Question description
Endocrine case studyCC/PMI: GB is a 65 year-old male who comes in for a check-up on the request of his spouse. His last check-up was 10 years ago. He has no complaints other than some leg numbness and tingling from time-to-time and feeling thirsty and tired most of the time.SH: no smoking or alcohol consumptionPhysical Examination:GEN: well-nourished, slightly obese maleVS: BP 170/100, Hr 70, RR 12, T 98.7, Wt 89kg, Ht 5’8″HEENT: PERRLACOR: RRR, NMRGCHEST: CTANEURO: monofilament test shows decreased peripheral sensationEXT: normalLaboratory (fasting): Na 140Cl 100BUN 32BG 250K 3.7HCO3 24SCr 1.9ALT 35AST 40Alb 4.0Ca 9.0TP 7Cholesterol 250 UA: SG 1.012, pH 6.4, +++ protein QuestionsWhat major problems can you identify with this patient? What is your assessment and plan for each problem? Provide pharmacological and nonpharmacological care (don’t forget to be specific). Will you add any new medications? How will you monitor each problem and each medication included in your plan? When will you suggest following up with the patient? Is there any laboratory monitoring that will need to be conducted to assure the safety of the patient?
