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Malnutrition, 17 years - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Diet Plans
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2550 Questions
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Doctor :   Hi
User :   Hello, I am trying to determine a diagnosis but am having trouble.
Doctor :  
User :   Hi again
User :   Male, Age 17. 5'7" 140 lbs. Wants to lose weight rapidly for a wrestling match. He restricted hi diet to 500 calories a day and used diuretics. Exercises vigorously for 2 hours a day. Symptoms include arrhythmia, tachycardia, shortness of breath, confusion, headache, diarrhea, drowsiness, muscle weakness and mild paralysis of lowere extrmities. Family history of heart attack, grandfather at age 92. Normal red and white blood count, low total protein, slightly elavated creatinine kinases, low vitamins and minerals, shows depressed metabolism, coronary angiography and nuclear scan results normal, elevated kidney function, borderline renal failure, negative for recreational or medication drugs and high levels of the laxitive Miralax.
User :   The patient is seriously malnourished.
User :   Could he have nephrosis?
Doctor :   yes
Doctor :   i have told you the condition is very dangerous
User :   I looked up the symptoms for marasmus, but it has symptoms the patient doesn't have, how can we be certain it is nephrosis?
Doctor :   you please go to thr ER
Doctor :   500 calorie diet is dangerous
Doctor :   hope you will follow my advice
User :   This doesn't really help, I will not continue with servixce from this site
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