Case studies

Acid-base Imbalance- Case Studies With Explanations

Case study1   A 45 year-old-female suffering from bronchial asthma was brought to the emergency in a critical state with extreme difficulty in breathing. The blood gas analysis revealed the following: pH- 7.3 PCO2– 46 mm Hg PO2– 55 mm Hg HCO3– 24meq/L What is your Interpretation? Case details-  Low pH – acidosis Low PO2

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Impaired TCA cycle enzyme activity

A postoperative patient on intravenous fluids develops lesions in the mouth (angular stomatitis). Urinalysis indicates an excretion of 15 μg riboflavin/mg creatinine, which is abnormally low. Which of the following TCA cycle enzymes is most likely to be affected? Citrate synthase Isocitrate dehydrogenase Fumarase Malate dehydrogenase Succinate dehydrogenase Details- E) – Succinate dehydrogenase is the

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Case study- Scurvy (vitamin C deficiency)

Case Details A  4 -year-old boy was brought for consultation for hematuria, edema of lower extremities, and as swollen right leg. He was the 12th born in a poor family, where one previous child died from malnutrition and dehydration in the period of infancy.  The child was fed only with cow’s milk and biscuits. From

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Tay-Sachs disease- a case based discussion

Case details A boy was born normal but started flinching at loud noises (enhanced startle response) at the age of 6 months. The child initially could sit up but then regressed so that he could not roll over or recognize his parents. Ophthalmological examination revealed a central red area of the retina surrounded by white

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Case study- Gaucher disease

Case Details A 25 –year-old woman presents, with a history that includes- a) Hepatosplenomegaly with eventual removal of the spleen b) Bone and joint pains with several fractures of the femur. c) A liver biopsy that shows wrinkled-looking cells with an accumulation of Glucosyl ceramide, What would be the likely diagnosis for this patient? Case

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Role of Ethanol in Acute Ethylene Glycol (Automobile antifreeze) Poisoning

Case detail A 3-year-old girl was brought into the Emergency Room. She was cold and clammy and was breathing rapidly. She was obviously confused and lethargic. Her mother indicated that she had accidentally ingested automobile antifreeze (ethylene glycol) while playing in the garage. Following gastrointestinal lavage and activated charcoal administration, a nasogastric tube for ethanol

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