Describe one health consequence for obese children affecting each ...

[justinmsk]

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]

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.

[justinmsk]

Gracias!

[komodo7]

TYSM