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Methanogens and fermenter bacteria are known for their syntrophic metabolic model because fermenters break down complex organic compounds/acetate/methane/carbon dioxide/hydrogen sulfide into H2

 1) Methanogens and fermenter bacteria are known for their syntrophic metabolic model because fermenters break down complex organic compounds/acetate/methane/carbon dioxide/hydrogen sulfide into H2, and carbon dioxide/methane & hydrogen sulfide/methane & carbon dioxide , which are then used by methanogens for the production of  methane/hydrogen sulfide/ acetate .

2) All methanogens are Archaea.

Select one: True/ False

3) All microbes found from Yellowstone’s hotsprings were Archaea.

Select one: True/ False

4) Choose the best definition of biofilm and why its formations are significant in understanding Archaea. 

a. Biofilms are transparent layers of cellulose that protects Archaea from UV.

b. Biofilms are agglomerations of multiple cells and exopolymers that allow microbes to adhere to host cell surfaces.c. Biofilms are thin planes of microbial cells connected together to make a one-cell thick layer that is impenetrable to antibiotics.

d. Biofilms are communities of microbes that have syntrophic metabolic pathways.

5) In Samuel and Gordon (2006)’s study, the inoculation of germ-free mice with  Bacteriodetes thetaiotaomicron and Methanobrevibacter smithii/ Bacteriodetes thetaiotaomicron alone/ Methanobrevibacter smithii alone/ Bacteriodetes thetaiotaomicron and Desulfovibrio piger/ Desulfovibrio piger alone/ Methanobrevibacter smithii and Desulfovibrio piger leads to the greatest digestion short-chain fatty acids and consequently, the greatest  absorption of food/ biofilm production/ level of depression/ sulfate reduction . 

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Metabolic alkalosis is a concern for this patient. Which lab findings would you expect with metabolic alkalosis?

Metabolic alkalosis is a concern for this patient. Which lab findings would you expect with metabolic alkalosis? 

Everyone is on the same page for the most part, so here is the additional information/questions that I posted to everyone’s “Part 2”. Please answer these questions and add everything as ONE DOCUMENT and post in this drop box.

Now I’m going to add a few things: you have ordered a CBC, CMP, UA, blood pH, and x-rays. You have stated that you are concerned with hydration status and pyloric stenosis. So, here are your questions for the remainder of your case study:

1. Metabolic alkalosis is a concern for this patient. Which lab findings would you expect with metabolic alkalosis?
a. Na: 128 mEq/L, K: 2.6 mEq/L, Cl: 90mEq/L, HCO3: 28 mEq/L
b. Na: 130 mEq/L, K: 5.7 mEq/L, Cl: 94mEq/L, HCO3: 22 mEq/L
c. Na: 130 mEq/L, K: 3.9 mEq/L, Cl: 98 mEq/L, HCO3: 17 mEq/L
d. Na: 148 mEq/L, K: 4.1 mEq/L, Cl: 108 mEq/L, HCO3: 13 mEq/L

2. What is the underlying cause of S.B.’s diagnosis of metabolic alkalosis?

3. Which of these clinical manifestations might you find with metabolic alkalosis? Select all that apply.
a. Increased respiratory rate
b. Tetany
c. Increased risk for seizures
d. Hyperthermia
e. Neuromuscular irritability

4. What additional assessment findings might reflect the consequences of prolonged vomiting in the infant?

5. The abdominal x-ray reveals a distended stomach with minimal distal intestinal bowel gas. You decide to order an ultrasound, which reveals a thickened pyloric muscle. What is your final diagnosis, as well as 5 other differential diagnoses?

6. You admit S.B. to the pediatric unit with a surgical consult. What are some socioeconomic/familial concerns that you may have in regard to his hospitalization, procedure, recovery, and overall health?
I have included week 1 & 2 to add to the paper please email if you have questions