Case Study Personal Information Name: Mr. Elliot Bryan Age: 29 years old Gender: Male Description Mr. Bryan is a 29-year-old married man who came to the medical office because, over the last three years, he has progressively increased the size of his shoes, and he has resized his wedding ring three times. He says his feet and hands have grown. He has also noticed that his face has turned coarse. He was a very active man and practiced sports, but now he fatigues just by walking, and feels weakness in his muscles and stiffness in his joints. He is depressed because in the last few months he has been experiencing erectile dysfunction, which is affecting his relationship with his wife. He feels he is losing his vision as well. Mr. Bryan does not drink alcohol, smoke, or use any recreational drug. His mother suffers from diabetes mellitus type II, and his father suffers from hypertension. On physical examination we found: Remarkable Signs on Physical by Regions Head: Enlarged and coarsened facial features, prominent superciliary arches, prognathism Neck: Thyroid is visible and palpable Thorax: Barrel appearance Abdomen: Hepatomegaly. Splenomegaly. SOMA: Enlargement of the hands and feet. Generalized arthralgia. Remarkable Signs on Physical by Systems Integumentary system: Thick and oily skin. Numerous acrochorda disseminated throughout the body. Cardiovascular system: Blood pressure 150/100. Radial pulse 72. Digestive system: Megaloglossia. Diastema. Lab Tests Complete blood count (CBC) GH measurement IGF-I measurement Growth hormone suppression test Glucose level Brain MRI Abdominal CT scan Echocardiogram Diagnosis Acromegaly Supporting Material Mr. Bryan is a young man afflicted with acromegaly, which affects a very small number of people. However, numerous disorders of the endocrine, musculoskeletal, and integumentary systems are very common, such as diabetes, arthritis, and acne. Having a good understanding of the systems in this module will help you improve the lives of patients suffering from these common disorders, as well as patients who suffer from the uncommon ones, like Mr. Bryan. Based on the case study provided, respond to the following questions: Identify and differentiate the symptoms from the signs in this patient. Is there any remarkable personal, social, and/or family history? What results do you expect to find in the tests ordered? What is the etiology of acromegaly? What is the prognosis? How can you differentiate acromegaly from gigantism?

Case Study Personal Information Name: Mr. Elliot Bryan Age: 29 years old Gender: Male Description Mr. Bryan is a 29-year-old married man who came to the medical office because, over the last three years, he has progressively increased the size of his shoes, and he has resized his wedding ring three times. He says his feet and hands have grown. He has also noticed that his face has turned coarse. He was a very active man and practiced sports, but now he fatigues just by walking, and feels weakness in his muscles and stiffness in his joints. He is depressed because in the last few months he has been experiencing erectile dysfunction, which is affecting his relationship with his wife. He feels he is losing his vision as well. Mr. Bryan does not drink alcohol, smoke, or use any recreational drug. His mother suffers from diabetes mellitus type II, and his father suffers from hypertension. On physical examination we found: Remarkable Signs on Physical by Regions Head: Enlarged and coarsened facial features, prominent superciliary arches, prognathism Neck: Thyroid is visible and palpable Thorax: Barrel appearance Abdomen: Hepatomegaly. Splenomegaly. SOMA: Enlargement of the hands and feet. Generalized arthralgia. Remarkable Signs on Physical by Systems Integumentary system: Thick and oily skin. Numerous acrochorda disseminated throughout the body. Cardiovascular system: Blood pressure 150/100. Radial pulse 72. Digestive system: Megaloglossia. Diastema. Lab Tests Complete blood count (CBC) GH measurement IGF-I measurement Growth hormone suppression test Glucose level Brain MRI Abdominal CT scan Echocardiogram Diagnosis Acromegaly Supporting Material Mr. Bryan is a young man afflicted with acromegaly, which affects a very small number of people. However, numerous disorders of the endocrine, musculoskeletal, and integumentary systems are very common, such as diabetes, arthritis, and acne. Having a good understanding of the systems in this module will help you improve the lives of patients suffering from these common disorders, as well as patients who suffer from the uncommon ones, like Mr. Bryan. Based on the case study provided, respond to the following questions: Identify and differentiate the symptoms from the signs in this patient. Is there any remarkable personal, social, and/or family history? What results do you expect to find in the tests ordered? What is the etiology of acromegaly? What is the prognosis? How can you differentiate acromegaly from gigantism?

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

See similar textbooks

Related questions

Question

Case Study

Personal Information

Name: Mr. Elliot Bryan

Age: 29 years old

Gender: Male

Description

Mr. Bryan is a 29-year-old married man who came to the medical office because, over the last three years, he has progressively increased the size of his shoes, and he has resized his wedding ring three times. He says his feet and hands have grown. He has also noticed that his face has turned coarse. He was a very active man and practiced sports, but now he fatigues just by walking, and feels weakness in his muscles and stiffness in his joints. He is depressed because in the last few months he has been experiencing erectile dysfunction, which is affecting his relationship with his wife. He feels he is losing his vision as well.

Mr. Bryan does not drink alcohol, smoke, or use any recreational drug. His mother suffers from diabetes mellitus type II, and his father suffers from hypertension.

On physical examination we found:

Remarkable Signs on Physical by Regions

Head: Enlarged and coarsened facial features, prominent superciliary arches, prognathism
Neck: Thyroid is visible and palpable
Thorax: Barrel appearance
Abdomen: Hepatomegaly. Splenomegaly.
SOMA: Enlargement of the hands and feet. Generalized arthralgia.

Remarkable Signs on Physical by Systems

Integumentary system: Thick and oily skin. Numerous acrochorda disseminated throughout the body.
Cardiovascular system: Blood pressure 150/100. Radial pulse 72.
Digestive system: Megaloglossia. Diastema.

Lab Tests

Complete blood count (CBC)
GH measurement
IGF-I measurement
Growth hormone suppression test
Glucose level
Brain MRI
Abdominal CT scan
Echocardiogram

Diagnosis

Acromegaly

Supporting Material

Mr. Bryan is a young man afflicted with acromegaly, which affects a very small number of people. However, numerous disorders of the endocrine, musculoskeletal, and integumentary systems are very common, such as diabetes, arthritis, and acne. Having a good understanding of the systems in this module will help you improve the lives of patients suffering from these common disorders, as well as patients who suffer from the uncommon ones, like Mr. Bryan.

Based on the case study provided, respond to the following questions:
- Identify and differentiate the symptoms from the signs in this patient.
- Is there any remarkable personal, social, and/or family history?
- What results do you expect to find in the tests ordered?
- What is the etiology of acromegaly? What is the prognosis?
- How can you differentiate acromegaly from gigantism?
The patient refers to muscle weakness. Mention some common muscular diseases, and explain them briefly, including their prognoses.
Is Mr. Bryan at risk of suffering from diabetes mellitus? Why? How many types of diabetes mellitus are there? What are the differences between them?
Normally, the thyroid is not visible or palpable. What is the medical term for thyroid enlargement? Is thyroid enlargement always linked to a hyperthyroidism or a hypothyroidism? What is the functional relationship of the thyroid with the parathyroid?
Is it common to see Cushing's disease associated with acromegaly? What is the difference between Cushing's disease and Cushing's syndrome? What is Addison's disease?

Definition Definition Organ system that helps in the digestion of food by mechanical and biochemical processes. The digestive system breaks down food into simpler components that enable the body to then absorb or transport nutrients. The human digestive system includes the gastrointestinal tract or alimentary canal and the associate glands. The organs of the gastrointestinal tract include the mouth, pharynx, esophagus, stomach, small intestine, and large intestine. The associated glands include salivary glands, liver, gallbladder, and pancreas.

Expert Solution

Trending now

This is a popular solution!

Step by step

Solved in 2 steps

SEE SOLUTION Check out a sample Q&A here

Knowledge Booster

Learn more about

Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.