Question: Metabolic Case Study IM Desperate Is An 18-year-old College Freshman Who Was Brought To The Emergency Room By Her Roommates. She Was Pale, Dizzy And Extremely Weak. Her Friends Told The Following Story: IM Was 140 Lbs And 5’3″ At The Beginning Of The School Year. She Did Not Do Well Socially The First Month On Campus So Decided She Would Lose Weight …

Metabolic Case Study IM Desperate is an 18-year-old college freshman who was brought to the emergency room by her roommates. She was pale, dizzy and extremely weak. Her friends told the following story: IM was 140 lbs and 5’3″ at the beginning of the school year. She did not do well socially the first month on campus so decided she would lose weight to become more popular. She stopped eating anything except water, coffee, and 2 multivitamins per day. After several days she became listless and stopped attending classes. She collapsed while taking a shower on the eighth day and was rushed to the emergency room. Her physical exam showed acetone on her breath and blood glucose of 60. 16. What is the current state of IM’s nitrogen balance? 17. What is her body using as a glucose source since she is in the late fasting state? 18. Why does she have acetone on her breath? Explain how this symptom develops during fasting.