Case study 4
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Case Study #4. Dr .Garielle Wagnac, Dr.Aarti Patel Dr.Kimberley Hausheer, Dr.Pankhuri Garg. Patient History. 42 year-old male No major health issue to date Notable increase in weight over past month—gain of 17 pounds Recent lethargy

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Case Study #4

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Case study 4

Case Study #4

Dr.Garielle Wagnac, Dr.Aarti Patel

Dr.Kimberley Hausheer, Dr.Pankhuri Garg


Patient history

Patient History

  • 42 year-old male

  • No major health issue to date

  • Notable increase in weight over past month—gain of 17 pounds

  • Recent lethargy

  • Patient is on a new eating regimen—every meal is from a ‘fast-food’ restaurant


Case study 4

Physical Examination

Laboratory Results

Negative for hepatitis

Excessive glycogen granules in liver

High levels of fat in liver – abnormal fat metabolism

Low testosterone levels

Abnormal cell calcium balance

  • Enlarged Liver

  • Muscle Weakness


Diagnosis

Diagnosis

Smooth ER not properly functioning!


Duh duh duh why

DUH! DUH! DUH! WHY?


Smooth endoplasmic reticulum

Smooth Endoplasmic Reticulum

What it isn’t doing!

Leads to……! (Uh Oh)

Abnormal levels of calcium

Muscles are getting weaker instead of being strong

Low levels of testosterone

Excessive glycogen granules present

Presence of fat in liver past normal levels

  • Regulations of calcium concentration

  • Steroid metabolism

  • Metabolism of carbohydrates


What caused it

What caused it?

  • The new diet contained a lot of fat. The liver could not metabolize all of the fat and as a side effect fat begins to build hurting the liver, which takes care of fat metabolism.

  • Once the smooth ER is down then everything goes south.

  • The gain of weight is due to diet and lethargy is caused because of the poor diet that the patient is undergoing.


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