50-yr-old, female: Dx: Diabetes Insipidus 1. Define/describe the disease. 2. Explain the Anatomy and physiology involved in the disorder. 3. Show a short you tube video that explains the disease process.
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- Advanced Pathophysiology: 1. Describe the acute complications of Diabetes Mellitus and describe the features of each.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?3. Describe the diagnostic studies for type I diabetes mellitus. Diagnostic Test/Lab Rationale Results/Priority?
- A.S , 50 y.o male, presents to her family physician with a 3 month history of back painHISTORYPMH : Patient states that she has enjoyed excellent healthMother and brother have been diagnosed with Type 2 Diabetes MellitusFamily history negative for heart disease / hypertensionOn Metformin (decreases hepatic glucose productionSocial History : Married with three children - ages 20, 15, and 10, driver, denies smoking or use of drugs . Inactive lifestyleDiet History:Estimate energy intake of approximately 2800 kcal/day with approximately 1400 kcal from carbohydrates .Patient states that he consumes sandwich with sweetened pop (24 oz)-as Dinner, ice cream and chocolate candy dailyANTHROPOMETRICSHeight 5’9’’Current Weight 225 #Usual weight 200 # ( for the past five years )Lowest adult weight was 170 pounds at the age of 25Waist Circumference 54 inchesPHYSICAL EXAMINATIONBlood Pressure 130/85 mm HgReview of systems normalLABORATORY VALUES…Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What type of diabetes does she have?2. Describe the mechanism of action of metformin. In which patients is metformin contraindicated?3. List some non-pharmacologic measures that can lower her blood sugar?4. List the long term complications of DM5. What role does Lisinopril have in patients with DM?6. What concerns do you have with the propranolol?7. Despite her medication regimen, her blood sugar has been very, very high and her physician decidedto start a long acting insulin. Which insulins are long acting?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?
- Patient C., 32 y/o, was delivered unconscious to the intensive care department. The patient has a medical history of diabetes. Insulin was not found. The breathing is noisy, of Kussmaul’s type; acetone breath, the skin is dry, turgor is lowered, the facial features are sharp, periosteal reflexes are absent, eye ball tone is lowered. Blood contains 1.2 mmol/l of lactic acid (norm - 0.62-1.3 mmol/l), glycemia - 29 mmol/l. What kind of coma can be suspected?A. KetoacidoticB. Brain comaC. HyperosmolarD. HypochloremicE. LactacidemicB. RELATED QUESTIONS:1. Discuss what is Diabetes Mellitus and its pathophysiology. 2. Discuss the pharmacologic and nonpharmacologic interventions for Type 2 Diabetes Mellitus.A patient presents with the following symptoms: Constipation, increased sensitivity to cold temperature, fatigue/run down/weakness, heavier and irregular menstrual periods, joint or muscle pain, paleness or dry skin, sadness or depression, thin, brittle hair or fingernails, weight gain, and a pronounced goiter. What is the probable diagnoisis?
- Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTNList the long term complications of DMPatient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. Despite her medication regimen, her blood sugar has been very, very high and her physician decidedto start a long acting insulin. Which insulins are long acting?A. Read this clinical case: Clinical Case: A 12-year-old, sterilized, 17-pound Schnauzer dog arrives at the emergency room and her owner is desperate as she indicates that the dog fell out of her bed. The temperature is 99.6 F. She is quickly examined while she is cannulated to have an open vein and the following clinical manifestations are observed: ✓ Mydriasis ✓ Lethargy ✓ Dyspnea ✓ Weak pulse ✓ Hypotension ✓ Bradycardia B. The dog is believed to be in a state of shock. Answer these questions depending on the case and symptoms: -What materials and equipment would you use from the crashcart to respond to the emergency? -What diagnostic tests would you do? - Pre and post trauma care -Client orientation focused on prevention