Answer:
Pallor
Fatigue
Easy bruising
Cyanosis
When symptoms begin, a child appears pale, fatigues easily, and has anorexia from the lowered RBC count and tissue hypoxia. Because of reduced platelet formation (thrombocytopenia), the child bruises easily or develops petechiae (pinpoint, macular, purplish-red spots caused by intradermal or submucous hemorrhage). A child may have excessive nosebleeds or gastrointestinal bleeding. As a result of a decrease in WBCs (neutropenia) a child may contract an increased number of infections and respond poorly to antibiotic therapy. Observe closely for signs of cardiac decompensation such as tachycardia (not bradycardia), tachypnea (not bradypnea), shortness of breath, or cyanosis from the long-term increased workload of all these effects on the heart.
Explanation:
The acidic urinary pH increases the formation of uric acid or cysteine crystals. Therefore, kidney stones are very much influenced by urinary pH. More acidic urine and a higher frequency of uric acid stones have been associated with patients with inadequate ammonium excretion of metabolic syndrome.
Kidney stone disease results from deficiencies in urinary acidification, which result in the excretion of improperly alkaline or acidic urines, respectively. Patients with uncommon mendelian kidney stone variants have mutations in several enzymes, transporters, receptors, or channels. Numerous of these alterations either result in an increase in the excretion of chemicals that can crystallise or stone, a change in the composition of the urine that promotes crystal formation, or both.
Kidney stones can occur as a result of a variety of variables
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