Be sure to answer all questions. Answers must be complete and referenced using APA or AMA reference style. (5 points)
- A 32-year-old male reports to the emergency room with active bleeding from his nose. History reveals that he has been taking Orlistat for weight loss for the past year. He has no history of any bleeding disorder or medical illness and has not had any such bleeding episodes in the past.
What vitamin deficiency or toxicity do you suspect? (4 points)
What role does Orlistat have in your diagnosis? (5 points)
He states he has lost 30 pounds only taking Orlistat but is still overweight and wants to lose more. What would be your recommendation(s)? (4 points) - A young woman lives in an extremely impoverished area of the world where the primary food source is corn. Upon examination, you notice a severe rash that is particularly prominent on the areas of her body most often exposed to the sun (her face, neckline, hands and legs below her skirt). She also complains of feeling depressed, tired, suffering from memory loss and having frequent diarrhea.
What vitamin deficiency or toxicity do you suspect? (Include the vitamin and the name of the condition) (4 points)
What factor(s) in this case led to your conclusion? (5 points)
As her diet is reliant on corn, what can she do to improve her condition? (3 points) - During the Industrial Revolution in Britain, most children were put to work in mills, factories, and coal mines. Often, they were up before dawn and could work anywhere from 12-16 hours a day, 6 days a week. Food quality was poor and there was not much of it available.
If you examined a skeleton of a young child in these conditions, what would you expect to see? (Include physical signs and the name of the condition) (5 points)
What factor(s) in this case led to your conclusion? (5 points) - A 20-year-old female, is 3 months post bariatric surgery (Roux-en-Y). She presents to the hospital with nausea and vomiting for the past 6 weeks and an 83-pound weight loss. She also shows confusion, difficulty with balance and rapid eye movements.
What would likely be her medical diagnosis? (5 points)
What vitamin deficiency or toxicity likely contributed to this diagnosis? (4 points)
How might her history of bariatric surgery have contributed to the diagnosis? (4 points)
The patient was noted to have a high blood lactic acid level. Provide an explanation regarding this vitamin’s function as to why the level was high. (5 points) - A 34-year-old female presents with yellow-orange tinted skin. Medical exams have ruled out liver dysfunction. Upon taking a diet history, you discover she is a vegetarian and her diet consists of mostly fruits and vegetables such as carrots, peppers, sweet potatoes, and mangos.
What may be causing her skin problem? (4 points)
Is this condition dangerous to her health? (3 points)
What recommendations would you make to help resolve the problem? (4 points)
- A 15-year-old vegetarian boy presents with easy fatigue, breathlessness, numb hands and feet, and pain in the legs on walking, noted during the past few weeks. Paleness had also been noted by the parents for about 2 years, although these findings became more obvious within the last few weeks. The vegetarian patient has not consumed any food of animal origin for many years and the family only rarely eats fresh fruits or vegetables. The patient was diagnosed with macrocytic anemia.
What two vitamin deficiencies may be present? (4)
Based on the symptoms, which one appears more likely? Why? (6)
What lab values would you look at to confirm both the diagnosis of macrocytic anemia and the confirmation of the vitamin deficiency? (6) - A college student is extremely stressed, tired and run down. He sees a commercial for “Miracle Vitamin” promising to boost energy and decrease stress. Being promised a quick fix, he decides to go to the vitamin store to purchase the product. In the store, a salesman introduces himself as a nutritionist and shows him the “Miracle Vitamin” on the shelf. The product costs $40 for a bottle of 50 pills though he sees other vitamin supplements being offered for much less. When he questions the salesman, he states that “Miracle Vitamin” is worth the price because it is all natural. He also points out the % Daily Values on the supplement label and shows it contains over 500 % for vitamin A, D, folic acid and niacin as well as some others. When the college student asks if this is too much, the salesman reassures him that any excess vitamin will be excreted in his urine and it is better to take more vitamins than not enough. The student is convinced and despite his limited budget, he purchases the supplement.
Discuss three things that concern you with this scenario. Be sure to provide your rationale as to why you are concerned.
Sample Solution
