Maria is a 20-month-old girl, brought by her mother in the ED. with…
Question Maria is a 20-month-old girl, brought by her mother in the ED. with… Maria is a 20-month-old girl, brought by her mother in the ED. with complaints of intermittentvomiting, occurring for past 2 weeks which has increased in frequency this week hence admitted.Her mother report that Mariadidn’t want to eat anything and developed the habit of clay and painteating. She was feeling lethargic and restless all the time. Maria vomits 2-3x/day and has a poorappetite. Frequently the emesis consists of undigested food even after 12 hours after ingestion.During examination you were able to assess the stool when the mother change Maria diaper, thestool is exceedingly foul-smelling, large, pale, and oily. On physical examination Maria is weighing7.1 kgs, irritable, uncooperative, pale, prominent muscle wasting in legs and buttocks.Her dietary assessment revealed that consumption of wheat and wheat products were themain culprits behind her diarrhea. Lab assessment showed positive for serologic tissuetransglutaminase and antiendomyseal antibodies and anemia in CBC. Upper GI endoscopy withbiopsy is schedule. Pediatric Gastroenterologist prescribed:•ORS 400 ml after each loose stool (approximately 2000 ml daily)which contains a 2%concentration of glucose (20 g/L), 45 to 90 mEq/L of sodium, 20 mEq/L of potassium, and acitrate base.•Iron supplement•Semi solid diet was initiated.•All sources of gluten including wheat, rye and barley were omitted from the diet.to do:Describe the importance of diagnostic and laboratory test in the given scenario. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
