Okay, so the subject sounds funny but I'm too lazy to change it. :em321:

Anyways, I need a bit of help here. I'm completely stuck on two problems from my anatomy homework. Any help would be appreciated. Google is doing nothing for me tonight and I figured asking y'all was worth a shot.

First question:

A 34-year old woman consults you because of recent increasing tiredness. She volunteers no other symptoms. On questioning, she reports thirst and increased frequency of micturition – at least twice during each night.

On examination, no abnormal findings are detected. Urine showed 2% glucose. Hb. 12.0g% (N 12-15). Dextrostix blood sugar: 150mg/100ml. She had eaten a meal 2 hours previously.

If it is your judgment that the 2 hour PC blood glucose was about 150mg, how can you explain the urinalysis revealing a urine glucose concentration of 2%?


Next question:

Blood glucose: 510 mg/100ml
BUN: 49 mg/100ml (N 10-22)
Serum Na: 148 mEq/1 (N 135-142)
Serum K: 3.6 mEq/1 (N 3.5-4.5)
Serum Cl: 96 mEq/1 (N 95-102)
Serum HCO3: 10 mEq/1 (N 25-28)

Diabetic ketacidosis is associated with a considerable increase in the rate of tissue proteolysis and is reflected by increased hepatic urea production. Give this information and the clinical observations suggesting considerable dehydration, how would you explain the increase in the BUN concentration of 49 mg/100ml?


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And I figured them out (or at least I made something up that sounded correct!)

Um...so this thread is not a total waste, post your...sunglasses!

Blood glucose: 510 mg/100ml

...please tell me you mean 150

Nope...that's what the figures are. The woman was in diabetic ketoacidosis at that point and was pretty much going unconscious, and all because someone gave her the wrong information on what to do for a glucose tolerance test.

Hehe, biology questions always remind me of that one scene in "Harold and Kumar"...

"One final question, just as a formality... what are some potential symptoms of pancreatitis?"

...

"Mr. Patel, I am more than familiar with diarrhea. Do you seriously think that, after the way you're just behaved, that I would even consider recommending you for this medschool?"

"No, actually, to tell the truth I'm only here so my dad will keep paying my rent."

"But you have perfect MCAT scores!"

"Yeah, but just because you're hung like a moose doesn't mean you gotta do porn."

"OUT! GET OUT!"

well that'd do it. Incompetent [hypothetical] hospital staff, really, you know some of the nurses said "well maybe she'll grow out of it" when I was diagnosed with diabetes?

*disclaimer* (no, no flamewar please, I know that there are plenty of very well educated actually intelligent nurses - 3 of my aunts are nurses, and I also know how short in supply nurses are. I was only making a funny)

Actually you're not to far off with the incompetent nurses thing. I know not all nurses are but so far all but one nurse I have met has been....yeah. >_<;; I'm still going to school for nursing, but really, the people in my classes are honestly some of the stupidest people I've met. [actual quesiton asked: "Can women get cervical cancer?"]

Arg...

/rant

yeah, especially since they're so strapped for nurses, some increasingly incompetent people are flooding the hospitals

I know! And then it's very hard to get into nursing schools because lack of funding...oy. I could go on for hours!

And that's why there is a test people have to pass to be nurses.

I'll let you check out my anatomy.

:em321:

Diabetic ketoacidosis? She must smell sweet then.

510 mg/100 mL Does she have any blood left in her now glucose system?

Micturition increase? Something's sucking the water out of her.

no, a symptom of high blood sugar is dehydration

perhaps the last meal she ate was not one that would increase her blood sugar super high, though 150 is higher than "normal" range. losing glucose in the urine is more a sign of a longer-term problem, the woman could be diabetic and not know it yet. would be a good idea to get a hemoglobin A-1C test done.




BUN is an indicator of kidney function. With diabetics, kidney function is hampered by changes with the various arteries. The BUN level probably indicates a level of kidney damage.

As for nurses, well, I am one. I've worked in the hospital setting for 3 years. 'though my answers may still be wrong. its been a little while since nursing school. Nursing school will weed out many who shouldn't be nurses. Half of my original nursing class either quit or failed too many classes before we graduated. And there are still some who graduated with me who didn't pass the nurse licensure exam.

good luck...

sounds like she's got herpes

.

Either that or she's sick.

Heh, I'll just say "What SenatorPheba" said.

On a tangent, how many here are in the medical feild/are in a medical school of some sort (no Pre's, I mean actually in the school)?

So far we got two medical school students, (Me, and at least I think Tenshu is) a nursing student, and a nurse.

I can also echo what Pheba said... my mother is a nurse (RN, works in CCU/ICU), and they do get weeded quickly and rather harshly. Unlike medical school, where you like... can't get kicked out. Unless you really suck. And consistently suck. For a long while.

Yay to SentaorPheba! That's the answers I put, so I'm hoping they were right. She turned out to be an uncontrolled diabetic if anyone was curious.

I'm actually considering medschool if I don't get accepted to nursing school. They're terribly selective and yet their graduation rate isn't all too high. Hm...wonder why. Blah.

it is kind of a messed up world when veterinary school is the hardest to get into, followed by nursing school, and THEN followed by med school.

Yeah...something is definately wrong there. Veterinary school is hard to get into? All my advisors keep telling me to do that. I sense a plot... :em321:

[QUOTE=Lord Kuat]On a tangent, how many here are in the medical feild/are in a medical school of some sort (no Pre's, I mean actually in the school)?

So far we got two medical school students, (Me, and at least I think Tenshu is) a nursing student, and a nurse.[/QUOTE]

although I don't know this stuff yet - what we see right now is largely theoretical.