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)

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	Proteoses and peptones	Dipeptides, tripeptides, polypeptides
		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)

gladiator answered 2 years ago

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)

Imagine you are a physician. A patient comes to your clinic complaining of excessive weight gain...

Imagine you are a physician. A patient comes to your clinic complaining of excessive weight gain accompanied by "weird" stretch marks on her abdomen. Upon examination you additionally note many bruises and a fat pad on the back of her neck. You suspect elevated cortisol levels are to blame. After reviewing the patients medication list you confirm that she isn't taking medications that would elevate her cortisol level. You order blood tests to determine if cortisol is the culprit and...

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?

Question