Get Answer: Create Pathophysiological Diagram Question Guide
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Original Question
Create a pathophysiological diagram of the below case study with the presenting signs and symptoms of the given case study. Chronic Kidney Disease (End Stage Renal Disease) Kindly cite reference: P.S. I need the a diagram flow chart with explanation. Case: The patient is a 41-year-old male who has a long-standing history of hypertension and diabetes mellitus and presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and vomiting. He denies any other medical illnesses. On physical examination the patient is a well-developed, well-nourished male in moderate distress. Blood pressure 180/110, pulse 80, respirations 24 and he is afebrile. Body weight 76.5 kg. Cardiac exam has an S1, S2 and S4. The remainder of the exam is remarkable for 2+ lower extremity edema and superficial excoriations of his skin from scratching. Laboratory Values are as follows Results Normal Values Sodium 133 136-146 mmol/L Potassium 6.2 3.5-5.3 mmol/L Chloride 100 98-108 mmol/L Total CO2 15 23-27 mmol/L BUN 170 7-22 mg/dl Creatinine 16.0 0.7-1.5 mg/dl Glucose 108 70-110 mg/dl Calcium 7.2 8.9-10.3 mg/dl Phosphorus 10.5 2.6-6.4 mg/dl Alkaline Phosphatase 306 30-110 IU/L Parathyroid Hormone 895 10-65 pg/ml Hemoglobin 8.6 14-17 gm/dl Hematocrit 27.4 40-54 % Additional data are as follows: 24-hour urine collection at 850 ml Renal ultrasound: right kidney 9 x 6 cm; left kidney 9.2 x 5.8 cm Both kidneys illustrate hyperechogencity and no hydronephrosis
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