Steve, a 48 year old accountant, exhibits all the symptoms of metabolic syndrome. Briefly name the...
Steve, a 48 year old accountant, exhibits all the symptoms of metabolic syndrome. Briefly name the five symptoms that define metabolic syndrome, and give at least one recommendation for dietary changes that might lower Steve's risk for cardiovascular disease.
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Steve, a 48 year old accountant, exhibits all the symptoms of
metabolic syndrome. Briefly name the...
Case Study 26-3: Accountant with Metabolic Syndrome John Quintana is a 47-year-old certified public accountant with...
Case Study 26-3: Accountant with Metabolic Syndrome John Quintana is a 47-year-old certified public accountant with a history of hypertension who comes to his doctor for an annual medical exam. He is 6 feet tall and weighs 245 pounds, up ten pounds from his previous visit a year ago. His blood pressure is 140/95 mm/Hg. Laboratory blood tests reveal fasting plasma glucose of 111 mg/dL and HDL cholesterol of 30 mg/dL. John is relatively inactive due to his sedentary job...
Allan is a 55-year-old man. He used to play football in high school and be fairly...
Allan is a 55-year-old man. He used to play football in high school and be fairly active as a younger man, but now his physique is best described as husky at 6 feet tall and 215 pounds. He has worked as a real estate salesman for many years despite the fact that he's not especially social, so he experiences a fair bit of job stress and insecurity. Allan had a relatively minor heart attack (from coronary atherosclerosis) that weakened him...
Case study Jane is a 38 year old woman who recently was told by her doctor...
Case study Jane is a 38 year old woman who recently was told by her doctor that she is “pre-diabetic” and her blood pressure is 130/82. Jane is 5 feet, 5 inches tall (5’5”) and weighs 200 lbs. Her waist circumference is 38 inches. Jane’s total cholesterol is 250, her HDL is 35, and her LDL is 162. Jane’s father died of a heart attack last year. Jane does not currently participate in an exercise program, but she does walk 10 minutes every day...
Three-year-old Michael is brought to the emergency room of a large metropolitan hospital by his parents....
Three-year-old Michael is brought to the emergency room of a large metropolitan hospital by his parents. What began about a week ago as a seemingly mild cold has turned into a severe cough. Michael has experienced several “fits” of coughing in the past 24 hours. Each seems to become more violent. During the latest, he seemed unable to get air and had begun to turn blue in the hands, feet, nose, and lips. Between coughs, he noisily gasps for air....
Scenario: J.T. a 48-year-old construction worker with a 25-pack-year smoking history, is admitted to your floor...
Scenario: J.T. a 48-year-old construction worker with a 25-pack-year smoking history, is admitted to your floor with a diagnosis of rule out myocardial infarction (R/O MI). He has significant male-pattern obesity and reports a dietary history of high-fat food. His wife brought him to the emergency department after he complained of unrelieved “indigestion.” His admission vital signs (VS) were BP 202/124, pulse 106, respirations 18, and oral temperature 98.2°F (36.8 ° C). J.T. was put on oxygen (O2) by nasal...
Frank P. is a 48-year-old landscape architect who is concerned about his recent weight gain. He...
Frank P. is a 48-year-old landscape architect who is concerned about his recent weight gain. He is 69 inches tall and weighs 202 pounds. His usual weight is 190 pounds. Mr. P reports that—due to his busy schedule—he often skips breakfast or stops for a donut and coffee with sugar on his way to work in the morning. He frequently eats out with clients for lunch and usually eats dinner at home with his wife. His favorite nighttime snack is...
Study: Watching the Salt Karen is a 66-year-old grandmother of five. She worked in an office...
Study: Watching the Salt Karen is a 66-year-old grandmother of five. She worked in an office as a lifestyle, she often skipped breakfast and relied on coffee to see her through to lunch, which she usually bought from one of the food trucks outside her office building. Her favorite lunch was a sliced pork sandwich and pickle from the deli meat truck. She continued drinking coffee into the afternoon, and then sometimes at home after dinner. Despite her retirement, her...
Mr. Bonilla is an 88-year-old male of Asian descent with a height of 5'3". He is...
Mr. Bonilla is an 88-year-old male of Asian descent with a height of 5'3". He is a retired head of a family- owned textile business. Until two years ago, he was generally healthy despite being overweight. At that time, his wife passed way and his health began to decline drastically. His weight dropped from 162 to 102 pounds. He became severely dehydrated and was hospitalized briefly for rehydration. One major factor contributing to this significant weight loss, aside from dealing...
Karen is a 66-year-old grandmother of five, She worked in an office as a legal secretary for many years be...
Karen is a 66-year-old grandmother of five, She worked in an office as a legal secretary for many years before recently retiring. Due to her job and busy lifestyle, she often skipped breakfast and relied on coffee to see her through to lunch, which she usually bought from one of the food trucks outside her office building. Her favorite lunch was a sliced pork sandwich and pickle from the deli meat truck. She continued drinking coffee into the afternoon, and...
A 62-year-old elderly woman, Mrs. NM, comes into the emergency room with a Chief Complaint of...
A 62-year-old elderly woman, Mrs. NM, comes into the emergency room with a Chief Complaint of generalized weakness and moderate shortness of breath, with heavy epistaxis for the past 20 hours. The patient also related that she had bitten the inside of her mouth about 1 week ago, and she still had mild, occasional bleeding from the site, despite being extremely careful with chewing food and brushing teeth. Pt. also stated that she sometimes her stools are very dark, but...
Case Study 26-3: Accountant with Metabolic Syndrome John Quintana is a 47-year-old certified public accountant with a history of hypertension who comes to his doctor for an annual medical exam. He is 6 feet tall and weighs 245 pounds, up ten pounds from his previous visit a year ago. His blood pressure is 140/95 mm/Hg. Laboratory blood tests reveal fasting plasma glucose of 111 mg/dL and HDL cholesterol of 30 mg/dL. John is relatively inactive due to his sedentary job...
Allan is a 55-year-old man. He used to play football in high school and be fairly active as a younger man, but now his physique is best described as husky at 6 feet tall and 215 pounds. He has worked as a real estate salesman for many years despite the fact that he's not especially social, so he experiences a fair bit of job stress and insecurity. Allan had a relatively minor heart attack (from coronary atherosclerosis) that weakened him...
Study: Watching the Salt Karen is a 66-year-old grandmother of five. She worked in an office as a lifestyle, she often skipped breakfast and relied on coffee to see her through to lunch, which she usually bought from one of the food trucks outside her office building. Her favorite lunch was a sliced pork sandwich and pickle from the deli meat truck. She continued drinking coffee into the afternoon, and then sometimes at home after dinner. Despite her retirement, her...
Mr. Bonilla is an 88-year-old male of Asian descent with a height of 5'3". He is a retired head of a family- owned textile business. Until two years ago, he was generally healthy despite being overweight. At that time, his wife passed way and his health began to decline drastically. His weight dropped from 162 to 102 pounds. He became severely dehydrated and was hospitalized briefly for rehydration. One major factor contributing to this significant weight loss, aside from dealing...
Karen is a 66-year-old grandmother of five, She worked in an office as a legal secretary for many years before recently retiring. Due to her job and busy lifestyle, she often skipped breakfast and relied on coffee to see her through to lunch, which she usually bought from one of the food trucks outside her office building. Her favorite lunch was a sliced pork sandwich and pickle from the deli meat truck. She continued drinking coffee into the afternoon, and...
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