A 22-year-old presents with hypertension, weakness and hypokalemia. She also has a high urine potassium excretion...
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22-year-old presents with hypertension, weakness and hypokalemia.
She also has a high urine potassium excretion...
A 52-year-old woman presents with complaints of weakness and fatigue, although she has continued to work....
A 52-year-old woman presents with complaints of weakness and fatigue, although she has continued to work. She attributes the complaints to menopause. Her menstrual cycles have been irregular but occasionally heavy. She has experienced a recent weight loss of 10 lbs over the past 6 months without diet or exercise. She reports chronic arthritis in her hands and knees, which is treated with Ibuprofen 400 mg when needed; mild dyspnea on exertion, chronic constipation, and HTN for which she takes...
Refer to Chapter 10 HYPOKALEMIA AND HYPERTENSION November 25, 20XX CHIEF COMPLAINT: Hypokalemia and hypertension HISTORY...
Refer to Chapter 10 HYPOKALEMIA AND HYPERTENSION November 25, 20XX CHIEF COMPLAINT: Hypokalemia and hypertension HISTORY OF PRESENT ILLNESS: This is a 53-year-old female who was worked up by Dr. Thomas for primary hypoaldosteronism. She has an aldosterone of 16.9 and a renin of 0.19 with a ratio now of 85 and previously was 170. She has a potassium of 3, and she takes replacement 40 mEq b.i.d. Her hypertension is present for about 10 years and has been getting...
A 55-year-old female has undiagnosed hypertension. She presents to her physician complaining of impaired vision and...
A 55-year-old female has undiagnosed hypertension. She presents to her physician complaining of impaired vision and chronic edema. Lab tests reveal that she also has renal insufficiency. The most likely cause for these findings is:
A 40-year-old female had hypertension and anuria. Lab results revealed hypernatremia and hypokalemia. Blood glucose level...
A 40-year-old female had hypertension and anuria. Lab results revealed hypernatremia and hypokalemia. Blood glucose level was normal. Urinalysis did not detect glycosuria. Patient had an excessive high level of the following hormone: Antidiuretic Hormone Aldosterone Erythropoietin Insulin None of the Above Patient in question #1 had the following disorder: Diabetes Insipidus Diabetes Mellitus Syndrome of Inappropriate Antidiuretic Hormone Hyperaldosteronism (Excessive Secretion of Aldosterone) Hypoaldosteronism (Decreased Secretion of Aldosterone) Patient in question #1 had the following acid base imbalance: Metabolic...
Frances Jenkins, 63 year old female with a 15 year diagnosis of Diabetes, presents in the...
Frances Jenkins, 63 year old female with a 15 year diagnosis of Diabetes, presents in the clinic. She also has a 10 year history of hypertension. Her diabetes and hypertension has been only moderately controlled. Today she reports edema in her hands, face, and feet. She reports that she is tired and "just doesn't seem to have any energy". Her blood sugar is within acceptable limits. Her urine is positive for blood and protein. What complication of diabetes might you...
22. Brendan, a 39-year-old bricklayer, is taking a thiazide diuretic for hypertension. During a follow-up visit,...
22. Brendan, a 39-year-old bricklayer, is taking a thiazide diuretic for hypertension. During a follow-up visit, he tells the nurse that he thinks the drug is affecting his "love life." a. b. To what adverse effect of thiazide therapy is Brendan probably referring? While the nurse is talking, she notices a pack- age of licorice in Brendan's coat pocket. He tells her that he eats the candy "for energy," especially because he has been feeling so tired the past couple...
Chief Complaint: Facial weakness History of Present Illness A 38 year-old female presents to the emergency...
Chief Complaint: Facial weakness History of Present Illness A 38 year-old female presents to the emergency department stating that over the past 36 hours, she has developed right sided facial weakness (Links to an external site.)Links to an external site. and drooping, an associated right sided ear and jaw ache and inability to close her right eye. She is unable to move both the upper and lower side of her face. She does report a history of an upper respiratory...
A 33-year-old woman was admitted with headache, lethargy, and intractable muscle spasms. Upon review of her...
A 33-year-old woman was admitted with headache, lethargy, and intractable muscle spasms. Upon review of her medical history she was found to have been recently diagnosed with stage II hypertension and has begun taking a thiazide diuretic. Arterial blood was drawn, revealing the following: pH 7.50 pCO2 50 mm Hg pO2 90 mm Hg Hemoglobin - O2 saturation 97% [HCO3-] 32 meq / liter Questions: 1. How would you classify this woman's acid-base status? (Be sure to address whether it...
Mrs. Kouassi is a 44-year-old African from the lvory Coast. Although she was diagnosed with hypertension...
Mrs. Kouassi is a 44-year-old African from the lvory Coast. Although she was diagnosed with hypertension about eleven years ago, it was left untreated. A year ago, she was seen in the Emergency Department for fatigue, poor appetite, nausea, and vomiting. She complained of shortness of breath, muscle weakness, and swelling of her lower legs. Her blood pressure reached 220/210. She was hospitalized, diagnosed with end-stage renal disease (ESRD), and started on hemodialysis. She currently goes to a dialysis center...
Case study 13.3- A 32 year old Hispanic female presents to the emergency department with abdominal...
Case study 13.3- A 32 year old Hispanic female presents to the emergency department with abdominal pain, weakness, and loss of appetite. She has not traveled in recent months she has not been well for several days. 1. what laboratory tests should be ordered to help diagnose this patient? 2.what enzyme tests will be useful in diagnosis of this patient? 3. What two diagnosis are most likely for this patient
A 52-year-old woman presents with complaints of weakness and fatigue, although she has continued to work. She attributes the complaints to menopause. Her menstrual cycles have been irregular but occasionally heavy. She has experienced a recent weight loss of 10 lbs over the past 6 months without diet or exercise. She reports chronic arthritis in her hands and knees, which is treated with Ibuprofen 400 mg when needed; mild dyspnea on exertion, chronic constipation, and HTN for which she takes...
Frances Jenkins, 63 year old female with a 15 year diagnosis of Diabetes, presents in the clinic. She also has a 10 year history of hypertension. Her diabetes and hypertension has been only moderately controlled. Today she reports edema in her hands, face, and feet. She reports that she is tired and "just doesn't seem to have any energy". Her blood sugar is within acceptable limits. Her urine is positive for blood and protein. What complication of diabetes might you...
22. Brendan, a 39-year-old bricklayer, is taking a thiazide diuretic for hypertension. During a follow-up visit, he tells the nurse that he thinks the drug is affecting his "love life." a. b. To what adverse effect of thiazide therapy is Brendan probably referring? While the nurse is talking, she notices a pack- age of licorice in Brendan's coat pocket. He tells her that he eats the candy "for energy," especially because he has been feeling so tired the past couple...
Mrs. Kouassi is a 44-year-old African from the lvory Coast. Although she was diagnosed with hypertension about eleven years ago, it was left untreated. A year ago, she was seen in the Emergency Department for fatigue, poor appetite, nausea, and vomiting. She complained of shortness of breath, muscle weakness, and swelling of her lower legs. Her blood pressure reached 220/210. She was hospitalized, diagnosed with end-stage renal disease (ESRD), and started on hemodialysis. She currently goes to a dialysis center...
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