shows a TRACTOR pulling a plow across afield on a farm at constant speed. On the block to the right, drawa free-body diagram of the TRACTOR. Label each force with the nameof...
-
Officer Smith was responding to a traffic accident with injuries with his lights and sirens on. As he is going through an intersection he collides with another vehicle never making it to the original...
-
dH dt The size of an unborn fetus of a certain species depends on its age. Data for Head circumference (H) as a function of age (t) in weeks were fitted using the formula H = -29.24 + 1.613t -0.2906t...
-
Charles works ten hours a day. He receives a 20 minute unpaid break each shift. His hourly wage is $15.00 per hour. He normally works six days a week for a total of 60 hours per week. Charles has...
-
According to a survey 57,271,775 people can speak a language other than their native language. Round this number to the nearest, a. hundred, b. thousand, c. ten thousand, d. hundred thousand, e....
-
In the series connection below, what are the respective power consumptions of R, R2, and R3? R R www 4 V=6V P1-3 W; P2=3W; and P3= 3 W OP10.5 W; P2-1 W; and P3= 1.5 W P1=1.5 W; P2=1 W; and P3= 0.5 W...
-
The two claws of the lobster (Homarus americanus) are identical in the juvenile stages. By adulthood, however, the two claws normally have differentiated into a stout claw called a "crusher" and a...
-
A biologist collected data on the height (in inches) and peak expiratory flow (PEF-a measure of how much air a person can expire, measured in l/min) for 10 women. Here are the data: Is PEF related to...
-
It is claimed that the heart rates of Exercise 4.S.16 follow a normal distribution. If this is true, which of the following Shapiro-Wilk's test F-values for a random sample of 15 subjects are...
-
The managers at General Manufacturing Company are considering replacing the industrial lathe used in the companys factory. Required: Prepare a relevant cost schedule showing the benefit of keeping...
-
The managers at Wilma Manufacturing are considering replacing a printing press with a new, high-speed model. Required: Prepare a relevant cost schedule showing the benefit of keeping the old printing...
-
Photo Express operates a small camera store in Ft. Lauderdale, Florida. The store has two departments, camera sales and photo finishing. Rent, utilities, and other operating expenses are allocated to...
Study smarter with the SolutionInn App