Answer Happy

Initial investigation results The attending physician evaluates Jessie and determines that she is a young, adult female, with a slim athletic build and no visible injuries. Fecal analysis shows no blood or intestinal parasites in the stool, and the fat levels are normal. The physician asks Jessie about her diet as she looks for signs of a neurological problem. Jessie's cognitive function appears to be normal. She reports being a strict vegan for many years, but she claims to eat a large amount of protein from plant sources. She also reports eating a high-calorie diet, and she occasionally consumes a moderate amount of alcohol. She has never smoked or used illegal drugs, and she does not recall eating anything unusual recently. In fact, she had not eaten anything on the day of the fainting episode because she had been in a rush to get to the lake. You ask Jessie if she has ever been diagnosed as diabetic or borderline diabetic and whether she has had any trouble controlling her blood sugar levels in the past. She says, "I really don't know." When asked about her past medical history, Jessie explains that she was on the verge of gaining a swimming scholarship to college when she injured her head in a rock climbing accident. Her head injury led to epileptic seizures, which are now well controlled with an anticonvulsant medication. Swimming was one of the activities she gave up because she feared having a seizure in the water. Since the accident, her endurance has diminished, which she attributed to no longer working out regularly. She sighs and says longingly, "I don't swim anymore or really do much of anything in terms of hard exercise. I'm just miserably out of shape, I guess." You ask whether Jessie has had a blood test to look at her lipid profile recently, and she indicates that she has not had a full physical or bloodwork since she was discharged from the hospital five years ago.
Select all the factors that likely played a role in Jessie's fainting episode. her anticonvulsant medication diabetic ketoacidosis her diet in the days leading up to the episode her diet on the day of the episode chronic hyperglycemia overexertion while saving the drowning boy