Week Five Endocrine Genitourinary
Name: Date:
Case study 76: Endocrine
INSTRUCTIONS: All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several answers, list them in order of priority or significance. Do notassume information that is not provided. Please print or write clearly. If your response is not legible, it will be marked as is and you will need to rewrite it.
Scenario
Y.L., a 34-year-old Asian woman, comes to the clinic with complaints of chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination.
She tells you she has a vaginal yeast infection that she has treated numerous times with over-the-counter medication. She works full time as a clerk in a loan company and states she has difficulty reading numbers and reports, resulting in her making frequent mistakes. She says, "By the time I get home and make supper for my family, then put my child to bed, I am too tired to exercise." She reports her feet hurt; they often
"burn or feel like there are pins in them!' She has a history of gestational diabetes and reports that, after her delivery, she went back to her traditional eating pattern, which is high in carbohydrates.
In reviewing Y.L.'s chart, you notice she has not been seen since the delivery of her child 6 years ago.
She has gained considerable weight; her current weight is 173 pounds. Today, her BP is 152/97 mm Hg, and a random plasma glucose is 291 mg/dL. The primary care provider suspects that Y.L. has developed type 2 diabetes mellitus (DM) and orders the following laboratory studies:
CHART VIEW
1. Interpret YL.'s laboratory results.
2. Identify the three methods used to diagnose DM.
3. Identify three functions of insulin.
4. Describe the major pathophysiologic difference between type 1 and type 2 DM.
5. What are the risk factors for type 2 DM? Place a star or asterisk next to those that Y.L. exhibits.
Case
Case study 76: Endocrine
INSTRUCTIONS: All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several answers, list them in order of priority or significance. Do notassume information that is not provided. Please print or write clearly. If your response is not legible, it will be marked as is and you will need to rewrite it.
Scenario
Y.L., a 34-year-old Asian woman, comes to the clinic with complaints of chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination.
She tells you she has a vaginal yeast infection that she has treated numerous times with over-the-counter medication. She works full time as a clerk in a loan company and states she has difficulty reading numbers and reports, resulting in her making frequent mistakes. She says, "By the time I get home and make supper for my family, then put my child to bed, I am too tired to exercise." She reports her feet hurt; they often
"burn or feel like there are pins in them!' She has a history of gestational diabetes and reports that, after her delivery, she went back to her traditional eating pattern, which is high in carbohydrates.
In reviewing Y.L.'s chart, you notice she has not been seen since the delivery of her child 6 years ago.
She has gained considerable weight; her current weight is 173 pounds. Today, her BP is 152/97 mm Hg, and a random plasma glucose is 291 mg/dL. The primary care provider suspects that Y.L. has developed type 2 diabetes mellitus (DM) and orders the following laboratory studies:
CHART VIEW
1. Interpret YL.'s laboratory results.
2. Identify the three methods used to diagnose DM.
3. Identify three functions of insulin.
4. Describe the major pathophysiologic difference between type 1 and type 2 DM.
5. What are the risk factors for type 2 DM? Place a star or asterisk next to those that Y.L. exhibits.
Case