A.S , 50 y.o male, presents to her family physician with a 3 month history of back pain HISTORY PMH : Patient states that she has enjoyed excellent health Mother and brother have been diagnosed with Type 2 Diabetes Mellitus Family history negative for heart disease / hypertension On Metformin (decreases hepatic glucose production Social History : Married with three children - ages 20, 15, and 10, driver, denies smoking or use of drugs . Inactive lifestyle Diet 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 daily ANTHROPOMETRICS Height 5’9’’ Current Weight 225 # Usual weight 200 # ( for the past five years ) Lowest adult weight was 170 pounds at the age of 25 Waist Circumference 54 inches PHYSICAL EXAMINATION Blood Pressure 130/85 mm Hg Review of systems normal LABORATORY VALUES TZ Values Reference Values Fasting Blood Glucose 150mg/dL <100 mg/dL A1C 7.0 % 4 - 6 % Total Cholesterol 300 mg/dL < 200 mg/dL HDL 40 mg/dL > 40 mg/dL LDL 140 mg/dL < 130 mg/dL Triglycerides 250 mg/dL < 150 mg/dL PROBLEM LIST Type 2 Diabetes Obese Prehypertension PLAN Lifestyle modifications (diet and physical activity). RD to consult Write ADIME including PES statement for this case.

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter24: Neurosurgery

Section: Chapter Questions

Problem 24.3CS

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Question

A.S , 50 y.o male, presents to her family physician with a 3 month history of back pain

HISTORY

PMH : Patient states that she has enjoyed excellent health

Mother and brother have been diagnosed with Type 2 Diabetes Mellitus

Family history negative for heart disease / hypertension

On Metformin (decreases hepatic glucose production

Social History : Married with three children - ages 20, 15, and 10, driver, denies smoking or use of drugs . Inactive lifestyle

Diet 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 daily

ANTHROPOMETRICS

Height 5’9’’

Current Weight 225 #

Usual weight 200 # ( for the past five years )

Lowest adult weight was 170 pounds at the age of 25

Waist Circumference 54 inches

PHYSICAL EXAMINATION

Blood Pressure 130/85 mm Hg

Review of systems normal

LABORATORY VALUES

TZ Values Reference Values

Fasting Blood Glucose 150mg/dL <100 mg/dL

A1C 7.0 % 4 - 6 %

Total Cholesterol 300 mg/dL < 200 mg/dL

HDL 40 mg/dL > 40 mg/dL

LDL 140 mg/dL < 130 mg/dL

Triglycerides 250 mg/dL < 150 mg/dL

PROBLEM LIST

Type 2 Diabetes
Obese
Prehypertension
PLAN

Lifestyle modifications (diet and physical activity). RD to consult

Write ADIME including PES statement for this case.

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