Question

Ms. Arthur is a 19 year old female who arrived at the emergency department urgent care, complaining of a yeast infection and an abscess on her left groin area. Identifying Information: 19 yr old female History of Present Illness: 19 yr old female presented to the ED c/o of a vaginal yeast infection and a furuncle to the left groin, She states that she has had multiple episodes of vaginal yeast infections & furuncles in various areas of the body throughout the year. Past Medical History: Denies Past Surgical History: Denies Current Medications: Mini pill No allergies Family History: Mother-alive-healthy Father-alive-healthy Social History: Occupation: full-time college student Tobacco Use: never illicit Drug Use: never Alcohol Use: on occasion Review of Systems: Subjective Data-(what patient tells you) Skin: "boil" to left groin, no changes in hair, no changes with nails Mental Health: no current feelings of sadness, no sleep disturbances, no suicidal ideations Neurological: no light-headedness, no dizziness, no balance problems Head and neck: no headache, no neck pain, no stiffness, no neck swelling Eyes: blurred vision periodically, no eye discharge, no redness, no edema Ears: no change in hearing, no tinnitus, no discharge Nose: no change in sense of smell, nasal discharge, or congestion Throat and mouth: dry mouth, states "I drink a lot of water because of it" Lymphatic: no swelling, no tenderness Cardiovascular: no chest pain, no leg swelling, no palpitations, no sob, no orthopnea Blood Vessels: no leg pain or cramps, no leg swelling Pulmonary: no difficulty breathing, no cough Gastrointestinal: no nausea, no vomiting, no fullness, no constipation

Answer 1

I based on presence of blood glucose of 196 (high), increased theist, blurred Vision , presence of infection as boil in groin area, potient seems the case of babetes mellitus 3. Mesifestations of om in potentia Ho frequerer vosinal infection e periodic blurred vision 'dry mouth High blood glucose level Glerose It is type present in urne I Diabetes mellitus as she Scanned with CamScanner

Genetice pre dosposition senestünkestal factors, obesity, consumption of minipills. Autoantigens against insulin Poroquing bete cells UL tromune Response Destruction of Beta cells with decreased insulin secretion I typerglycemia Scanned with CamScanner

1 4 . - - Deaprostor Results Blood glucose level high (1942 Grease present in urine cs Scanned with CamScanner
5. Diabetic ketoacidosis is the diagnosis

6. vomiting, abdominal cramps and weakness are present in dka as blood sugar was not controlled.

7. high anion gap, blood sugar, blood gas analysis suggesting metabolic acidosis, urinalysis showing presence of glucose and ketones.

8. as patient did not taken treatment prior and left against medical advice resulted in diabetic ketoacidosis

9. hypoglycemia as patient didnt taken food after insulin administration

10. the patient must have taken meal after insulin