10. Based on the CKD - API equation CKD is Stage 4. Patient is experiencing GFR less than 60 mL per min should be more tjan 3 months. Calculated GFR is 21 mL per Min. Patient to be refered to Nephrologist. Risk of fast progression is very high. 3 months once consultation to be done. UACR ratio of 500 mg/ g suggests that albuminuria is present.
11. Based on the CKD- API equation CKD is Stage 3. Patient is experiencing reduced GFR of 37 ml per min for more than 3 months. Risk of progreassion is moderate. Referral to nephrologist is optional. 6 months once consultation to be done. UACR 289 indicates microalubminuria.
CKD Staging Questions - Please utilize Figure 11.1 in 2020 ADA Standards of Care to stage...
Scenario 3: HK, a 47-year-old WM, presents to the internal medicine resident clinic for management of his type 2 diabetes mellitus and CKD. Unfortunately, HK's SCr has increased from 1.2 mg/dL to 1.6 mg/dL. He is currently only taking Invokana 100 mg PO daily because he experienced intolerable Gl adverse effects from metformin. The resident asks you if HK's Invokana dose can be increased to 300 mg PO daily today for better glycemic control. 7. Based on HK's SCr, what...
Case Study for Care Plan Assignment: fill each attached column with its appropriate answer, use the below scenario. A retired 69-year-old man "Mr. Casey" with a 5-year history of type 2 diabetes. Although he was diagnosed 5 years ago he had symptoms indicating hyperglycemia for 2 years before diagnosis. His fasting blood glucose values of 118–127 mg/dl, which was explained to him as “borderline diabetes.” He also states he has had past episodes of nocturia with large pasta meals and...
Rapid Fire questions - 10 points total Question 2: Your 70-year-old male patient, Mr. Y, states that he is having trouble controlling his urge to urinate, and this is getting him concerned: “Sometimes I pee accidentally in the middle of the night, and other times I'm holding it in and feel full ... this stress raises my blood pressure!”. He begins to tell you that he is on multiple medications (e.g. antihypertensives), and while he is speaking, you (as his...
Instructions: Review each case study and select the correct ICD-10-CM diagnostic code. Please be aware that when an answer consists of more than one code, there will be an answer blank for each code. Case 1 Physician Office Visit This 39-year-old female recently underwent GYN surgery and now is experiencing sleeplessness, headache, and lack of concentration. Her physical exam is negative. Diagnostic workup concludes ovarian failure. I am referring her to a specialist. Diagnosis: symptomatic postprocedural ovarian failure. ICD-10-CM Code...
REASON FOR ADMISSION Acute on chronic hypoxemic respiratory failure, status post tracheostomy tube, and ventilatory dependence. HISTORY OF PRESENT ILLNESS Ms.________ is a 59-year-old Caucasian female with a history of advanced chronic obstructive pulmonary disease on 4 L of oxygen at home, atrial fibrillation, bilateral pulmonary emboli status post IVC filter years ago, type 2 diabetes, and diastolic heart failure, who was admitted to Acute Care Hospital on July 30, 2016, with 3 days of watery diarrhea. Upon admission to...