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CASE STUDY 4 A 40-year-old male goes to his doctor with complaints of always feeling hungry and having to make fre trips to the bathroom. He has gained 100 pounds in the last 5 years. He is considered legally blind. He experiencing numbness and burning pain in both of his feet. He has had several surgical amputations. Reference Range Vitals Patient > 95% 97% Pulse ox Respiratory rate Blood pressure Distal pulses 12-20 bpm 17 bpm < 120/< 80 mmHg 150/80 mmHg 0/4 (absent) 2/4 (normal) Blood Work (CBC) RBC count 4.2-5.4 million/µL 5.1 million/uL 37-48% Hematocrit 45% 12-16 g/dL 130,000–360,000/µ 5,000–10,000/µL Hemoglobin 16 g/dL 260,000/µL 9,000/µL Platelets WBC count Endocrine Labs 0.40-4.00 mU/L TSH 2.0 mU/L 18 pmol/L 6.0 pmol/L 23 mcg/dL 45 pg/mL 26 ng/dL 2.0 pg/mL 45 ng/dL 180 pg/mL 188 mg/dL 10-20 pmol/L 2.8-6.8 pmol/L 6-23 mcg/dL 7-50 pg/mL 19-34 ng/dL 1-5 pg/mL 0.5-20 ng/mL 50-200 pg/mL 70-100 mg/dL Thyroxine (T4) Thyroxine (T3) Cortisol levels АСТH Aldosterone Antidiuretic (ADH) Insulin levels Glucagon Glucose levels (fasting) HBA1 C (glycosylated hemoglobin test) 4-5.7% 7.5% Physical Exam 65 inches Height Weight 230 lbs. Sensation Both feet: absent to vibration and light touch Skin Loss of hair in the leg and feet Distal pulses Absent bilaterally 1. Which of the patient's lab exams would be considered abnormal?

CASE STUDY 4 A 40-year-old male goes to his doctor with complaints of always feeling hungry and having to make fre trips to the bathroom. He has gained 100 pounds in the last 5 years. He is considered legally blind. He experiencing numbness and burning pain in both of his feet. He has had several surgical amputations. Reference Range Vitals Patient > 95% 97% Pulse ox Respiratory rate Blood pressure Distal pulses 12-20 bpm 17 bpm < 120/< 80 mmHg 150/80 mmHg 0/4 (absent) 2/4 (normal) Blood Work (CBC) RBC count 4.2-5.4 million/µL 5.1 million/uL 37-48% Hematocrit 45% 12-16 g/dL 130,000–360,000/µ 5,000–10,000/µL Hemoglobin 16 g/dL 260,000/µL 9,000/µL Platelets WBC count Endocrine Labs 0.40-4.00 mU/L TSH 2.0 mU/L 18 pmol/L 6.0 pmol/L 23 mcg/dL 45 pg/mL 26 ng/dL 2.0 pg/mL 45 ng/dL 180 pg/mL 188 mg/dL 10-20 pmol/L 2.8-6.8 pmol/L 6-23 mcg/dL 7-50 pg/mL 19-34 ng/dL 1-5 pg/mL 0.5-20 ng/mL 50-200 pg/mL 70-100 mg/dL Thyroxine (T4) Thyroxine (T3) Cortisol levels АСТH Aldosterone Antidiuretic (ADH) Insulin levels Glucagon Glucose levels (fasting) HBA1 C (glycosylated hemoglobin test) 4-5.7% 7.5% Physical Exam 65 inches Height Weight 230 lbs. Sensation Both feet: absent to vibration and light touch Skin Loss of hair in the leg and feet Distal pulses Absent bilaterally 1. Which of the patient's lab exams would be considered abnormal?

Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Help with questions 1-3 please
2. at role did the patient's weight play in his current medical status? Discuss the patient's hormone levels in his current medical condition. Which illustration is the patient's retina? A normal retina is provided for comparison. What are some factors that might be contributing to these complications? Include vital signs and endocrine profile in your explanation. Describe the difference between the patient's old and most recent X-rays. Explain how the patient's neurological and circulatory findings may relate to the interventions needed to manage the patient's 4. condition. Which of the lines on the graph provided would be consistent with the patient if he took a Glucose Tolerance Test? Explain, based on the patient's symptoms and medical exam. 5.
Transcribed Image Text:2. at role did the patient's weight play in his current medical status? Discuss the patient's hormone levels in his current medical condition. Which illustration is the patient's retina? A normal retina is provided for comparison. What are some factors that might be contributing to these complications? Include vital signs and endocrine profile in your explanation. Describe the difference between the patient's old and most recent X-rays. Explain how the patient's neurological and circulatory findings may relate to the interventions needed to manage the patient's 4. condition. Which of the lines on the graph provided would be consistent with the patient if he took a Glucose Tolerance Test? Explain, based on the patient's symptoms and medical exam. 5.
CASE STUDY 4 A 40-year-old male goes to his doctor with complaints of always feeling hungry and having to make frequent trips to the bathroom. He has gained 100 pounds in the last 5 vears, He is considered legally blind. He also is experiencing numbness and burning pain in both of his feet He has had several surgical amputations. Vitals Reference Range Patient Pulse ox > 95% 97% Respiratory rate 17 bpm 150/80 mmHg 12-20 bpm < 120/< 80 mmHg Blood pressure Distal pulses Blood Work (CBC) 0/4 (absent) 2/4 (normal) RBC count 5.1 million/µL 4.2–5.4 million/µL Hematocrit 37-48% 45% Hemoglobin 16 g/dL 260,000/µL 12-16 g/dL 130,000–360,000/µ Platelets WBC count 9,000/µL 5,000–10,000/µL Endocrine Labs TSH 0.40-4.00 mU/L 2.0 mU/L 10-20 pmol/L 2.8-6.8 pmol/L 6-23 mcg/dL 7-50 pg/mL 19-34 ng/dL 1-5 pg/mL 0.5-20 ng/mL 50-200 pg/mL 70-100 mg/dL Thyroxine (T4) 18 pmol/L 6.0 pmol/L 23 mcg/dL 45 pg/mL 26 ng/dL 2.0 pg/mL 45 ng/dL 180 pg/mL 188 mg/dL Thyroxine (T3) Cortisol levels АСТH Aldosterone Antidiuretic (ADH) Insulin levels Glucagon Glucose levels (fasting) 4-5.7% HBA1 C (glycosylated hemoglobin test) Physical Exam 7.5% Height 65 inches Weight 230 lbs. Sensation Both feet: absent to vibration and light touch Skin Loss of hair in the leg and feet Distal pulses Absent bilaterally 1. Which of the patient's lab exams would be considered abnormal?
Transcribed Image Text:CASE STUDY 4 A 40-year-old male goes to his doctor with complaints of always feeling hungry and having to make frequent trips to the bathroom. He has gained 100 pounds in the last 5 vears, He is considered legally blind. He also is experiencing numbness and burning pain in both of his feet He has had several surgical amputations. Vitals Reference Range Patient Pulse ox > 95% 97% Respiratory rate 17 bpm 150/80 mmHg 12-20 bpm < 120/< 80 mmHg Blood pressure Distal pulses Blood Work (CBC) 0/4 (absent) 2/4 (normal) RBC count 5.1 million/µL 4.2–5.4 million/µL Hematocrit 37-48% 45% Hemoglobin 16 g/dL 260,000/µL 12-16 g/dL 130,000–360,000/µ Platelets WBC count 9,000/µL 5,000–10,000/µL Endocrine Labs TSH 0.40-4.00 mU/L 2.0 mU/L 10-20 pmol/L 2.8-6.8 pmol/L 6-23 mcg/dL 7-50 pg/mL 19-34 ng/dL 1-5 pg/mL 0.5-20 ng/mL 50-200 pg/mL 70-100 mg/dL Thyroxine (T4) 18 pmol/L 6.0 pmol/L 23 mcg/dL 45 pg/mL 26 ng/dL 2.0 pg/mL 45 ng/dL 180 pg/mL 188 mg/dL Thyroxine (T3) Cortisol levels АСТH Aldosterone Antidiuretic (ADH) Insulin levels Glucagon Glucose levels (fasting) 4-5.7% HBA1 C (glycosylated hemoglobin test) Physical Exam 7.5% Height 65 inches Weight 230 lbs. Sensation Both feet: absent to vibration and light touch Skin Loss of hair in the leg and feet Distal pulses Absent bilaterally 1. Which of the patient's lab exams would be considered abnormal?
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