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Pages:
2 pages/β‰ˆ550 words
Sources:
4 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 8.64
Topic:

Comorbid Chronic Illnesses: Anemia and Diabetes

Case Study Instructions:

56 y/o Caucasian male presents to the primary care clinic with complaints of dizziness and nausea x 4 days. The patient reports he has not been able to get out of bed since the symptoms started. The patient reports symptoms are worse when he tries to get out of bed to stand. He denies any headaches or blurry vision. He states he is urinating more over the last few days and he has noticed an increase in thirst. He reports he just drank a large sweet tea before he came into the clinic.
The patient reports that he is out of his Lantus and metformin because he cannot afford the refill until he gets his disability check. He is disabled after his second CVA that left him with generalized weakness. His medical history includes DM, HTN, CAD.
Upon arrival at the clinic, the patient’s vital signs are as follows- Blood sugar 405, B/P 190/101, HR 102, R-20, T- 98.5.
Using Evidence Based practice, answer the following questions thoroughly. Be sure to use APA formatting.
What are the pertinent positive and negative findings in this patient assessment?
Create a list of differentials with rationales for this patient?
Discuss a medication regimen for this patient considering his financial status?
What is the priority concern for this patient?
How does this patient’s comorbid diagnosis impact his current symptoms?
Discuss how the patient's health beliefs, culture and behaviors impact the potential outcomes for the patient.

Case Study Sample Content Preview:

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Case Study
Pertinent positives used to "figure in" a diagnostic test include dizziness, nausea, frequent urination, and an increase in thirst. They are disease-specific and could be acquired by repetition. Pertinent negatives are collected from the diagnostic process and used to "limit" other diagnostic alternatives, which requires more critical and conceptual thought. In this case, the pertinent negatives include high blood pressure of 405, hypertensive crisis (190/101), high heart rate at 102, and normal body temperature at 98.5 F. 
Differential diagnosis of the Caucasian male includes; 
1 Anemia - Anemia is a disorder where a person lacks healthy red blood cells decreases the quantity of oxygen delivered to the organs (Winzeler et al., 2019). Weakness, drowsiness, and dizziness are all symptoms of Anemia.
Rationale; Consequential to compensating for tissue hypoxia, anemic individuals will develop tachycardia, disorientation, elevated breathing rate, and weariness. This rationale is sound since Anemia's clinical signs could be used to make a differential diagnosis. 
2 Type 2 Diabetes Mellitus- it is most commonly diagnosed when one is getting old due to poor lifestyle choices. The pancreas can create insulin in this situation, but the insulin is ineffective at transporting glucose into the bloodstream (Garrahy et al., 2019). It results in glucose being released into the bloodstream, resulting in elevated blood glucose levels.
Rationale; It normally develops when an individual gets old due to unhealthy lifestyle factors and obesity; however, it can also strike youths. Increased drinking and eating, loss of sensation in the limbs, and mood swings may be experienced by those afflicted (Winzeler et al., 2019). Usually occurs in conjunction with other comorbid problems. This disorder is an acceptable differential diagnosis based on the medical symptoms and high blood sugar levels.
3 Type 1 Diabetes Mellitus - It is an immedicable metabolic condition where the pancreas does not produce sufficient insulin. Glucose requires insulin in this situation to pass through the membrane of cells and be utilized for power (Garrahy et al., 2019). Because cells cannot use glucose, blood glucose echelons rise to unimaginable heights. Teenagers and youths are the most commonly affected.
Rationale; Teenager or kid patients are more likely to develop this condition. The patient might burn calories whenever signs first occur, notwithstanding drinking and eating excessively. There is elevated urination, particularly at night. The person will seem tired, sluggish, and perplexed. It is typical to have tachycardia and Kussmaul respiration (Winzeler et al., 2019). This is a valid d...
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