{"id":1036,"date":"2022-04-07T18:39:48","date_gmt":"2022-04-07T18:39:48","guid":{"rendered":"https:\/\/highclasswriters.com\/blog\/?p=1036"},"modified":"2022-04-07T18:39:50","modified_gmt":"2022-04-07T18:39:50","slug":"knowledge-check-4","status":"publish","type":"post","link":"https:\/\/highclasswriters.com\/blog\/knowledge-check-4\/","title":{"rendered":"Knowledge Check 4"},"content":{"rendered":"\n

QUESTION 1<\/u><\/strong><\/p>\n\n\n\n

Scenario 1: Syndrome of Antidiuretic Hormone (SIADH)<\/p>\n\n\n\n

A 77-year-old female was brought to the clinic by her daughter who stated that her mother had become slightly confused over the past several days. She had been stumbling at home and had fallen twice but was able to walk with some difficulty. She had no other obvious problems and had been eating and drinking. The daughter became concerned when she forgot her daughter\u2019s name, so she thought she better bring her to the clinic.  <\/p>\n\n\n\n

HPI: Type II diabetes mellitus (DM) with peripheral neuropathy x 30 years. Emphysema. Situational depression after death of spouse 6-months ago <\/p>\n\n\n\n

SHFH: – non contributary except for 40 pack\/year history tobacco use.  <\/p>\n\n\n\n

Meds: Metformin 1000 mg po BID, ASA 81 mg po qam, escitalopram (Lexapro) 5 mg po q am started 2 months ago <\/p>\n\n\n\n

Labs-CBC WNL; Chem 7- Glucose-102 mg\/dl, BUN 16 mg\/dl, Creatinine 1.1 mg\/dl, Na+116 mmol\/L, <\/p>\n\n\n\n

K+4.2 mmol\/L, CO237 m mol\/L, Cl-97 mmol\/L.  <\/p>\n\n\n\n

The APRN refers the patient to the ED and called endocrinology for a consult for diagnosis and management of syndrome of inappropriate antidiuretic hormone (SIADH). <\/p>\n\n\n\n

Question:<\/p>\n\n\n\n

1.     Define SIADH and identify any patient characteristics that may have contributed to the development of SIADH <\/p>\n\n\n\n

QUESTION 2<\/u><\/strong><\/p>\n\n\n\n

Scenario 2: Type 1 Diabetes<\/p>\n\n\n\n

A 14-year-old girl is brought to the pediatrician\u2019s office by his parents who are concerned about their daughter\u2019s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with her school activities. She had been seemingly healthy until about 4 months ago when her parents started noticing these symptoms. She admits to sleeping more and gets tired very easily. <\/p>\n\n\n\n

PMH: noncontributory.<\/p>\n\n\n\n

Allergies-NKDA  <\/p>\n\n\n\n

FH:- maternal uncle with \u201csome kind of sugar diabetes problem\u201d but parents unclear on the exact disease process <\/p>\n\n\n\n

SH: denies alcohol, tobacco or illicit drug use. Not sexually active. <\/p>\n\n\n\n

Labs: random glucose 244 mg\/dl.  <\/p>\n\n\n\n

DIAGNOSIS: Diabetes Mellitus type 1 and refers to an endocrinologist for further work up and management plan.  <\/p>\n\n\n\n

Question<\/p>\n\n\n\n

1.     Explain the pathophysiology of the three P\u2019s for (polyuria, polydipsia, polyphagia)\u201d with the given diagnosis of Type I DM.<\/p>\n\n\n\n

QUESTION 3<\/u><\/strong><\/p>\n\n\n\n

Scenario 2: Type 1 Diabetes<\/p>\n\n\n\n

A 14-year-old girl is brought to the pediatrician\u2019s office by his parents who are concerned about their daughter\u2019s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with her school activities. She had been seemingly healthy until about 4 months ago when her parents started noticing these symptoms. She admits to sleeping more and gets tired very easily. <\/p>\n\n\n\n

PMH: noncontributory.<\/p>\n\n\n\n

Allergies-NKDA  <\/p>\n\n\n\n

FH:- maternal uncle with \u201csome kind of sugar diabetes problem\u201d but parents unclear on the exact disease process <\/p>\n\n\n\n

SH: denies alcohol, tobacco or illicit drug use. Not sexually active. <\/p>\n\n\n\n

Labs: random glucose 244 mg\/dl.  <\/p>\n\n\n\n

DIAGNOSIS: Diabetes Mellitus type 1 and refers to an endocrinologist for further work up and management plan.  <\/p>\n\n\n\n

Question<\/p>\n\n\n\n

1.    Explain the genetics relationship and how this and the environment can contribute to Type I DM.<\/p>\n\n\n\n

QUESTION 4<\/u><\/strong><\/p>\n\n\n\n

Scenario 3: Type II DM<\/p>\n\n\n\n

A 55-year-old male presents with complaints of polyuria, polydipsia, polyphagia, and weight loss. He also noted that his feet on the bottom are feeling \u201cstrange\u201d \u201clike ants crawling on them\u201d and noted his vision is blurry sometimes. He has increased an increased appetite, but still losing weight. He also complains of \u201cswelling\u201d and enlargement of his abdomen.  <\/p>\n\n\n\n

PMH: HTN – well controlled with medications. He has mixed hyperlipidemia, and central abdominal obesity. Physical exam unremarkable except for decreased filament test both feet. Random glucose in office 333 mg\/dl.<\/p>\n\n\n\n

Diagnosis: Type II DM and prescribes oral medication to control the glucose level and also referred the patient to a dietician for dietary teaching. <\/p>\n\n\n\n

Question:<\/p>\n\n\n\n

1.     How would you describe the pathophysiology of Type II DM?  <\/p>\n\n\n\n

QUESTION 5<\/u><\/strong><\/p>\n\n\n\n

Scenario 4: Hypothyroidism<\/p>\n\n\n\n

A patient walked into your  clinic today with the following complaints: Weight gain (15 pounds), however has a decreased appetite with extreme fatigue,  cold intolerance, dry skin, hair loss, and falls asleep watching television. The patient also tearfulness with depression, and with an unknown cause and has noted she is more forgetful.  She does have blurry vision.<\/p>\n\n\n\n

PMH: Non-contributory.<\/p>\n\n\n\n

Vitals: Temp 96.4\u02daF, pulse 58 and regular, BP 106\/92,  12 respirations. Dull facial expression with coarse facial features. Periorbital puffiness noted.<\/p>\n\n\n\n

Diagnosis: hypothyroidism.<\/p>\n\n\n\n

Question: What causes hypothyroidism?<\/p>\n","protected":false},"excerpt":{"rendered":"

QUESTION 1 Scenario 1: Syndrome of Antidiuretic Hormone (SIADH) A 77-year-old female was brought to the clinic by her daughter who stated […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1036","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"yoast_head":"\nKnowledge Check 4 - 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