Week 9: Endocrine, Metabolic, and Nutritional Disorders
Week 9 Case 1: Low Blood Sugar
HPI: Ms. Lewis is a 63-year old female who comes into your office with concerns of low blood sugar in the morning, fasting. She reports seeing blood sugar as low as 50 fasting in the mornings for the last few weeks. She has a known history of Diabetes, Hypertension, Hyperlipidemia, and Chronic Osteoarthritis. She also reports elevated blood pressures. Her blood pressure at presentation is 165/90.
RESOURCE FOR THIS WEEK: Review endocrine-related Evidence Based Practice Guidelines.
Ms. Lewis is a 63 y/o female who is AAOX4. She makes no unusual motor movements and demonstrates no tics. She denies any visual or auditory hallucinations. She denies any suicidal thoughts or ideations. She denies any falls, denies any pain.
Need Help Writing an Essay?
Tell us about your assignment and we will find the best writer for your paper.
Write My Essay For Me(All other Review of System and Physical Exam findings are negative other than stated.)
Vital Signs: BP 165/90, HR 89, RR 20, Temp 98.1
PMH: Hypertension, Hyperlipidemia, Diabetes, Chronic Osteoarthritis
Allergies: Penicillin, lisinopril
Medications:
Women’s One A Day-Multivitamin daily
Chlorthalidone 25mg daily
Fish Oil 1 tablet daily
Amlodipine 5mg p.o. daily
Atorvastatin 40mg p.o. at bedtime daily
Novolog 10 units with meals TID
Aspirin 81mg p.o. daily
Lantus 25 units Subcutaneous nightly
Ergocalciferol 50,000 units PO once a month
Social History: as stated in Case Study
ROS: as stated in Case study
Diagnostics/Assessments done:
- CXR- Last cxr showed no cardiopulmonary findings. Within normal limits.
- Basic Metabolic Panel and CBC as shown below
- Vitamin D Level- as noted below in lab results
TEST | RESULT | REFERENCE RANGE |
GLUCOSE | 85 | 65-99 |
SODIUM | 134 | 135-146 |
POTASSIUM | 4.2 | 3.5-5.3 |
CHLORIDE | 104 | 98-110 |
CARBON DIOXIDE | 29 | 19-30 |
CALCIUM | 9.0 | 8.6- 10.3 |
BUN | 20 | 7-25 |
CREATININE | 1.01 | 0.70-1.25 |
GLOMERULAR FILTRATION RATE (eGFR) | 76 | >or=60 mL/min/1.73m2 |
TEST | RESULT | REFERENCE RANGE |
Vitamin D 1,25 OH | 58 | 36-144 |
TEST | RESULT | REFERENCE RANGE |
WBC | 7.3 | 3.4- 10.8 |
RBC | 4.31 | 135-146 |
HEMOGLOBIN | 14 | 13-17.2 |
HEMATOCRIT | 42% | 36-50 |
MCV | 90 | 80-100 |
MCHC | 34 | 32-36 |
PLATELET | 272 | 150-400 |
Do you find yourself approaching a tight assignment deadline? We have a simple solution for you! Just complete our order form, providing your specific instructions. Rest assured that our team consists of professional writers who excel in their respective fields of study. They utilize extensive databases, top-notch online libraries, and up-to-date periodicals and journals to ensure the delivery of papers of the utmost quality, tailored to your requirements. Trust us when we say that thorough research is conducted for every essay, and our expertise in various topics is unparalleled. Furthermore, we have a diverse team of writers to cover a wide range of disciplines. Be assured that all our papers are created from scratch, guaranteeing originality and uniqueness.
Write my essays. We write papers from scratch and within your selected deadline. Just give clear instructions and your work is done