Mr and Mrs Warriesome became concern about thelr 4 year old son, Tom, when they

Question

Mr and Mrs Warriesome became concern about thelr 4 year old son, Tom, when they noticed that he was notable to manipulate his environment nor was he socializing like his Pre-K friends For example, he was usually clumsy and would often fall for what seems like no reason. He had difficulty sitting, standing and has developed a waddling walk (gait) at times. He would grab things form his friends and sometimes even bite them. Tom has also complained, increasingly, about stomach cramps and has sometimes refuses to eat. This of course has led to some weight loss. These changes were becoming more pronounced so much so, that they became apparent to Tom's teachers. The teachers met with Tom's parents to share their observations. They were most concern that Tom, had difficulty climbing stairs and the Monkey bars on the playground. They explain that he would sit and then use his hands and arms to climb most of the way. They were also afraid he would hurt himself or the other students, so he has to be monitored constantly. The teachers made reference to the fact that Tom rarely eats his lunch because of what he describes of stomach aches. After the meeting, the Worrisomes decided it was time to take Tom to his pediatrician, Dr. Childs. Before they were able to make their appointment date, Tom developed a nasty respiratory infection, which was later diagnosed by Dr. Childs as pneumonia. The pediatrician did a detall history of the events and symptoms. He then requested some basic tests. When the results came back, Tom's pediatrician referred him to neurologist, Dr. Foot. Dr. Childs indicated then that Tom might eventually have to see, a cardiologist, pulmonologist and physiotherapist. Dr. Foot immediately noticed Tom's poorly developed muscles. He then ordered some additional neurological tests. A week later, Dr. Foot explained to Warriesomes, that Tom's symptoms, test results and his obvious muscles wasting and weakness were all pointing him towards one diagnosis. Using your knowledge of skeletal and muscle systems, explain clearly, accurately and briefly: 1. What do you think is the "one diagnosis" that D. Foot wil be glving to the Worrisomes? Explain your choice. Your answer should be logical accurate and supported by Information provided in the case study 2. List and explain any two systems (other than muscular and skeletal) that will be directly affected by this disease 3. Why do you think Tom will eventually have to see a cardiologist, pulmonalogist and physiotherapist? Explain the relationships between the muscle systems and each specialist 4. Describe two things that might be done to help relieve or alleviate some of Tom's symptoms

Explanation / Answer

1)Muscle biposy

2) Nervous system, Respiratory system

3)The cardiovascular system with its heart-pump and network of arteries and veins shuttles oxygen-rich blood from the lungs to all of the body's organs and tissues. Cells throughout the body take their fill of oxygen and nutrients and dispose of carbon dioxide and waste products, which eventually flow back to the heart's right-sided chambers; then on to the lungs to exchange carbon dioxide with oxygen. And a physiotherapist to retain his muscle power and strength.

4) Physical exercises prescribed by physiotherapist and social interaction with Friends.

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