Case study: 22 year old women (previously adopted, not currently taking medications, negative medical history) presents with... ...hypertension, with 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 diagnosis?
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Case study:
22 year old women (previously adopted, not currently taking medications, negative medical history) presents with...
...hypertension, with 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 diagnosis?
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- Case study diabetes mellitus 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…Case Study: A 68-year-old diabetic male resident in a long term care facility is bedridden and has refused food and fluids for two days. He has a Stage 3 pressure ulcer in the coccyx and multiple venous ulcerations in the left lower leg. The following questions will assist the nursing student in the assessment of a client with skin breakdown. 1. How is skin turgor assessed? Give the different sites for checking skin turgor in clients with special considerations (i.e., pediatric and gerontological cases). 2. How will you check skin moisture? 3. Describe the techniques in checking skin temperature. 4. How will you assess for edema of the lower extremities? 5. Describe the key features in pressure ulcer assessment. 6. Describe a Stage III pressure ulcer. 7. Differentiate an arterial ulcer from a venous ulcer.Case Scererio A.B. is a retired 69-year-old man with a 5-year history of type 2 diabetes. Although he was diagnosed in 2015, he had symptoms indicating hyperglycemia for 2 years before diagnosis. He had fasting blood glucose records indicating values of 118–127 mg/dl, which were described to him as indicative of “borderline diabetes.” He also remembered past episodes of nocturia associated with fast foods- pizzas and KFC. At the time of initial diagnosis, he was advised to lose weight (“at least 10 lb.”), but no further action was taken. Referred by his family physician to the diabetes specialty clinic, A.B. presents with recent weight gain, suboptimal diabetes control, and foot pain. He has been trying to lose weight and increase his exercise for the past 6 months without success. He had been started on glyburide (Diabeta), 2.5 mg every morning, but had stopped taking it because of dizziness, often accompanied by sweating and a feeling of mild agitation, in the late afternoon. He…
- Case Scererio A.B. is a retired 69-year-old man with a 5-year history of type 2 diabetes. Although he was diagnosed in 2015, he had symptoms indicating hyperglycemia for 2 years before diagnosis. He had fasting blood glucose records indicating values of 118–127 mg/dl, which were described to him as indicative of “borderline diabetes.” He also remembered past episodes of nocturia associated with fast foods- pizzas and KFC. At the time of initial diagnosis, he was advised to lose weight (“at least 10 lb.”), but no further action was taken. Referred by his family physician to the diabetes specialty clinic, A.B. presents with recent weight gain, suboptimal diabetes control, and foot pain. He has been trying to lose weight and increase his exercise for the past 6 months without success. He had been started on glyburide (Diabeta), 2.5 mg every morning, but had stopped taking it because of dizziness, often accompanied by sweating and a feeling of mild agitation, in the late afternoon. He…Case Scererio A.B. is a retired 69-year-old man with a 5-year history of type 2 diabetes. Although he was diagnosed in 2015, he had symptoms indicating hyperglycemia for 2 years before diagnosis. He had fasting blood glucose records indicating values of 118–127 mg/dl, which were described to him as indicative of “borderline diabetes.” He also remembered past episodes of nocturia associated with fast foods- pizzas and KFC. At the time of initial diagnosis, he was advised to lose weight (“at least 10 lb.”), but no further action was taken. Referred by his family physician to the diabetes specialty clinic, A.B. presents with recent weight gain, suboptimal diabetes control, and foot pain. He has been trying to lose weight and increase his exercise for the past 6 months without success. He had been started on glyburide (Diabeta), 2.5 mg every morning, but had stopped taking it because of dizziness, often accompanied by sweating and a feeling of mild agitation, in the late afternoon. He…CASE STUDY: Nelson Amoah, 54-year-old male presents to the emergency department with abdominal pain, nausea, vomiting, abdominal distension and constipation which started 3 days prior to presentation. He denied fever, chills and headache. Except for peptic ulcer disease, he is otherwise healthy with no previous surgeries. He is a smoker, smoking a little less than a pack a day for twenty-two years. On examination he was afebrile, with a heart rate of 120 beats/min, blood pressure 130/80 mmHg and respiratory rate of 22 cycles/min. Abdominal examination revealed mild distension with generalized guarding and marked rebound tenderness in the epigastrium. There were no palpable masses and bowel sounds were absent. Erect and supine abdominal and chest radiographs were normal. However, abdominal ultrasonography revealed free fluid throughout the abdomen and pelvis. a. State at least FIVE questions that you would ask in analyzing Mr. Amoah’s pain b. Identify all;…
- Case Scenerio A.B. is a retired 69-year-old man with a 5-year history of type 2 diabetes. Although he was diagnosed in 2015, he had symptoms indicating hyperglycemia for 2 years before diagnosis. He had fasting blood glucose records indicating values of 118–127 mg/dl, which were described to him as indicative of “borderline diabetes.” He also remembered past episodes of nocturia associated with fast foods- pizzas and KFC. At the time of initial diagnosis, he was advised to lose weight (“at least 10 lb.”), but no further action was taken. Referred by his family physician to the diabetes specialty clinic, A.B. presents with recent weight gain, suboptimal diabetes control, and foot pain. He has been trying to lose weight and increase his exercise for the past 6 months without success. He had been started on glyburide (Diabeta), 2.5 mg every morning, but had stopped taking it because of dizziness, often accompanied by sweating and a feeling of mild agitation, in the late afternoon. He…CASE STUDY: A 26 year old woman appeared in the outpatient clinic with the complaint of abdominal discomfort, diarrhea, and an 18lb, unintentional weight loss during the past 2-3 years. She related a similar period of 5-6 years of abdominal distress and diarrhea in childhood, but this essentially disappeared when she was about 12-13 years old. She was now having three to five bowel movements daily, which were described as bulky, malodorous, and floating. She weighed 106lb and was 67 in tall. She never had surgical procedures. Physical examination revealed poor skin turgor, general pallor, and a protuberant abdomen. Abnormal clinical laboratory values included those in Case Study table 28.5.1 Fecal examination revealed no ova or parasites, and bacteriologic culture revealed no pathogens. CASE STUDY TABLE 28.5.1 Analyte Result Hemoglobin 8.1 g/dL Hematocrit 30% RBC count 4.1 X 10^6/uL Serum sodium…Case study: 22 year old women (previously adopted, not currently taking medications, negative medical history) presents with... ... hypertension, with periods of panic attacks and hormone flashes. She also presents with headache, hyperglycemia, hyperthyroidism, and gastrointestinal complaints. What is the diagnosis?
- Case study HPI: 73 year old Asian male presents to your clinic for a follow-up appointment. He is c/o dyspnea. SOB has gradually increased over the last 4 days and is worse when lying down in bed. He cannot walk more than 25 feet without SOB. He sleeps downstairs in a recliner, mostly so he doesn’t have to go up the stairs. He denies fever, chills, chest pain, palpitations, dizziness constipation, diarrhea, abdominal pain, or nausea. Reports 7 kg weight gain over the past week, chronic nonproductive cough. PmHx: heart failure, DM type II, HTN, CAD, MI, CKD FHx: Father died of MVC at age 62, mother died of heart failure at age 79, sister (age 65, alive) with HTN SHx: never used tobacco, etoh 1-2 drinks/month, retired, married with 1 daughter (ages 41, healthy), used to walk at the neighborhood track, but can’t anymore; eats mostly fish and vegetables, does not use salt. Meds: carvedilol 3.125mg BID lisinopril 40mg daily…Briefly outline some of the genetic changes commonly associated with the progression of colorectal cancer.Describe the pathophysiology, etiology, and early signs ofgastric cancer