Case B: You are a physician assistant taking care of a 65-year old retired man with a history of cardiovascular disease, including two heart attacks. A thorough history and physical exam reveal: height= 170 cm, weight= 80 kg, BP= 150/90, HR= 100 bpm, LDL= 200 mg/dl, TG= 250 mg/dl, HDL= 30 mg/dl, FPG=80 mg/dl and HbA1c= 3%. As a grandfather, your patient spends most of his days taking care of his grandchildren while the parents, who both work full-time, are at work.
Question 1. Consider the entire description of your patient
above- do not imply any extra information. Provide a complete list
of the patient's descriptions/risk factors, and state whether they
are modifiable or non-modifiable. What conditions is your patient
at risk for developing considering the descriptions you provided in
your list? (3)
answer
here the patient is old age, 65 years. with height 170 cm and weight 80 kg
body mass index is = weight in kg / height in meter 2
= 80 / 1.72
= 27.6
ideal BMI is 18.5 to 24.9
here the patient is over weight,
the risk factors mentioned in the scenario are
obesity
high blood pressure level
deranged lipid level
lack of physical acvtivity
high heart rate
age
gender
here patients fasting sugar is within normal limit(80 - 120 mg/dl ) and hba1c is also normal (belowe 5.6 %, which is a long term indicator of blood sugar control )
here the modifiable risk factors can be controlled by life style changes like excercise, dietary controll, reduced salt intake , reduce oily food consumption, eating green leafy vegetables, yoga, breathing excercise, jogging.....taking proper , regular medications for high bp ,dyslipidemia,
the patient in this scenario already has two heart attacks , and now also his vitals are not in good controll for the healthy function of heart. his heart rate also high, which will increase the work load to heart. bp also high which also worsens heart disease and heart has to work more to pump blood , his HDL cholestrol is low , which is a good cholestrol and other ipids are high which leads to atherosclerosis of heart blood vessels and blockage. so whenever heart need more oxygen supply as in high working condition , heart cant get enough oxygen and leads to angina and heart attack , heart failure , pulmonary edema, stroke
Case B: You are a physician assistant taking care of a 65-year old retired man with...
Case: You are a physician assistant taking care of a 65-year old retired man with a history of cardiovascular disease, including two heart attacks. A thorough history and physical exam reveal: height= 170 cm, weight= 80 kg, BP= 150/90, HR= 100 bpm, LDL= 200 mg/dl, TG= 250 mg/dl, HDL= 30 mg/dl, FPG=80 mg/dl and HbA1c= 3%. As a grandfather, your patient spends most of his days taking care of his grandchildren while the parents, who both work full-time, are at...
Case: You are a physician assistant taking care of a 65-year old retired man with a history of cardiovascular disease, including two heart attacks. A thorough history and physical exam reveal: height= 170 cm, weight= 80 kg, BP= 150/90, HR= 100 bpm, LDL= 200 mg/dl, TG= 250 mg/dl, HDL= 30 mg/dl, FPG=80 mg/dl and HbA1c= 3%. As a grandfather, your patient spends most of his days taking care of his grandchildren while the parents, who both work full-time, are at...
You are a physician assistant taking care of a 65-year old retired man with a history of cardiovascular disease, including two heart attacks. A thorough history and physical exam reveal: height= 170 cm, weight= 80 kg, BP= 150/90, HR= 100 bpm, LDL= 200 mg/dl, TG= 250 mg/dl, HDL= 30 mg/dl, FPG=80 mg/dl and HbA1c= 3%. As a grandfather, your patient spends most of his days taking care of his grandchildren while the parents, who both work full-time, are at work.Question....
** If there are any errors in the given answers please note it if you can thank you Case B: You are a physician assistant taking care of a 65-year old retired man with a history of cardiovascular disease, including two heart attacks. A thorough history and physical exam reveal: height= 170 cm, weight= 80 kg, BP= 150/90, HR= 100 bpm, LDL= 200 mg/dl, TG= 250 mg/dl, HDL= 30 mg/dl, FPG=80 mg/dl and HbA1c= 3%. As a grandfather, your patient...
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