Question 4510

Question Answered step-by-step Case Study ScenarioChief ComplaintHistory of Present IllnessPast Medical History HypertensionHyperlipidemiaJ.T. is a 48-year old male who presents to the primary care clinic with fatigue, weight loss, and extreme thirst and increased appetite.J.T. has been in his usual state of health until three weeks ago when he began experiencing symptoms of fatigue, weight loss, and extreme thirst. He reports that he would like to begin a walking program, but he feels too fatigued to walk at any point during the day. Now he is very concerned about gaining more weight since he is eating more. He reports insomnia due to having to get up and urinate greater than 4 times per night.ObesityFamily HistoryBoth parents deceasedBrother: Type 2 diabetesSocial HistoryDenies smokingDenies alcohol or recreational drug useLandscaperAllergiesNo Known Drug AllergiesMedicationsLisinopril 20 mg once daily by mouthAtorvastatin 20 mg once daily by mouthAspirin 81 mg once daily by mouthMultivitamin once daily by mouthReview of SystemsConstitutional: – fever, – chills, – weight loss.Neurological: denies dizziness or disorientationHEENT: Denies nasal congestion, rhinorrhea or sore throat.Chest: + Tachypnea. Denies cough.Heart: Denies chest pain, chest pressure or palpitations.Lymph: Denies lymph node swelling.General Physical Exam Constitutional: Alert and oriented male in no acute distressVital Signs: BP-136/80, T-98.6 F, P-78, RR-20Wt. 240 lbs., Ht. 5’8″, BMI 36.5HEENT Eyes: Pupils equal, round and reactive to light and accommodation, normal conjunctiva.Ears: Tympanic membranes intact.Nose: Bilateral nasal turbinates without redness or swelling. Nares patent.Mouth: Oropharynx clear. No mouth lesions. Teeth present and intact; Oral mucous membranes and lips dry.Neck/Lymph Nodes Neck supple without JVD.No lymphadenopathy, masses or carotid bruits.Lungs Bilateral breath sounds clear throughout lung fields. Breathing quality deep with fruity breath odorHeart S1 and S2 regular rate and rhythm; tachycardia; no rubs or murmurs.Integumentary System Skin warm, dry; Nail beds pink without clubbing.LabsTest Patient’s Result Reference Glucose (fasting) 132 60-120 mg/dLBUN 20 7-24 mg/dLCreatinine 0.8 0.7-1.4 mg/dLSodium 141 135-145 mEq/LPotassium 3.7 3.5-5.0 mEq/LChloride 97 95-105 mEq/LHCO3 24 22-28 mEq/LA1C 7.2J.T. is diagnosed with diabetes. Review all information provided in the case to answer the following questions.Pathophysiology & Clinical Findings of the DiseaseReview the lab findings and decide if the diagnosis is Type 2 or Type 1 Diabetes Mellitus.Explain the pathophysiology associated with your chosen diagnosisIdentify at least three subjective findings from the case which support the chosen diagnosis.Identify at least three objective findings from the case which support the chosen diagnosis. Health Science Science Nursing ADV PATHO NR 507 Share QuestionEmailCopy link Comments (0)

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