22 Sep Module 4 DiscussionNo unread replies.No replies.Case Study 1
Module 4 DiscussionNo unread replies.No replies.Case Study 1: Alterations of the Endocrine FunctionC.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone. Case Study QuestionsClinical signs are objective manifestations of a disease that can be identified by someone other than the patient. List a minimum of four signs from the case study above that support a diagnosis of type 2 diabetes in this patient.Why do stress and infection promote hyperglycemia in patients with diabetes?Why should medications other than glipizide or glyburide be considered for management of diabetes in this patient?Case Study 2: Alterations of the Digestive Systems FunctionR.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.Case Study QuestionList a minimum of five risk factors that may be contributing to constipation.List five clinical signs and symptoms that are consistent with constipation.Why is anemia not a suspected complication of this condition?Would a urinalysis, series of liver function tests, or serum uric acid level be appropriate for this patient?Submission Instructions:You must complete both case studies.Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. Your assignment will be graded according to the grading rubric.Discussion RubricCriteriaRatingsPointsIdentification of Main Issues, Problems, and Concepts5 pointsDistinguishedIdentify and demonstrate a sophisticated understanding of the issues, problems, and concepts.4 pointsExcellentIdentifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.2 pointsFairIdentifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.1 pointsPoorIdentifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.5 pointsUse of Citations, Writing Mechanics and APA Formatting Guidelines3 pointsDistinguishedEffectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.2 pointsExcellentEffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.1 pointFairIneffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.0 pointPoorIneffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.3 pointsResponse to Posts of Peers2 pointsDistinguishedStudent constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.1 pointsFairStudent constructively responded to one other post and either extended, expanded or provided a rebuttal.0 pointPoorStudent provided no response to a peer’s post.2 points
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Do you need help with this question?
Get assignment help from Aqhomework.com Paper Writing Website and forget about your problems.
Aqhomework provides custom & cheap essay writing 100% original, plagiarism free essays, assignments & dissertations.
With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Click Order now to access our order form, fill your paper details correctly, select your paper deadline and wait for our writers to send a perfectly written assignment.
Chat with us today! We are always waiting to answer all your questions.