Question

Mrs Smith is 75 years old when she goes for her physical checkup. The doctor notices her height has went from 5’3” to 5’1” over the past few years. She reports she is lactose intolerant, cannot have dairy and does not like green vegetables. She also states that while she has no contraindications to exercise, she does not get much physical activity. The doctor decides to send her for a DXA scan.

What mineral deficiency or toxicity may she have? (4 points)

What led you to that conclusion? (4 points)

Why did her doctor send her for a DXA scan? (4 points)

What diet and lifestyle recommendations would you make for Mrs. Smith? (4 points)

Answer 1

As the condition states the age of the client is 75 and a female most likely the client has attained her menopause too,she has a.reduction in her height which can be due to brittle bones or condition like osteoporosis

It can be considered that she is suffering from the condition of osteoprosis which ia caused due to CALCIUM deficiency as her calcium intake is low because of lactose intolerance,lack of green vegetables ,old age and height reduction

A DXA scan is dual energy xray absorptiometry helps the physician to rule out the bone density which can help to diagnose osteoporosis or bone fractures

The dietary modifications given to Mrs.Smith should consider the fact that she is lactose in tolerant

Food intake such as fish like sardians ,soy or almond milk ,fruits

Encourage her to take green leafy vegetables

To make sure to get in the sunlight during morning hours ..

To practise simple physical.execises such as walking

Taking calcium and vit d supplements

Being regular for checkups and value levels

To avoid strenous or heavy activities that can lead to fractures