09 Jan Lungs: Clear to auscultation
Discussion Part Two (graded)
Physical Exam:
Discussion Part Two (graded)
Vital signs: blood pressure 145/90, heart rate 100, respirations 20
height 5’1”; weight 210 pounds
Labwork:
CBC: normal
UA: 2+ glucose; 1+ protein; negative for ketones
CMP: BUN/Creat. elevated; Glucose is 300 mg/dL
Hemoglobin A1c: 12%
Thyroid panel: normal
LFTs: normal
Cholesterol: total cholesterol (206), LDL elevated; HDL is low
EKG: normal
General: obese female in not acute distress
HEENT: unremarkable
CV: S1 and S2 RRR without murmurs or rubs
Lungs: Clear to auscultation
Abdomen- soft, round, nontender with positive bowel sounds present; no organomegaly; no abdominal bruits
Discussion Questions Part Two
• For the primary diagnosis, what non-pharmacological and pharmacological strategies would be appropriate?
• Include the following: lab work and screenings to be completed.
• Describe patient education strategies.
• Describe follow-up and any referrals that may be necessary.
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