Topic: HYPERLIPIDEMIA DISCUSSION
Topic: HYPERLIPIDEMIA DISCUSSION
- Demographic information of the patient
- Chief complain.
- History of present illness. Fallowing the mnemonic old chart: Onset/Location/Duration/Character/Alleviating-Aggravating factors/Temporal pattern/Severity. Additional symptoms and previous treatment if known. Topic: HYPERLIPIDEMIA DISCUSSION
- Medical history: PMH, FMH, SMH.
- Social history, employment, habits, physical activity, allergies and medications taken. For these six elements include a concise statement about the impact of such findings for potential outcomes with in-text citations as required.
- Review of systems.
- As part the objective component include: Vital signs, body measurements.
- Physical examination with pertinent normal findings, normal variations and abnormalities. Characterization of pain or discomfort (if present) and psychological status.
- Completed or known diagnostic tests with results supporting or ruling outa medical diagnosis.
- Diagnosis. Include a rationale and in-text citation supporting your diagnosis. Are there possible etiologies? What’s the reasoning behind it?(Include citations as required).
- Differential diagnosis. Include three ruled out diagnoses with in-text citations supporting your ideas.
- Treatment with rationales per therapeutic option. Describe the goals, priorities and education provided. Include a citation per therapeutic option and education.
- New orders for diagnostic testing. Include rationale and one citation per order.
- Follow ups and referrals if required.
- Finish the case with a paragraph justifying a theoretical perspective supporting your management approach.
PLEASE NOT PLAGIARISM, NEED BE ORIGINAL AND UNIQUE.
USE 5 PAGES
3-4 REFERENCES NO OLDER THAN 5 YEARS
NEED IT FOR Thursday, JANUARY 20, 2022
REVIE OF SYSTEM
Constitutional: No fever, severe weight loss, normal appetite, no generalized weakness.
Neurologic: Denies headache, tremors, seizures or gait imbalance, denies tics or numbness in lower extremities, no dizziness, no visual disturbances, slow speech and no behavior problems at this moment.
HEENT: Denies odontalgia, sore throat, hoarseness, ear pain/pruritus or hearing loss, report unable to swallow
Respiratory: Report shortness of breath, denied cough or chest pain.
Cardiovascular: No chest pain on anterior left hemi thorax, palpitations or intermittent claudication, no petechial or unexpected bleeding.
Gastrointestinal: Denied abdominal pain, vomit, diarrhea constipation.
Genitourinary: Denied bowel and bladder incontinent, no dysuria, polyuria, nocturia or oligura
Skin: Upon PE no redness on the body, no petechia, no rash, skin warm.
Musculoskeletal: Denied Pain, inflammation, redness
Vital Signs: BP: 142/88 mmHg, RR: 16’, HR: 83’, Temp: 97.3 F, SatO2: 99%, Weight:
178 pounds, height: 5’10”, BMI: >25
Neurologic: AAOx3, no central or peripheral focal neurological deficit, gross sensation, muscle tone and grip strength diminish, gait disturbances, unable to examine Romberg, Kernig’s test and Brudzinski’s signs.
HEENT: EOMs intact, PERRLA, no redness or discharge noted in the ear canal, pearly and no bulging tympanic membrane bilaterally, no jugular veins distention, no neck mass or enlarged lymph nodes. No white/yellow plaques or ulcers noted on palate, uvula or tonsils, no erythema noted on oropharynx. Normal results obtained after performing Rinne and Weber tests.
Cardiovascular: No murmurs, no collateral circulation, no edema, carotid, apical, radial femoral and pedal pulses present and strong, no carotid murmur bilaterally.
Respiratory: No cyanosis, rhonchi or crackles noted vesicular murmur present
Gastrointestinal: Oral cavity with no lesions suggestive of malignancy, wet oral mucosa, abdomen soft, non-tender, non-distended, no hernias, no organomegaly, continent bladder and bowel movements daily.
ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS
Genitourinary: No genitalia pain, urine 2000 ml daily, continent, urine yellow, no odor.
Musculoskeletal: Muscle mass tonic, no weak, deformity, pain or other.
Intertegumentary: Skin dry, warm, no petequiae, rash or any other.
ICD-10 I10 Essential (primary) hypertension
Essential (primary) hypertension : Blood pressure is the force that a person’s blood exerts against the walls of their blood vessels. This pressure depends on the resistance of the blood vessels and how hard the heart has to work. CITATION
Steroids use: This is a common health problem mainly in adolescents, liver damage may often occur, and liver cancer is a risk, the heart is at risk for damage in a various ways. In response to excess steroid in the body, the heart muscle may enlarge just like any other muscle in the body, this enlargement, or hypertrophy, can lead to decreased pumping ability as well as changes in the electrical conduction system in the heart causing rhythm changes, palpitations, and potentially sudden cardiac death. As well, steroids may cause high blood pressure, increased cholesterol levels, and elevated blood sugars, all of which are risk factors for heart attack and stroke. CITATION
Pheochromocytoma: A pheochromocytoma is a rare, usually noncancerous (benign) tumor that develops in an adrenal gland. Usually, this type of tumor affects one of your two adrenal glands, but it can affect both. Signs and symptoms of pheochromocytomas often include: High blood pressure, heavy sweating, headache, rapid heartbeat (tachycardia), tremors, paleness in the face (pallor), shortness of breath (dyspnea). CITATION
Acute vasculitis: It is inflammation of your blood vessels. It causes changes in the blood vessel walls, including thickening, weakening, narrowing or scarring. These changes can restrict blood flow, resulting in organ and tissue damage. General signs and symptoms of vasculitis include: fever, headache, fatigue, weight loss, general aches and pains, night sweats, rash, nerve problems, such as numbness or weakness . CITATION