diabetes discussion

 

Respond to the question using the lessons and vocabulary found in the readings. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow APA format for writing style, spelling and grammar, and citation of sources.

Case Study:

You enter Exam Room 1 to find Ms. Ho, a 58-year-old Chinese female. She is here for a follow-up appointment. She broke her wrist a few months ago and is here to check on the progress and to undergo some additional tests. Ms. Ho is a relatively healthy woman who likes to swim, but admits that she hasn\’t been exercising like she used to. She eats lots of vegetables and seafood, avoids most dairy products, seldom drinks, and she smokes (she\’s been trying to quit for years). She went through menopause at the age of 51. Today she is feeling pretty good but has some lower back pain, and is concerned about her wrist because when her mother got older she suffered from two broken hips.BMI (5\’0\”, 88#s) 17.2B/P 100/66

Labs include:Serum Thyroxine T4 9.0 ug/dlThyrotropin (TSH) 3.4 IU/mlSerum triiodothyronine T3 120 ng/dlHematocrit 37%Hemoglobin 11.8 g/100mlGlucose 86 mg/dlBlood Sodium 139 mmol/LBlood Potassium 3.9 mmol/LBlood Calcium 8.8 mg/dlVitamin D 27.5 ng/ml24-hr urine calcium 382 mg/dayBone density scan T-score -3.5

1. Based on the lab results, are any of Ms. Ho\’s value abnormal?2. What are your differential diagnosis of Ms. Ho? What information/data leads you to these diagnosis?3. How would you describe your prime diagnosis and risk factors of this disease to the patient? 4. What plan would you suggest and why? 5. Patients with this condition are often told to take calcium and Vitamin D supplements. According to NIH, what are the standard doses for these two supplements? 6. What role do calcium and Vitamin D play in bone health?

NOTE

1.Please use this textbook as one reference

McCance K., L., & Huether, S., E. (2018). Pathophysiology: The Biologic Basis for Disease in Adults and Children(8th ed.) St Louis, MO: Mosby Inc; ISBN-13: 978-0323583473

2.Also let the reference year be from 2015 till present.

3.Make use of the vocabulary related to this topic.

 

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