Question

In: Biology

A patient comes to you complaining about her inability to digest fats properly. She would like...

A patient comes to you complaining about her inability to digest fats properly. She would like you to explain to her how fats, carbs, and proteins are digested.(Answer in detail please)

Solutions

Expert Solution

i. Inability of digestion of fats properly in the given case would be due to deficiency of lipase, bile salts deficiency, malabsorption or fatty acid metabolism disorder.

ii.

a. Digestion of fats:

Area Juice Enzymes Substrates End product
Mouth Saliva Lingual lipase Triglycerides Fatty acid and 1,2 diacylglycerol
Stomach Gastric juice

Gastric lipase

(weak lipase)

Triglycerides Fatty acids and glycerol
Small intestine Pancreatic lipase Pancreatic lipase Triglycerides Monoglycerides, Fatty acid
Cholesterol ester hydrolase Cholesterol ester Free cholesterol and fatty acid
Phospholipase A Phospholipids Lysophospholipids
Phospholipase B Lysophospholipids Phosphoryl cholline, free fatty acids
Succus entericus Intestinal lipase Triglycerides Fatty acids and glycerol (weak action)

b. Digestion of Carbohydrates:

Part of Gastrointestinal tract Juice Enzyme Substrate End-product
Mouth Saliva Salivary amylase Polysaccharides Disaccharides-Dextin and maltose
Stomach Gastric juice Gastric amylase Weak amylase Action is negligible
Small intestine Pancreatic juice Pancreatic amylase Polysaccharides Disaccharides-Dextrin, maltose and maltriose
Succus entericus Sucrase Sucrose Glucose and fructose
Maltase Maltose and maltriose Glucose
Lactase Lactose Glucose and galactose
Dextrinase Dextrin, maltose and maltriose GLucose
Trehalase Trehalose Glucose

c. Digestion of proteins:

Part Juice Enzyme Substrate End product
Mouth Saliva No proteolytic enzyme --- ----
Stomach Gastric juice Pepsin Proteins Proteoses, Peptones, Large polypeptides
Small intestine Pancreatic juice Trypsin Proteoses and peptones Dipeptides, tripeptides, polypeptides
Chymotrypsin
Carboxypeptidases A and B Dipeptides, tripeptides, polypeptides Amino acids
Succus entericus Dipeptidases Dipeptides Amino acids
Tripeptidases Tripeptides
Amino peptidases Large polypeptides

So, the end products of digestio are glucose (from carbohydrates), amino acids (from proteins) and fatty acids and glycerol (from lipids)


Related Solutions

7. A patient comes to you complaining about her inability to digest fats properly. She would...
7. A patient comes to you complaining about her inability to digest fats properly. She would like you to explain to her where they are digested at each stage, and what accessory organs are involved.(Answer in detail please)
1/ Your neighbor comes to you to talk about her recent experiences with diagnostic studies. She...
1/ Your neighbor comes to you to talk about her recent experiences with diagnostic studies. She states, “The doctor says there is nothing physically wrong. He says I should stop being so nervous. I don’t know what he means.” How could you help this neighbor understand what the doctor means, without exceeding your role as a health care provider? 2/ Explain why you should discuss patient problems with your supervisor rather than with co-workers. 3/ Obtain a copy of a...
1. A elderly patient comes into the ER complaining of repeated episodes of fainting (syncope). The...
1. A elderly patient comes into the ER complaining of repeated episodes of fainting (syncope). The Emergency Department physician admits the patient to the hospital. What type(s) of EKG do they order (e.g. diagnostic 12 lead, continuous) and why? 2. A 55yr old male comes into the ER with classic symptoms of myocardial infarction – chest pain, sweating, and shortness of breath. The Emergency Department physican admits the patient to the hospital. What type(s) of EKG do they order (e.g....
Ms. Lear Thomson is a 47 y.o patient who comes in today complaining of heartburn that...
Ms. Lear Thomson is a 47 y.o patient who comes in today complaining of heartburn that is no longer responding to TUMS and Mylanta. She complains of heartburn especially after lunch and dinner. She recently lost her job as bookkeeper for an auto parts store that went out of business. She is very stressed, as she is a single parent to two bright kids who are college material. She doesn’t know how she will afford college tuition, but is determined...
A gravida 2, para 2 patient comes in for her six-week postpartum check-up. She walks in...
A gravida 2, para 2 patient comes in for her six-week postpartum check-up. She walks in with her partner, who is pushing their healthy baby daughter in a stroller and holding the hand of their 2-year-old. As the patient’s prenatal healthcare professional, you note that she is pale and not wearing her usual makeup. Her hair is uncombed, and her eyes are puffy and bloodshot. She is not affectionate with her children. When you ask Ann how she feels, she...
​​​​​​ Sylvia comes to you for advice in organizing her financial affairs. She is 29 years...
​​​​​​ Sylvia comes to you for advice in organizing her financial affairs. She is 29 years old and makes $50,000 per year, 30% of which goes to payroll deductions and taxes. Sylvia also receives $400 per year in interest from miscellaneous investments and savings accounts. Sylvia has tracked her expenses for the last six months and provides you with the following estimates for the year: Mortgage payments, including property taxes and interest $5,886 ($3,094 is interest) Groceries $3,600 Holidays $3,500...
Ms. Leah Thompson is a 47-year-old patient who comes in today complaining of heartburn that is...
Ms. Leah Thompson is a 47-year-old patient who comes in today complaining of heartburn that is no longer responding to TUMS and Mylanta. She complains of heartburn especially after lunch and dinner. She recently lost her job as a bookkeeper for an auto parts store that went out of business. She is stressed, as she is a single parent to two “bright kids” who are “college material.” She does not know how she will afford college tuition, but she is...
Janice would like to send her parents on a cruise for their 25th wedding anniversary. She...
Janice would like to send her parents on a cruise for their 25th wedding anniversary. She has priced the cruise at $15,000, and she has 5 years to accumulate this money. How much must Janice deposit annually in an account paying 10 percent interest in order to have enough money to send her parents on the cruise?
Colin would like to send her parents on a cruise for their 25th wedding anniversary. She...
Colin would like to send her parents on a cruise for their 25th wedding anniversary. She has priced the cruise at $15,000 and she has 5 years to accumulate this money. How much must Janice deposit annually in an account paying 10 percent interest in order to have enough money to send her parents on the cruise?
A patient comes into the ER after she was attacked. She is experiencing difficulty breathing after...
A patient comes into the ER after she was attacked. She is experiencing difficulty breathing after she was stabbed in the thorax. Scans show fluid in the thoracic cavity through a lesion in the lung; in short, a hemopneumothorax. Explain the pressure gradients that would allow air and blood to enter the thoracic cavity in the first place. What will happen to this patient without medical intervention? Explain each step of her imminent demise.
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT