Author Question: Describe one health consequence for obese children affecting each of the following physiological ... (Read 52 times)

justinmsk · **on:** Aug 21, 2018

Describe one health consequence for obese children affecting each of the following physiological systems: cardiovascular, orthopedic, pulmonary, gastrointestinal, and endocrine.

What will be an ideal response?

Question 2

HHS is often associated with dehydration. After reading Mitch's chart, list the data that are consistent with dehydration. What factors in Mitch's history may have contributed to his dehydration?

What will be an ideal response?

asdfasdf · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

Orthopedic
Abnormalities affecting feet, legs, hips
Slipped capital femoral epiphysis
Blount's disease (bowing of lower legs & tibial tortion)
Neurological
Pseudotumor cerebri (increased pressure in skull)
Recurrent headaches
Pulmonary
Asthma
Sleep disorders
Sleep apnea
Gastrointestinal
Cholecystitis
Hepatic steatosis
Gallstones
Endocrine
Type 2 DM
Polycystic ovary syndrome (PCOS)
Hirsutism
Acne
Acanthosis nigricans
Early puberty & menarche
Psychological
Low self-esteem
Depression
Peer rejection
Cardiovascular
Hypertension
Hyperlipidemia

Answer to Question 2

High BUN
High osmolality
Poor skin turgor/dry skin
Elevated heart rate
Low blood pressure (90/70 mmHg)
High hematocrit
High specific gravity
Net I/O of +2140 mL
Mitch's precipitating illness that is causing vomiting along with his uncontrolled diabetes (since Mitch is not taking his glucose-lowering medications) are probably the biggest contributors to HHS.
- Vomiting contributes to fluid loss and a decrease in fluid intake, which contribute to dehydration.
Osmotic diuresis from HHS also contributed to dehydration, as electrolytes are lost via urine, as indicated by a low serum sodium level.