Mr. Jones visited his doctor with the complaint that he feels pressure and tightening in his chest, along with being short of breath and dizzy whenever he exerts himself (walks up stairs, carries groceries, etc.). He is 67 years old, has smoked for 35 years, and eats a diet that's heavy in processed and fast foods. Which of the following is probably NOT true of Mr. Jones' condition? His levels of LDL and triglycerides are probably elevated He likely has stenosis of his coronary arteries He probably has elevated levels of HDL His levels of CRP are probably high
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- A 35-year-old woman became severely depressed after the sudden death of her husband. Twomonths later, she was brought to the emergency room by her friend because of extremeweakness and lethargy. She appeared thin and pale. Upon history taking, the doctor found thatshe had not eaten for several weeks. Analysis of the plasma sample indicated elevated levels ofalanine, acetoacetate, β-hydroxybutyrate and blood urea nitrogen (BUN). However, her plasmaglucose concentration was low (55mg/dL). She was hospitalized, given intravenous feeding,antidepressant medications and subsequently shifted to a 1800kCal (7500kJ) diet. Her recoverywas uneventful.3.a) How could the patient maintain her plasma glucose levels within normal limits even though shewas not eating?bA 35-year old woman became severely depressed after the sudden death of her husband. Two months later, she was brought to the emergency room by her friend because of extreme weakness and lethargy. She appeared thin and pale. Upon history taking, the doctor found that she had not eaten for several weeks. Analysis of the plasma sample indicated elevated levels of alanine, acetoacetate, β-hydroxybutyrate and blood urea nitrogen (BUN). However, her plasma glucose concentration was low (55mg/dL). She was hospitalized, given intravenous feeding, antidepressant medications and subsequently shifted to a 1800kCal (7500kJ) diet. Her recovery was uneventful. Why did the patient have elevated levels of alanine, acetoacetate, β-hydroxybutyrate and blood urea nitrogen (BUN)? How could the patient maintain her plasma glucose levels within normal limits even though she was not eating?Suggest, why the patient’s recovery was smooth after being shifted to a 1800kCal diet.Emphysema is classed as a chronic obstructive pulmonary disease (COPD). Explain the anatomy, physiology related to this disease (not its clinical signs and symptoms). Include in your discussion the role proteases & antiproteases in normal and disease states.
- Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. From what you know about Jim, do you think his recent chest pain could be related to more than just heartburn?Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. What is the medical name for heartburn?Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. In addition to Jim’s risk factors, which of these conditions may increase the likelihood of a patient developing GERD? Anorexia nervosa Hiatal hernia Laryngitis Crohn’s disease
- Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. Jim’s doctor would like him to try OTC medication before prescribing something stronger. Which of these medications would likely help Jim? (Select all that apply.) Antacids H-2 receptor blockers Proton pump inhibitors Antihistamines Diuretics AspirinJim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. Which of the following anatomical structures is weakened, causing Jim’s heartburn? Pyloric sphincter Lower esophageal sphincter Fundus of the stomach Muscularis layer of the stomachJim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. Jim is at risk for developing a complication known as Barrett’s esophagus. Briefly describe the pathophysiology of this condition.
- Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. After two weeks, the OTC medication Jim tried isn’t helping, so his doctor wants to perform a diagnostic imaging procedure that uses a light and camera to look for inflammation inside the esophagus and test for Barrett’s esophagus. What is this procedure called? Ambulatory acid probe test Esophageal manometry Upper endoscopy ColonoscopyMr. Kuda weights 200 pounds and is determined to lose weight. He hasbeen on a fat free diet - a diet that only restricts lipid intake but has no limitson other macromolecules. Mr. Kuda has been on this diet for 6 weeks andhe has not noticed any weight loss at all. He wonders if this diet wouldwork if he goes on it for a longer period of time.Suggest a reason why elevated LDL levels are a risk factor for coronary artery disease.