Get Answer: Year Comes Patient Question Guide
Students often encounter this when studying fundamental concepts.
What This Question Is About
This question relates to year comes patient and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves year comes patient. A strong answer should include explanation, application, and examples.
Original Question
A 55 year old man comes in for a new patient evaluation. He was diagnosed with type 2 diabetes mellitus 15 years ago. He also has hypertension and a 1-year history of right knee osteoarthritis that is well-controlled with a maximum dose of daily ibuprofen. He has not been evaluated by a physician in 3 years, and his last 90-day prescription refills were filled at that time. The patient brings empty medicine bottles for HCTZ, losartan, metformin and pravastatin. His only symptoms are fatigue, recent loss of appetite and ankle swelling. On physical exam, temperature is 98.9 degrees F, BP is 146/92 mmHg, pulse rate is 70/min and respiratory rate is 14/ minute. BMI is 31. There is no jugular venous distension. Cardiac exam reveals distant heart sounds with no murmur. The lungs are clear. There is bilateral lower extremity edema to the mid-shin. There are normal pedal pulses and sensation is intact. Labs results- glucose 230 mg/dL, sodium 142 meq/L, potassium 5.7 meq/L, creatinine 2.5. Urine protein/ creatinine ratio is 0.46 with urinalysis showing specific gravity 1.015/ 3+ protein, glucose and no casts. What is the relevant objective and subjective assessment data from the case study? What does this data indicate? What conclusions can you make? What is your preliminary diagnosis(es)? What is the underlying pathophysiology that produce the clinical manifestations in this case study? Based on the pathophysiology, what clinical course and complications could you anticipate? What patient education and follow up is required for the case study patient?
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