6.1.2: HOW DID SHE DIEQUARTER 4 TIMELINE

Possible Causes of DeathOxygen Deprivation from low blood sugar

Head Trauma due to the fall

Diabetic Symptoms

Kidney Failure

Stroke

Keytoacedosis

Heart Attack

CAUSE OF DEATHKETOACIDOSISKetoacidosis is a potentially fatal complication of Type 1 Diabetes. When cells are unable to produce insulin and is unable to utilize glucose, the body begins to burn fatty acids in order to provide energy. When this happens, acidic ketones form and cause many symptoms such as vomiting, dehydration, gasping breathing, and confusion. Eventually, if untreated, and if severe enough, ketoacidosis could cause cerebral edema which can lead to death, as in the case of Anna Garcia

TIMELINE

Age: 14 monthsSymptoms Displayed:

Shortness of Breath

Abdominal Pain

Due to splenic sequestration

High Urine Output

She was diagnosed with Sickle Cell Anemia due to a low hematocrit and a positive Sickle Cell test.

Age: 14Symptoms

Fatigue

Thirst

Frequent Urination

She was diagnosed with Type 1 Diabetes after a Glucose Tolerance Test and an Insulin Level Test.

Age: 37Anna was diagnosed with Familial Hypercholesterolemia as well as was declared a high risk candidate for Coronary Heart Disease.

Age: 38Symptoms

Frequent need to urinate

Increased heart rate

She was diagnosed with a Urinary Tract Infection from the bacteria Serratia Marcescens.

Factors that Contributed to Anna’s Death

Cerebral Edema

High levels of Blood Ketones

High Blood Sugar Levels

Ketones present in urine

Severely low blood pH (6.95)

Vomit

Diseases/Risk FactorsDiabetes

Her Diabetes played a major role in her development of Ketoacidosis. Low insulin levels caused her body to burn fat instead of glucose, causing the formation of ketones.

Sickle Cell

Decreased blood flow to the brain due to sickle cell clots most likely lead to cerebral edema.

Coronary Heart Disease

Plaque build up due to high cholesterol could have also attributed to decreased blood flow to the brain resulting in cerebral edema.

UTI

Infections can lead to dehydration with people with ketoacidosis, which can lead to serious complications, such as cerebral edema.

Long Term PreventionHealthier Diet

Continuously treating her Diabetes (Insulin Injections)

Monitoring her Blood Sugar

Short Term PreventionGone to the Emergency Room

Alter insulin dosages short term

Hydrate

Systems’ KeyRespiratory System

Circulatory System

Immune/ Lymphatic System

Digestive System

Urinary System

Nervous System

Endocrine system