Fetal alcohol syndrome Clinical presentation

 

Imagine a patient comes into your office with Fetal alcohol syndrome (child) . What elements in the patient history and physical exam would indicate the patient has the selected condition or disorder? Select two differential diagnoses that could be applied to this patient. How did you arrive at the two differential diagnoses? Include history and physical examination findings that would support each of the two alternative diagnoses.

Sample Solution

Fetal alcohol syndrome clinical presentation

Fetal alcohol syndrome (FAS) is a condition in a child that results from alcohol exposure during the mother`s pregnancy. Fetal alcohol syndrome causes brain damage and growth problems. The problems caused by fetal alcohol syndrome vary from child to child, but defects caused by it are not reversible. The four broad areas of clinical features that constitute the diagnosis of FAS have remained essentially the same since first described in 1973: selected facial malformations, growth retardation, Central Nervous System (CNS) abnormalities, and maternal alcohol consumption during pregnancy. There is no amount of alcohol that`s known to be safe to consume during pregnancy. If you drink during pregnancy, you place your baby at risk of fetal alcohol syndrome.

and-other-formation-stimulation-technologies-shale-gas-0) This method is now widely used world-wild, ensuring the US and Canada to have constant gas supply for 100 years and has presented an opportunity to generate electricity at half the CO2 emissions of coal. (https://www.bbc.co.uk/news/uk-14432401)

Steam-assisted gravity drainage (SAGD) is another method used to open up large deposits below the surface and produce heavy crude oil and bitumen. It is an advanced form of steam stimulation in which a pair of horizontal wells are drilled into the oil reservoir, one a few meters above the other. High-pressure steam is continuously injected into the upper wellbore to heat the oil and reduce its viscosity, causing the heated oil to drain into the lower wellbore, where it is pumped out.

Similar to fracking, SAGD consumes large quantities of water and natural gas – 20 times more than conventional oil drilling, which makes it very expensive to operate. A possible alternative would be cyclic steam stimulation (CSS) and high-pressure cyclic steam stimulation (HPCSS). (https://en.wikipedia.org/wiki/Steam-assisted_gravity_drainage)

Oil and gas in the Arctic

Among the greatest uncertainties concerning future energy supply is the volume of oil and gas remaining to be found in high northern latitudes. According to the United States Geological Survey (USGS), there are about 30% of the world’s undiscovered gas and 13% of the world’s undiscovered oil may be found in the Arctic Circle. The recent retreat of polar ice makes petroleum exploration and development much easier.

Petroleum is highly associated with sedimentary rocks. The map provided the basis for defining assessment units (AUs), which are mappable volumes of sedimentary rocks that share similar geological properties. The Circum-Arctic Resource Appraisal (CARA) defined 69 AUs, each containing more than 3 km of sedimentary strata, the probable minimum thickness necessary to bury source rocks sufficiently to generate significant oil and gas.

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