A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and swollen lymph nodes". States he has felt "lousy" for a couple of weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says the Tamiflu didn’t seem to work. States had a slight sore throat a couple of weeks ago and attributed it to the flu. A physical exam revealed a thin young man who appears to be uncomfortable but not acutely ill. Posterior pharynx reddened and tonsils 3+ without exudate. + anterior and posterior cervical lymphadenopathy. Tachycardic and a new onset 2/6 high-pitched, crescendo-decrescendo systolic ejection murmur auscultated at the left sternal border. Rapid strep +. The patient was diagnosed with acute rheumatic heart disease (RHD). Explain how a positive strep test has caused the patient’s symptoms.

Explanation:

Since the strept test came out posutive then it means that the patient had a streptococcal infection. Such a bacteria would affect a persons throat as teh body reacts to it several symptoms such as enlarged tonsils, sore throat and fever would begin to manifest.

This infection would cause the body to respond in such a way that it would antibodies against the disease. This patient did not respond to the treatment against the viral flu when he took tamiflu because he was wrongly diagnosed. the antibody would have a cross reaction with the tissues of the body bringing about inflammations and this causes a heart condition.

so if you eat a 2000-calorie diet, you should aim for about 225 to 325 grams of carbs per day.

but if you need to lose weight, you will get much faster results eating around 50 to 150 grams of carbs.

in fact, a popular alternative called the low-carb diet has been shown to be much more effective for weight loss than the high-carb diet that has been recommended for the past few decades.

this diet restricts your intake of carbohydrates like sugars and starches (breads, pasta, etc.) and replaces them with protein, fat and healthy vegetables.

studies show that low-carb diets reduce your appetite and make you eat fewer calories and lose weight pretty much effortlessly, as long as you manage to keep the carbs down (1trusted source).

in studies where low-carb and low-fat diets are compared, the researchers need to actively restrict calories in the low-fat groups to make the results comparable, but the low-carb groups still usually win (2trusted source, 3trusted source).

low-carb diets also have benefits that go way beyond just weight loss. they lower blood sugar, blood pressure and triglycerides. they raise hdl (the good) and improve the pattern of ldl (the bad) cholesterol (4trusted source, 5trusted source).

low-carb diets cause more weight loss and improve health more than the calorie restricted, low-fat diet still recommended by many people. this is pretty much a scientific fact at this point (6, 7, 8trusted source).

explanation:

there are many studies showing that low-carb diets are more effective and healthier than the low-fat diet that is still recommended by many people.