Mrs. G Case StudyThe purpose of this case study is to interpret subjective and objectiveinformation in order to diagnose disease processes and develop a plan ofcare for the patient based on national, evidence-based clinical guidelines.AssessmentAfter reviewing Mrs. G’s symptoms and evaluating her blood work, afew issues have been identified. Some of these issues need to be addressedright away, s
...[Show More]
Mrs. G Case Study
The purpose of this case study is to interpret subjective and objective
information in order to diagnose disease processes and develop a plan of
care for the patient based on national, evidence-based clinical guidelines.
Assessment
After reviewing Mrs. G’s symptoms and evaluating her blood work, a
few issues have been identified. Some of these issues need to be addressed
right away, such as an elevated hemoglobin A1c (HgbA1c), obesity, and the
abnormal lipid panel. Some of the identified issues are either a cause of or a
result of the elevated HgbA1c and lipids, such as her being obese, her
borderline hypertension, and her decreased GFR. There are other possible
disease processes at play here based on her lab work, such as possible
metabolic syndrome, pre-hypertension versus stage 1 hypertension, and her
decreased free T4. These issues will be used as differential diagnoses;
however, further lab work will be needed to be certain.
Primary Diagnosis
Mrs. G’s primary diagnosis is type 2 diabetes mellitus (T2D) (E11).
T2D is a metabolic disease that is caused by deficiencies in the action of
insulin, the secretion of insulin or from both; specifically, T2D is directly
related to insulin resistance (Pippitt & Li, 2016). The signs and symptoms
one may see that are associated with diabetes mellitus, type 1 and 2, include
fatigue, polyphagia, polydipsia, polyuria, wounds that do not heal,
fluctuation in weight, blurry vision, proteinuria, a pins and needles sensation
in the lower extremities, poor wound healing, nausea, delayed gastric
emptying, impotence, and frequent yeast infections in women. (KennedyMalone, Fletcher, & Plank, 2014; Pippitt & Li, 2016)
[Show Less]
