A 12-year-old boy was presented to the pediatric dinic because of extremely tall stature. His height was 192.0 cm and body weight were 70.5 kg. He showed enlarged hands and feet. High levels of one of the following hormones could be the most likely cause of his condition: Cortisol O Aldosterone O
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- The patient has a history of diabetes mellitus type 1. What effect might her prednisone prescription have on her diabetes? What actions are needed to reduce this effect?(HBS 2.3.2) Place the following in the correct sequence for a thyroid feedback. Starts with: Hypothalamus detects low metabolic activity. T3 and T4 are released = Pituitary receptors are activated. = TRH is released. = Normal metabolic activity is restored. = TSH is released = Thyroid receptors are activatedMS Manal is a 42yo female complains of constant fatigue, despite a full night's sleep. She says her mood is poor and does not have any energy to do anything. She is noted to be wearing a sweater despite warm weather and her hands seem very dry. Labs: T4(free)-low. TSH-high. What is your evaluation of this patient: a. Hyperthyroidism and needs levothyroxine b. Hypothyroidism and needs levothyroxine c. Hypothyroidism and no need for treatment now d. Hyperthyroidism and needs PTU
- Amelia Frankish is 67 years old. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT (computerised tomography) of Amelia's head and neck. medical history: Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago. GP diagnosis - one week ago. Amelia underwent a CT scan of the head and neck, but the results were normal. Amelia was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD. Today: Amelia woke early this morning at 0600 hours with a 5/10 headache.…Amelia Frankish is 67 years old. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT (computerised tomography) of Amelia's head and neck. medical history: Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago. GP diagnosis - one week ago. Amelia underwent a CT scan of the head and neck, but the results were normal. Amelia was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD. Today: Amelia woke early this morning at 0600 hours with a 5/10 headache.…Jessie comes to the medical office for pre-lunch check. BG – 210 mg/dL, lunch = 59 g, ISF = 1:60 Target – 120 mg/dL I:C = 1:30. How much insulin should you administer?
- Case Study: A patient is suspected of having Addison's disease. His laboratory tests show low serum sodium and chloride, elevated serum potassium, and elevated urine sodium and chloride levels. The aldosterone cortisol levels are decreased. To make a definitive diagnosis, the physician orders an ACTH stimulation test, and the cortisol level is measured again. If the patient has Addison's disease, the cortisol level would ________. If the patient has hypopituitarism, the levels would _______. Group of answer choices Increase; decrease Decrease; increase Increase; remain the same Remain the same; increase Decrease; decrease no references, just homework.A 56-year old maintenance worker, with a past medical history of insulin-dependent diabetes, CHF, and hypertension, presents to the emergency room with lightheadedness, lethargy, and periods of confusion. Patient family members found him unconscious outside. Wife states, “he’s been at it for over a week now” Medications: Insulin, Lasix, Digoxin, and Vasotec: Vitals on admission were as follows : Temperature/ Pulse/ Respirations /Blood Pressure36.7C 118 18 103/61On examination, the patient has slurred speech with decreased upper and lowermotor strength bilaterally 4/5. While examining the patient, he experienced lossof consciousness that lasted less than half a minute. The nurse drew labs,administered oxygen via NC, Established IV line access and placed the patient on a monitor. Lab resultsElectrolytes – in emergency roomHematocrit – 38%Hemoglobin 12 gm/dLPotassium 3.3 mEQ/LChloride 95 mEq/LSodium 147 mEQ/LPhosphorus 2.6 mg/dLBicarbonate 21 mEq/LCalcium 7.6 mg/dLBUN 46 mg/dLCreatinine…Use the following information to answer the next two questions. Blood Test Results for Patient A Patient A Normal Range Thyroxine Levels 0.6 ug/dl 4.6-12 ug/dl TSH Levels 6.9 mcU/mL 0.4-4.2 mcU/mL 1) Identify the gland(s) and hormone(s) that are causing this condition in Patient A. Explain what is happening. 2) Name the condition that might cause this hormonal imbalance. List three symptoms.
- Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning. (Learning Objectives 1, 3, 4, 7, 12, 13) 1.Explain the rationales for the laboratory tests and ECG stress test. 2. What should the nurse do to prepare for the cardiac catheterization that is scheduled? 3. According to Mrs. Gonzales’ medical history, what has contributed to her myocardial infarction? 4. What should the nurse anticipate doing to prepare Mrs. Gonzales to be discharged?Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning. 4. What should the nurse anticipate doing to prepare Mrs. Gonzales to be discharged?Give the meanings for the following conditions: 11. hyponatremia - 12. polydipsia - 13. glycosuria - 14. euthyroid Give the meanings for the following terms related to diabetes mellitus: 15. DM type 1 - 16. diabetic neuropathy - 17. ketoacidosis - 18. DM type 2 -