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Cynthia is a 65-year-old African American female who presents to the...

Cynthia is a 65-year-old African American female who presents to the...

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Author: adele Ros
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Cynthia is a 65-year-old African American female who presents to the clinic for a check-up. Her last examination was ~5 years ago

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Cynthia is a 65-year-old African American female who presents to the clinic for a check-up. Her last examination was ~5 years ago. She has no specific, significant, or urgent complaint. She explains that her only issues are thirst, fatigue, and leg numbness and tingling, which is beginning to occur more often. You decide to do a physical exam, as well as draw labs and receive the following results:
 
Social history: no smoking or alcohol consumption.
Physical examination:
GEN: well nourished, slightly obese female
VS: BP 180/103 HR 73 RR 13 T 98.4 Weight 90 kg, Height 5’6”
HEENT: PERRLA
COR: RRR, NMRG
CHEST: CTA
NEURO: monofilament test shows decreased peripheral sensation
EXT: normal
Laboratory (fasting):
Na 139 mEq/L
K 3.8 mEq/L
ALT 34 U/L
Ca 9.1 mg/dL (low)
CL 102 mmol/L
HCO3 22 mEq/L
AST 39 U/L
TP 6 g/dL
BUN 33 mg/dL (high)
SCr 2.0 mg/dL (high)
Alb 4.1 g/dL
Cholesterol 254 mg/dL(very high, 81 average range)
BG 300 mg/dL (very high, 120 max)
TSH 0.12 mU/mL (low)
UA: SG 1.013 mg/24h, pH 6.5, +++ protein
 
What are the major problems in this patient, and what diagnoses do these values indicate? 
Additionally, what is your assessment and pharmacological plan for each of these problems including the medication, dose, and mechanism of action?


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