A 63-year-old female with a past medical history significant for diabetes mellitus, cirrhosis, gout, and a 30-pack a year smoking history presents to the emergency room with chest pain revealing pericarditis in the echocardiogram, secondary to recently diagnosed end-stage renal disease. Physical examination reveals yellowish discoloration to the skin and sclera, multiple bruises, 2+ bilateral edema, and weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin. Her recent laboratory results are as follows: What is the correlation between her illnesses and the low vitamins (D, K, E, and A), renin, and aldosterone levels? 7. Which hormone would the body elevate in response to her low calcium levels? Why?

A 63-year-old female with a past medical history significant for diabetes mellitus, cirrhosis, gout, and a 30-pack a year smoking history presents to the emergency room with chest pain revealing pericarditis in the echocardiogram, secondary to recently diagnosed end-stage renal disease. Physical examination reveals yellowish discoloration to the skin and sclera, multiple bruises, 2+ bilateral edema, and weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin. Her recent laboratory results are as follows: What is the correlation between her illnesses and the low vitamins (D, K, E, and A), renin, and aldosterone levels? 7. Which hormone would the body elevate in response to her low calcium levels? Why?

Complete Textbook Of Phlebotomy

5th Edition

ISBN:9781337464314

Author:Hoeltke

Publisher:Hoeltke

Chapter3: Basic Human Anatomy And Physiology

Section: Chapter Questions

Problem 4.1E

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A 63 yo female w/ a past medical history significant for diabetes mellitus, cirrhosis, gout, and a 30-pack a year smoking history, presents to the emergency room with chest pain revealing pericarditis in the echocardiogram, secondary to recently diagnosed end-stage renal disease. Physical examination reveals yellowish discoloration to the skin and sclera, multiple bruises, and 2+ bilateral edema. Sarah reports weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin. Explain the cause of her abnormal stool and urine sample. What cell does Glisten work on? Explain how this medication is able to stimulate insulin secretion.
I answered all of these questions but now I need help with an abstract and conclusion (summary of the case) Having trouble! Sarah, a 63-year-old female with a past medical history significant for diabetes mellitus, cirrhosis, gout, and a 30-pack a year smoking history, presents to the emergency room with chest pain revealing pericarditis in the echocardiogram, secondary to recently diagnosed end-stage renal disease. Physical examination reveals yellowish discoloration to the skin and sclera, multiple bruises, and 2+ bilateral edema. Sarah reports weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin. Explain the cause for her low calcium and sodium levels. Explain the cause of her anemia. What laboratory test should indicate she is suffering from anemia? Explain the cause of her hypotension. How will her body attempt to establish homeostasis? What type of…
History of present illness: Patient is a 28 year old Caucasian female presenting to an outpatient clinic with complaints of weakness, numbness, tingling, and mild tremors (for the last 2 weeks) in her upper extremities, having trouble concentrating, fatigue, dizziness, and lacking balance for at least three and half months. Past medical history Breast fibroadenoma Mononucleosis Family history: Father has HBP Mother has Rheumatoid arthritis Social History No tobacco, illicit drugs, or alcohol history Patient has 2 children and lived with husband in Alaska for most of her adult life. Currently having trouble with home choirs and playing with children. Allergies None Medications Multivitamins Key Labs, images, or procedures performed in relation to current diagnosis. CBC: Hemoglobin: 10.8g/dL MRI with contrast: Inflammatory demyelination within the central nervous system. Currently inconclusive. Lumbar puncture (spinal tap): Elevated levels of IgG antibodies, and…
Ms. Jackson is a single, 56-year-old woman with a 20-year history of type 1 diabetes, hypertension, hyperlipidemia, chronic anemia, and a total knee replacement. She has been diagnosed with CKD. She was admitted to a medical unit for treatment of shortness of breath and CKD. Treatment will include hemodialysis. She has had increasing shortness of breath, has pitting edema, urine output of about 375 mL/day, and is having premature ventricular contractions (PVCs) as seen on the cardiac monitor. Her admitting laboratory values are Na 131, K 6, Cl 97, Ca 10, iron (Fe) 64, WBC 4000, RBC 3.12, Hgb 10.1, Hct 32, creatinine 7, BUN 30. Her blood glucose levels yesterday were as follows: 07:00, 154 mg/dL; noon, 122 mg/dL; 17:00, 188 mg/dL. She has sliding-scale insulin ordered. She is having an echocardiogram and chest x-ray done. She is having a two-tailed subclavian catheter placed for blood access. She is withdrawn and quiet. Ms. Jackson is a single, 56-year-old woman with a 20-year history…
S B is a 54-year-old Latina female who went to her healthcare provider with complaints of heartburn, dysphagia, nausea, and chest pain. She feels bloated and obtains little or no relief from over-the-counter antacids. Her past medical history includes 2-pack-a-day cigarette smoking, stressful job, and chronic use of NSAIDs for chronic back pain. 1.What is the recommended diagnostic test to diagnosis GERD? Why?
Case:A case due to illegible prescription is presented, occurring in a 52-year- old man with a history of duodenal ulcer admitted to hospital with epigastric pain. He was prescribed Lansoprazole (Aprazol tablet) and Calcium Magnesium Carbonate (Rennie suspension), but Naproxen Sodium (Skelan) was given him instead of Lansoprazole. Shortly after starting medication, he was diagnosed upper gastrointestinal bleeding and complete recovery was reached in a short time. After discharge from hospital, the patient filed a lawsuit against the pharmacy in the criminal court of first instance. At the end of trial, the court's decision was both the pharmacist and his assistant were mainly responsible for detriment of complainant’s health. They should have contacted with the prescribing doctor if any doubt existed about the name of drug that was being prescribed. According to the decision, the doctor's responsibility was smaller than the others. Questions:a. What do you think is the reason why in…
Case:A case due to illegible prescription is presented, occurring in a 52-year- old man with a history of duodenal ulcer admitted to hospital with epigastric pain. He was prescribed Lansoprazole (Aprazol tablet) and Calcium Magnesium Carbonate (Rennie suspension), but Naproxen Sodium (Skelan) was given him instead of Lansoprazole. Shortly after starting medication, he was diagnosed upper gastrointestinal bleeding and complete recovery was reached in a short time. After discharge from hospital, the patient filed a lawsuit against the pharmacy in the criminal court of first instance. At the end of trial, the court's decision was both the pharmacist and his assistant were mainly responsible for detriment of complainant’s health. They should have contacted with the prescribing doctor if any doubt existed about the name of drug that was being prescribed. According to the decision, the doctor's responsibility was smaller than the others. Questions:c. What is the medication error severity…
A. A 22-year-old woman (previously adopted, not currently taking medications, negative medical history) presents with hypertension, weakness, and hypokalemia. The patient also has a high urine potassium excretion without diuretics. What is the probable diagnosis? Discuss the patient's disorder. B. A 22-year-old woman (previously adopted, not currently taking medications, negative medical history) presents with hypertension, weakness, and rapid onset of obesity. This patient also exhibits central fat pads, buffalo hump, plethora, thin skin, purple striae, easy bruising, osteoporosis, hyperglycemia/insulin resistance, and recurrent infections. What is the probable diagnosis? Discuss the patient's disorder. C. A 22-year-old woman (previously adopted, not currently taking medications, negative medical history) presents with hypertension, with virilization. This young woman presents with irregular menses diagnosed with polycystic ovary syndrome. She has borderline low cortisol and…
Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…
Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…
Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…
Case # 2 Eric is a 52-year-old High school principal, who presented with a 2-week history of polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision. A random glucose test performed 1 day before presentation was 352 mg/dl. The patient denied any symptoms of numbness, tingling in hands or feet, dysuria, chest pain, cough or fevers. He had no prior history of diabetes and no family history of diabetes. Admission of non-fasting serum glucose 248 mg/dl (N=<180 mg/dl), HbA1c 9.6% (N=4-6.1%). Electrolytes, BUN and creatinine were normal. Physical examination revealed weight of 180 pounds, height 5'5.5" (IBW 140-145). The rest of the examination was unremarkable,i.e., no signs of retinopathy or neuropathy. The patient was taught self-monitoring of blood glucose and began on 5 mg glyburide once a day. He was instructed in diet (1800 cal ADA). Blood glucose levels ranged from 80 to120 mg/dl within 2 weeks of starting glyburide, his symptoms disappeared, and weight…