Nutrition Across the Lifespan Quiz

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CaseStudyParis.pptx

Case Study: Paris

33 year old African American female, works as an attorney.

General appearance: Emaciated, tired looking and appears older than her stated age.

Height: 5'8'‘ (68’’ or 172.7 cm) Weight: 115 lbs (52.7 kg)

Blood Pressure: 90/70

Chief Complaint: Lost consciousness in exercise class

Case Study: Paris

Physical Exam

Mouth: Dry mucous membranes, scratches on posterior pharynx, erosion of dental enamel

Skin: Rough, dry skin with lanugo some bruising

Medications: OTC laxatives (every other day)

Allergies: All meats, dairy foods, most desserts

Smokes 1 pack/day

Alcohol ½ - 1 bottle/day

Reports no recreational drug use

Case Study: Paris

History:

Paris was a straight-A high school student and president of the debate team and honor society. She maintained a 4.0 GPA in college. In college, she spent a lot of time at the recreation center, often swimming for an hour early morning before classes, walking 3 miles on the indoor track after lunch and then doing aerobics in the afternoon for 1 hour. Her roommate taught her how to purge using a toothbrush, another student told her about laxatives and enemas. After college she was recruited to a prestigious law firm where she is trying to make partner. Her behavior intensifies with the stress. In an effort to restrict her weight to less than 120 lbs, she restricts her intake, the hungrier she gets the more determined she is not give in to it. She has not had a menstrual period in 2 years. She has been previously hospitalized for severe dehydration.

Case Study: Paris

Nutrition History:

24-hour recall:

AM: 1/4 whole wheat bagel, 4 oz. calcium fortified orange juice, 6 oz. black coffee

Lunch: Black coffee, 2-3 cups

Afternoon snack: 12-oz Diet Coke

Dinner: 6 green peas, 18 oz. water

Snack: 12 oz. Diet Coke

Case Study Discussion: Paris

What type does Paris present with? Provide examples to support.

What is Paris’s BMI?

What is her ideal body weight?

What are her energy requirements?