Question

Can someone help with these questions?

Patient Case Question 12. The patient has no medical history of diabetes mellitus, yet her fasting serum glucose concentration is elevated. Propose a reasonable explanation. In this case the patient has a fasting serum glucose level of 138mg/dL.

Patient Case Question 13. Why is this patient afebrile? Temp is 98.3

Patient Case Question 14. Is there a significant probability that bacterial pneumonia may have developed from a urinary tract infection in this patient?

Urinalysis results

- Nitrite Patient Case Table 13.4 Urinalysis Appearance: Light Protein yellow and hazy SG 1.020 Ketones pH 6.0 Blood Glucose (-) Bilirubin (-) (-) Leukocyte esterase 2 WBC/RBC per HPF Bacteria

Patient Case Question 15. Explain the pathophysiologic basis that underlies the patient’s high blood pH.

Patient Case Question 16. The chest x-ray shown in Patient Case Figure 13.1 reveals pneumonia secondary to infection with Mucor species in a patient with poorly controlled diabetes mellitus. Where is pneumonia most prominent: right upper lobe, right lower lobe, left upper lobe, or left lower lobe?

Answer 1

Q12 patient are should be taken steroids

Beacuse high steroid increase blood sugar level

Q13 in some cases like elderly person in cold weather , alcohol,drug abuse , hypothyroidism condition in this condition person should be afebrile at 98.3F

Q14 no beacuse no UTI in this case

Q15high blood pH mean alklosis

Mc cause is respiratory alklosis do to type1 respiratory failure

And metabolic alklosis do to severe vomiting

Q16 LEFT LOWER LOBE