Adult Gerontology Primary Care Provider Msn / 866

General: no history of weight change, fever or chills, weakness, fatigue, or change in appetite;

No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,

The Client’s mother died at 45 years old from typhoid fever and her sister had breast cancer in 2013 and had double mastectomy. Client’s father died at 40 years old from unknown cause. Client’s maternal grandfather died at 90 years old from stroke and he passed away in the

11. The fact that a patient has experienced recent weight loss, fatigue, and loss of appetite would be included in which part of the review of systems (ROS)?

The patient has no family history of heart disease or diabetes, however both her parents are on medication for high blood pressure. Her paternal grandmother died of breast cancer at age 47. Her maternal grandmother

The Consultation Report dated 12/07/2016, indicated that the claimant presented with uncontrolled type 2 diabetes mellitus. He also had a chronic back pain, arthritis, and a history of diabetic neuropathy. His blood sugar was 800 (critical stage). His blood pressure was 129/62 mmHg. The physical examination revealed mild thyromegaly, a decreased air entry at the base of the lungs, and a decreased peripheral palpable pulse. The exam also revealed loss of hair and chronic ischemic changes. Toe deformity and peripheral deformity were noted. He was on Levemir and Novolog. According to the provider, the claimant was on steroids, which has caused an increased blood sugar level. HBA1c

After you finish confirming appointments for tomorrow, I need you to go over every provider schedule for patients that has flu shot, and pap appointment. The flu shot you’re going to reschedule them to next month for the reason that we don’t have flu vaccines. The pap smear you’re going to check if is due, If is not due please reschedule

The above mentioned patient was seen in my office on 10-25-2016. He expressed concerns about, and requested a doctor note, to be excluded from receiving the Influenza vaccine due to the side effects he suffered, from the injection, the previous year.

Classic symptoms of diabetes usually presented with newly diagnosed diabetics are: hyperglycaemia, polyuria, polydipsia, polyphagia, fatigue, blurred vision, headaches, and unexplained weight loss. Ketone bodies are found in the urine, this abnormal finding occurs when fatty acid by-products (acetones) are excreted in the urine. The ketones are present from a lack of the insulin hormone used to metabolize fats and carbohydrates. Diabetic ketoacidosis (DKA) is a life-threatening complication which results from minimal useful insulin hormone in the body, hypoglycaemia, or insufficient food intake (American Diabetes Association, 2008).

Patient G.M. is a four-year-old female from a middle class family living in San Diego. She originally presented with her mother and father to her general practitioner with lethargy and several vomiting episodes in the past few days. Her father stated concern after realizing her frequent urination in the past week. Her vital signs upon initial assessment were HR 140 RR 22 Temperature 102.7 degrees Fahrenheit, BP 70/62, O2 saturation 97%, 32 pounds, and 40 inches tall. Her General practitioner was concerned about type I diabetes and performed a blood sugar check. Upon assessment the monitor read HI, indicating that the level was above 500 and too high for the monitor to read. The doctor informed them she needed immediate treated in the closest pediatric ER due to the potential for diabetic ketoacidosis.

The patient must pay close attention to signs and symptoms in this stage. Signs may

For the purpose of confidentiality, the patient will be identified by the initials A. S. A.S was a 52- year old African American woman who was admitted to the hospital when she started to experience severe urinary retention and shortness of breath. She has three adult children and eight grandchildren, but recently lost her husband of 25 years to diabetes. The patient appears to be very independent because she lives alone in her home and is aware of the disease process. She has a past medical history of acute renal

Constitutional: Recent fatigue and decreased activity. 1 week ago history of fever. 7lb weight loss over 4 months.

In this scenario, according to his blood work results and signs and symptom, Larry went through diabetic ketoacidosis. When there is an increased blood glucose level in DKA, three major syndromes occurs such as electrolyte imbalance, metabolic acidosis and osmotic diuresis. (Mistovich J,2008)

In this scenario, according to his blood work results and signs and symptom, Larry went through diabetic ketoacidosis. When there is an increased blood glucose level in DKA, three major syndromes occurs such as electrolyte imbalance, metabolic acidosis and osmotic diuresis.(Mistovich j,2008)