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Anna Garcia- How Did She Die?

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hailey jenkins

on 15 September 2016

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Transcript of Anna Garcia- How Did She Die?

62
ECG
bpm
Thank You!
The Mysterious Death of Anna Garcia
Symptoms:
Frequent urination
Increased thirst-

explains the orange juice found at the scene
Nausea and vomiting-
explains vomit found at crime scene
Confusion-

Explains why Anna did not realize the severity of her illness
Fever-
Anna was most likely experiencing chills, which is why she was wearing a sweater in the heat
Factors Relevant to Anna's Death
Ketones in Urine
caused by Anna's shortage of insulin (due to her Diabetes type 1
Anna's Diseases
Long Term Preventative Measures for Diabetic Comas
Follow a meal plan to control blood sugar
Monitor blood sugar and ketones levels
Administer insulin as ordered by physician
Consider a continuous glucose monitor
Avoid alcohol
Wear a medical ID bracelet
Educate your loved ones, friends and coworkers- If Anna's neighbors were aware of her condition, they would have recognized her symptoms the morning before her death and been able to get her treatment.
BY: Hailey Jenkins
PBS Purple 1
Semester II Final

Anna Garcia- How Did She Die?
Name: Anna Garcia
Age: 38 years
Weight: 165 lbs
Height: 64 inches
Last Appearance: Walking her dog in a sweater despite the current heatwave
Cause of Death: prolonged Diabetic Coma without treatment
Symptoms and Factors Leading to Anna's Death
Microalbumin test
reveals significant protein in urine due to constant high blood sugar (causing kidney damage- urinary system) this suggests unhealthy kidneys before her death
Acidic blood-
results in ketoacidosis (circulatory system and renal system) which ultimately leads to greater problems such as a diabetic coma.
Stress-
Anna states that she is very stressed in Medical History 4.3.1, which often induced diabetic comas
Poor Diet-
Anna was inconsistent with a healthy diet which is critical for controlling blood glucose levels in diabetics
Recent UTI-
illnesses and injuries cause blood sugar levels to rise
Blood Glucose Levels-
Anna's was 280 mg/DL, the normal level is 70-125 mg/dL, which puts her at risk for a diabetic emergency
Blood ketones-
Anna had levels of 1.2 mmol/L, the normal is below 0.6 mmol/L
Sickle Cell
Familial Hypercholesterolmia
Diabetes Type 1
Urinary Tract Infection
Diabetes Type 1
Anna Garcia
was diagnose with Diabetes Type 1 at age 14 (2.1.1 Medical History) and has struggled with diabetic episodes ever since.
Diabetes affects the
nervous system
because it destroys the nerves throughout the body due to constant high blood sugar levels
The
urinary system
is also affected because the kidneys are constantly overworking in order to diminish the body of sugar
The
circulatory system
is affected by diabetes because prolonged high blood sugar can cause damage to the microvasocularature (causes retinopathy, nueropathy, impaired circulation, and ketoacids are found circulating in the blood
Diabetes contributed to Anna's death because it caused her to fall into a diabetic coma due to her extremely high blood sugar levels shown on the final autopsy report (280 mg/dL)
Sickle Cell Anemia
Sickle cell is a disease which the red blood cells are abnormally shaped, so they cannot hold oxygen and clump together very easily.

Sickle Cell disrupts the
cardiovascular system
because blood flow is limited and also causes blood clots.
The
immune system
is also disrupted because the cells cannot properly deliver oxygen
Sickle cell causes
increased risk of blood clots.
Anna Garcia had a blockage in her coronary artery, which sickle cell likely contributed to. A block in the coronary artery can lead to death of cardiac muscle, resulting in a heart attack.
Heart attacks also can induce a diabetic coma.
Familial Hypercholesterolmia
In 4.3.2, we learned that Anna had familial hypercholesterolmia. Anna Garcia had many occluded, or clogged, arteries and veins. Familial hypercholesterolmia is a major suspect in her death due to the fact that it sets fatal events in motion, such as:
heart attack
stroke
Familial Hypercholesterolmia affects the
circulatory system
because it causes blocked arteries. The
nervous system
is also affected because it impacts the eye and blood flow to the brain
Familial Hypercholesterolmia causes increased risk of heart attacks at an early age (such as 38) due to clots. Heart attacks are often the cause of a diabetic coma. Without immediate help, Anna's brain began to swell.
Urinary Tract Infection
A UTI is a bacterial infections which affects the bladder, kidneys, and urethra.
UTIs affect the
urinary system
because it weakens the kidneys. The
circulatory system
is also disrupted because excess waste builds up in the blood due to weakened kidneys. UTIs also diminish the
immune system
because the bacteria weakens and deprives the body.
A UTI could have led to Anna's death because infections often induce diabetic comas. Infection leads to a higher blood sugar level, which is especially bad for someone who has Diabetes Type 1.
Short Term Preventative Measures for a Diabetic Coma
avoid alcohol or drink in moderation
have a sick-day plan in case of emergency sick day
take medication as directed/needed
have insulin kit available at all times
Conclusion Questions
1. Anna Garcia died of a diabetic coma. Diabetic comas begin with excessive thirst, which is why orange juice was found spilled at the scene. Anna had fallen due to her diabetic emergency, when she lost consciousness and fell. This is why she had an injury to the right temple. This is also the reason for the bruise on her elbow. Anna knew she was going into a diabetic coma, so she grabbed her insulin, which is the reason for the three hesitation marks found on her body. Anna was too disoriented to call for help, so she slipped into a coma. A prolonged diabetic coma also leads to cerebral edema, which was found in Anna's autopsy report.
2. Anna's death was caused by the malfunction of the urinary system and the circulatory system. The urinary system is related to damaged kidneys caused by a life of diabetes. The circulatory system is how the ketoacids circulated through the blood stream, depriving the muscles of sugar and energy. The ketoacidosis led to Anna's diabetic coma.
3. Anna would most likely tell me that she is cold, due to her fever. She would probably tell me that she is shaky, fatigue, and dizzy. These are all symptoms of a diabetic coma. Anna would also say that she is very thirsty, clammy, and frequently urinating due to hyperglycemia.
4. A device that could warn Anna of a diabetic emergency might have saved Anna, so she would have been able to reach help in time. Also, a necklace or device with an automatic connection to 911 could also have saved Anna moments before her death.
5. Throughout the PBS course, I have grown a fascination with genetics and the cardiovascular system. Genetic is interesting to me because of a specific genetic disease which runs in my family, and there is always something new to learn about genetics. I would also enjoy consulting with children who are affected by a genetic disease which is out of their control. The heart is interesting because it is the life of the body, it provides every system with nutrients and oxygen. It is very intricate.
According to Anna's Sickle Cell Diaries (3.1.2.) she was diagnosed at 14 months with sickle cell
Anna was hospitalized due to pain from sickle cell at age 38. From there, she contracted a bacterial infection due to prolonged use of a catheter. (5.1.1 Medical History)
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