Mutes Mellitus Type 2: A Case Study Of Diabetes Mellitus

No scalp lesions. Dry eyes with conjunctival injection. Mild exophthalmos. Dry nasal mucosa. Marked cracking and bleeding of her lips with erosions of the mucosa. She has a large ulceration of the mucosa at the bite margin on the left. She has some scattered ulcerations on her hard and soft palette. She has difficulty opening her mouth because of pain. Tonsils not enlarged. No visible exudate. SKIN: She has some mild ecchymosis on her skin and some erythema, she has some patches but no obvious skin breakdown. She had some fissuring in the buttocks crease. PULMONARY: Clear to precussion and auscultation, bilaterally. CARDIOVASCULAR: No murmurs or gallops noted. ABDOMEN: Soft, non-tender, protuberant, no organomegaly, and positive bowel sounds. NORALOGIC EXAME: Cranial nerves ii – xii are grossly intact, diffuse hyporeflexia. MUSCULAR SKELETAL: Erosive destructive changes in elbows, wrist, and hands consistent with rheumatoid arthritis. Has had bilateral total knee replacements with stovepipe legs and perimalledal pitting edema 1+. I feel no pulse distally in either leg. PHYCIATRIC: Patient is a little anxious about these new symptoms and there significance. We discussed her situation and I offered her psychiatric services, she refused for now.

Peripheral pulses posterior tibial and dorsalis pedis 2+ bilaterally. No edema on legs. Apical pulse regular rate and rhythm; s1, s2 noted. No murmurs, rubs or gallop rhythms. Denies dizziness, and fainting. Resp RR between 36-40 SpO2 85% per oximetry on 2 liters oxygen by n/c. Difficulty breathing and complaints of chest tightness. Patient unable to lay flat. Lung sound bilateral wheezes and crackles in right lower lobe. All other lobes clear A&P. Cough with yellow sputum. Tachypnea. Head of bed 45 degree. GI Last bowel movement 2 days ago, hard, long brown stool. Complains of constipation related to medication. Bowel sound are WNL in all 4 quadrants. Abdomen is soft, with no palpable masses. Poor appetite. Like sweet foods. Does not like vegetable or fruits. Like sodas, beer, scotch. Little water intake. GU Urinates every 2-3 hours. Yellow. No odor of urine. No history of UTI. One vaginal infection 2 years ago. No abnormal periods, last menstrual period 3 weeks ago. No pain or discharge. Skin Hair poorly groomed, dirty and oily. Nail are dirty and appear to be bitten. Skin clammy and moist with flushed color. IV IV of D5W at 125 mL in left forearm with 18

Y.L., a 34-year-old Asian woman, comes to the clinic with complaints of chronic fatigue, increased thirst,

History of present illness: 50 year old African American female presents to the clinic today to follow up on her Diabetes. Patient diagnosed with Diabetes in 2000. Last Diabetes checkup three months ago. Patient reports that she takes all of her medications as prescribed. Patient is currently on metformin and Lipitor. Patient denies any episodes of hypoglycemia. Patient denies experiencing symptoms of polyuria, polydipsia, and polyphagia. Patient reports that she has been checking her

Burning and tingling in his feet is another red flag when thinking about diabetic neuropathy. When a patient does not properly watch his or her blood sugar levels it can lead to damage within the circulatory system. Signs of symptoms of peripheral neuropathy include numbness, tingling, sharp pains or cramps, “increased sensitivity to touch, muscle weakness, loss of reflexes, loss of balance and serious foot problems” (“Diabetic Neuropathy,”

The lack of blood glucose control can cause the experiencing of various signs and symptoms. In Carol’s case, these may have occurred either soon beforehand or throughout her hospital admission. The signs and symptoms which come along with lack of blood glucose control are excessive thirst, frequent urination, increased appetite, unexplained weight loss, hypoglycaemia and mood changes. All of these symptoms may come as unexplained occurrences, although they’re likely to be the cause of abnormal physiological processes, which is due to Carol’s disease – type 1 diabetes.

I began with the resident’s diabetic problem. It is a fact that diabetes is a complex condition affecting many of the patient’s body systems. So, the potential to damage the urinary system involving the kidneys, ureters, bladder, and urethra renal function is highly possible. Also, the immune system of the patient is already compromised and makes it even easier for this patient to acquire UTI. With the problem in the urinary system, it then caused the decreased of urine output for about 4 days which resulted into catheterisation. So then, the manifestation of hypoglycaemia was the effect of these mentioned reasons. As a support to my rational thinking, an evidence based researched stated that from a 94 patients who had renal insufficiency (46 had diabetes mellitus), an episodes of hypoglycaemia occurred for about 137 times in a duration of six months. Furthermore, one of the major related cause of hypoglycaemia is infection. (N Engl J Med 1986;

About 4,400 colleges and universities in the United States forbid the carrying of guns on their campuses (“Colleges”). With more and more shootings on campuses, especially with the tragedy at Virginia Tech in 2006, the states are starting to rethink their position on whether guns should be allowed on campuses; especially in Texas, where Texans are known for their guns. Even with a state like that, however, the questions still remain: Will allowing students with guns make campuses a safer environment? Will it make students feel safer? As most controversial issues goes, there are two sides to the debate.

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).

The tests came back and nothing seemed to stick out. Her glucose level was slightly elevated but not enough to cause the lethargia and inappetence she was exhibiting. Dr. Brian Stockinger told the keepers to keep an eye on her and watch for developing signs or signs of improvement. A few days later, the keepers had noted in the reports that she has

Plato is one of history’s most popular philosophers who had a lasting effect on the world around him. Plato is mostly known for his philosophical works and founding the Academy north of Athens. During his early life, he wanted to pursue a career in literature and politics, and in fact, began writing plays and short stories. Plato happened to stumble upon socrates speaking in a public market and was pulled in by what he was saying. He felt so strongly about philosophy after that resulting in him burning his early works and starting out fresh. He wanted to pursue a career in philosophy. It is believed that Plato was going to compete for a prize until he realized that he had a strong passion in philosophy. From

Type 1 diabetes is also known as silent disease because it is hard for people to know if they have type 1 diabetes. Type 1 diabetes is a condition in which the pancreas produces a little or not enough insulin. Insulin is a hormone that helps human’s body to convert blood sugar, glucose, to energy. When a human body takes the food that they eat, a human body breaks down fat, protein, and carbohydrates, which are used as energy. While human body is digesting the food, carbohydrates are broken down into glucose, and then glucose is absorbed into the blood stream. Insulin helps people to absorb glucose in their blood. As it is mentioned, in a person with type 1 diabetes, pancreas produces little or no insulin, and without insulin, blood glucose

Bckground While modern lifestyles and medical care have certainly improved the longevity of humans in the developed world, and contributed to a greater quality of life scenario, those same lifestyles have engendered a number of issues that contribute to disease. Lack of proper diet, fast food, high fat and carbohydrate diets without adequate fruits and vegetables, lack of exercise, smoking and alcohol contribute to an epidemic of obesity which, in turn, contributes to a serious metabolic disorder called Diabetes Mellitus Type 2. While not managed by insulin injections, it is nevertheless quite serious and has a number of progressing symptoms that, if not treated properly, can result in cardiovascular, renal and neurological problems, as well as amputation, ocular issues, and even cognitive dysfunction.

The case study I have chosen is based on a 50 year old female Isma Begum. She has complained of blurred vision, being lethargic, increased urination and, urethral discomfort. All of these symptoms are indicators of type 2 diabetes. According to NHS diabetes is a condition which causes blood sugar levels to rise too high. Hyperglycaemia is an acute condition which causes the blood sugar levels to get too high whereas, diabetes as a whole is a chronic illness as it can only be treated and not cured. This is caused by insufficient insulin or, not enough insulin being produced to breakdown glucose into energy. The blurred vision that Isma has complained of, can be due to fluids leaking causing the eye to swell which has an impact on eyesight. On

Many small deaths such as Raymond Howell from mckinney texas and mass murders such as orlando florida's homosexual club shooting have occurred under the influence of guns. Guns have destroyed many lives. These deaths should not have occurred, With stricter gun control these unjustified murders would not have occurred and affect the lives of families. Gun control in America should be more restrictive because women will feel more protected from abusers, lower criminals with guns, unjustified gun deaths.