Paragraph Styles we need to close some appsUpdate now Erin is a 3 week-old femal
ID: 303386 • Letter: P
Question
Paragraph Styles we need to close some appsUpdate now Erin is a 3 week-old female infant who began vomiting three days after birth, usually within 30 minutes after breastfeeding. Her abdomen became distended at these times and she became irritable and cried frequently. When her mother noted that the whites of Erin's eyes were yellow, she took her to a pediatrician. The doctor agreed that Erin was slightly jaundiced. He also noted an enlargement of her liver and questioned the possibility of early cataract formation in the lenses of Erin's eyes. He ordered a liver and kidney function tests and did two separate dipstick urine tests in his office, one designed to measure only glucose in the urine and the other capable of detecting reducing sugars. 1. What is Erin's diagnosis? What is the mechanism behind the cause of Erin's symptoms? 2. What is the cause of Erin developing a cataract? 3. What is the cause of Erin becoming jaundiced? What does it mean to be jaundiced? 4. Erin's urine dipstick test was negative for glucose, but liver function tests showed an increase in serum bilirubin and several liver enzyme including albumin, as well as being positive for the presence of a reducing sugar. What is indicated by the Erin's lab results? 5. Is this a genetic disorder? If so explain. 6. What is the treatment for Erin's disorder? If not treated in a timely manner, what are possible outcomes?Explanation / Answer
Please find the answers below:
Answer 1: According to the information, the child is diagnosed with early cataract formation in the eyes secondary to faulty sugar metabolism in her body. The possible reason behind this congenital acquisition of diabetes which causes accumulation of high levels of glucose in the body. These high sugar levels are not digested by the liver efficiently, hence exerting a work load on the hepatic system and enlargement. This slowly turned into acquisition of childhood jaundice, hence the symptoms. As a molecular mechanism, the hepatic enzymes are known to reduce the blood sugars which accumulate in the opthalmic region as precipitates develop congenital opthalmic cataract secondary to diabetes.
Answer 2: Inherent genetic predisposition remains the major and the only cause behind acquisition of congenital diabetes and hence cataract. Otherwise, spontaneous acquisition of infection post-birth might also be the possible reason behind this pathology.
Answer 3: Since the hepatic system undergoes excessive work-load due to failure of metabolism of sugars, the liver gradually inflammed and eventually underwent enlargement and distention. This led to development of jaundice. Thus, the term jaundice means that the red blood cells are extensively degraded in the body and hence the yellowish appearance in jaundice.
Answer 4: The lab test results are very typical and indicative of the fact that the infant is indeed suffering form congenital jaundice. The increment in serum bilirubin and biliverdin are the cause of yellowish-appearance of the eye-white. The observation of the sugar metabolism as indicated by levels of reduced and non-reduced sugar further corroborates the data that the infant suffers from diabetese and hence the consequent pathology.
Related Questions
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.