Read the case study listed below.<\/p>\n
Refer to the rubric for grading requirements.<\/p>\n
Utilizing the\u00a0Week 6 Case Study Template\u00a0Links to an external site., provide your responses to the case study questions listed below.<\/p>\n
You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.<\/p>\n
You must use the current Clinical Practice Guideline (CPG) for the Standards of Medical Care in Diabetes -Abridged for Primary Care Providers provided by the American Diabetes Association to determine the patient’s type of diabetes and answer the treatment recommendation questions. The most current guideline can be found at the following web address:\u00a0https:\/\/professional.diabetes.org\/content-page\/practice-guidelines-resources\u00a0Links to an external site.. At the website, locate the current year\u2019s CPG for use.\u00a0<\/p>\n
Proper APA format (in-text citations, reference page, spelling, English language, and grammar) must be used.<\/p>\n
Case Study Scenario<\/p>\n
Chief Complaint<\/p>\n
J.T. is a 48-year old male who presents to the primary care clinic with fatigue, weight loss, and extreme thirst and increased appetite.<\/p>\n
History of Present Illness<\/p>\n
J.T. has been in his usual state of health until three weeks ago when he began experiencing symptoms of fatigue, weight loss, and extreme thirst. He reports that he would like to begin a walking program, but he feels too fatigued to walk at any point during the day. Now he is very concerned about gaining more weight since he is eating more. He reports insomnia due to having to get up and urinate greater than 4 times per night.<\/p>\n
Past Medical History\u202f<\/p>\n
Hypertension<\/p>\n
Hyperlipidemia<\/p>\n
Obesity<\/p>\n
Family History<\/p>\n
Both parents deceased<\/p>\n
Brother: Type 2 diabetes\u202f<\/p>\n
Social History<\/p>\n
Denies\u202fsmoking<\/p>\n
Denies alcohol or recreational drug use<\/p>\n
Landscaper\u202f\u202f<\/p>\n
Allergies<\/p>\n
No Known Drug Allergies\u202f<\/p>\n
Medications<\/p>\n
Lisinopril 20 mg once daily by mouth<\/p>\n
Atorvastatin 20 mg once daily by mouth<\/p>\n
Aspirin 81 mg once daily by mouth<\/p>\n
Multivitamin once daily by mouth<\/p>\n
Review of Systems<\/p>\n
Constitutional: – fever, – chills, – weight loss.<\/p>\n
Neurological: denies dizziness or disorientation<\/p>\n
HEENT: Denies nasal congestion, rhinorrhea or sore throat.\u202f\u202f<\/p>\n
Chest: (-)Tachypnea. Denies cough.<\/p>\n
Heart: Denies chest pain, chest pressure or palpitations.<\/p>\n
Lymph: Denies lymph node swelling.<\/p>\n
General Physical Exam\u202f\u202f<\/p>\n
Constitutional: Alert and oriented male in no acute distress \u202f\u202f<\/p>\n
Vital Signs:\u202fBP-136\/80, T-98.6 F, P-78, RR-20<\/p>\n
Wt. 240\u202flbs.,\u202fHt.\u202f5’8″, BMI 36.5<\/p>\n
HEENT\u202f<\/p>\n
Eyes: Pupils equal, round and reactive to light and accommodation, normal conjunctiva.\u202f<\/p>\n
Ears: Tympanic membranes intact.\u202f<\/p>\n
Nose: Bilateral nasal turbinates without redness or swelling. Nares patent.\u202f<\/p>\n
Mouth: Oropharynx clear. No mouth lesions. Teeth present and intact; Oral mucous membranes and lips dry.\u202f<\/p>\n
Neck\/Lymph Nodes\u202f<\/p>\n
Neck supple without JVD.\u202f<\/p>\n
No lymphadenopathy, masses or carotid bruits.\u202f<\/p>\n
Lungs\u202f<\/p>\n
Bilateral breath sounds clear throughout lung fields. Breathing quality deep with fruity breath odor<\/p>\n
Heart\u202f<\/p>\n
S1 and S2 regular rate and rhythm; – tachycardia; no rubs or murmurs.\u202f<\/p>\n
Integumentary System\u202f<\/p>\n
Skin warm, dry; Nail beds pink without clubbing. \u202f<\/p>\n
Labs<\/p>\n
Test Patient\u2019s Result Reference<\/p>\n
Glucose (fasting) 132 60-120 mg\/dL<\/p>\n
BUN 20 7-24 mg\/dL<\/p>\n
Creatinine 0.8 0.7-1.4 mg\/dL<\/p>\n
Sodium 141 135-145 mEq\/L<\/p>\n
Potassium 3.7 3.5-5.0 mEq\/L<\/p>\n
Chloride 97 95-105 mEq\/L<\/p>\n
HCO3 24 22-28 mEq\/L<\/p>\n
A1C 7.2 \u00a0<\/p>\n
Urinalysis<\/p>\n
Protein<\/p>\n
Glucose<\/p>\n
Ketones Negative<\/p>\n
Positive<\/p>\n
Negative \u00a0<\/p>\n
Oral glucose tolerance test (OGTT) 220 mg\/dL \u00a0<\/p>\n
J.T. is diagnosed with diabetes. Review all information provided in the case to answer the following questions.<\/p>\n
Case Study Questions<\/p>\n
Pathophysiology & Clinical Findings of the Disease<\/p>\n
Review the lab findings and decide if the diagnosis is Type 2 or Type 1 Diabetes Mellitus.<\/p>\n
Explain the pathophysiology associated with your chosen diagnosis<\/p>\n
Identify at least three subjective findings from the case which support the chosen diagnosis.<\/p>\n
Identify at least three objective findings from the case which support the chosen diagnosis.<\/p>\n
Management of the Disease<\/p>\n
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.<\/p>\n
Identify two (2) “Evidence A” recommended medication classes for the treatment of this condition and provide an example (drug name) for each.<\/p>\n
Describe the mechanism of action for each of the medication classes identified above.<\/p>\n
Identify two (2) “Evidence A” recommended non-pharmacological treatment options for this patient.<\/p>\n
Utilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment recommendations<\/p>\n
Category Points % Description<\/p>\n
Pathophysiology\u00a0& Clinical Findings\u00a0of the Disease 45\u202f 45% The student:<\/p>\n
Identifies the likely diagnosis based on exam and lab findings.\u00a0<\/p>\n
Explains the pathophysiology associated with the chosen disorder.<\/p>\n
Supports the pathophysiology statement with at least one appropriate, scholarly reference (textbook is acceptable for pathophysiology statements only).<\/p>\n
Identifies at least three subjective findings from the case.<\/p>\n
Identifies at least three objective findings from the case.<\/p>\n
(5 Required Elements)<\/p>\n
Management of the Disease\u00a0 45 45% The student:<\/p>\n
Utilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment recommendations.<\/p>\n
Identifies two (2)\u201cEvidence A\u201d recommendedmedicationclassesfor the treatment of the condition and provides an example (drug name) for each.<\/p>\n
Identifies two (2) \u201cEvidence A\u201d recommended non-pharmacological treatment options for the condition.<\/p>\n
Describes the mechanism of action for each of the medication classes identified above.<\/p>\n
(4 Required Elements)<\/p>\n
\u00a0 90 90% Total CONTENT Points= 90\u00a0pts<\/p>\n
Assignment Format Category Points % Description<\/p>\n
Organization, spelling, grammar & APA format 10 10% The student:<\/p>\n
Uses the week 6case study template for case study responses.\u00a0<\/p>\n
Provides correct in-text citations for responses which match the reference page.<\/p>\n
Has minimal spelling, grammar & APA format errors.<\/p>\n
\u00a0 100 100% Total FORMAT Points=\u00a010\u00a0pts<\/p>\n
\u00a0 \u00a0 \u00a0 ASSIGNMENT TOTAL=100\u00a0points<\/p>\n
Rubric<\/p>\n","protected":false},"excerpt":{"rendered":"
Read the case study listed below. Refer to the rubric for grading requirements. Utilizing the\u00a0Week 6 Case Study Template\u00a0Links to<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-36993","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"\n