BMS 205 Case Problem 3
Print this case study and complete the questions using course resources. You must use the
reference range table provided.
Presentation:
48 yo male complaining of erectile dysfunction.
Gained 80 lbs. over the past five years,
complains of polydipsia and polyuria, smokes 1-2 packs/day, mother and father developed high
blood pressure and diabetes in their 50s. Physical exam is within normal limits except for BMI
over 40.
Laboratory profile
Test
N
ormal or abnormal Patient Results
Random plasma glucose
358mg/dl
Sodium
140 meq/L
Potassium
3.4 meq/L
Chloride
110 meq/L
BU
N
21 mg/dl
Creatinine
1.1 mg/dl
WBC
7.5 x 10
3
/ul
1.
Which features in this patient’s history are risk factors for diabetes?
2.
What symptoms of diabetes are reported by this patient?
3. What is the most likely diagnosis for this patient?
How do you know?
10127/23
70-100
123
or
lower
abnormal
normal
136-145
abnormal
3
.
5-5
.
0
abnormal
98
-106
abnormal
10-20
normal
0
6-1
2
normal
5
,
000-10
,
00 0
.
weight
an
energ
·
BMI
over
40
·
Polydipsia
->
excessive
thirst
·
polyuria
->
excessive
urination
·
Smoking
1-2
packs
daily
->
Can
cause
type
2
diabetes
·
Mother
father
developed
hah
blood
pressure
&
diabetes
in
these
·
type
2
diabetes
polydipsia
,
polyuria
,
heavy
smoking
,
familial
past
of
high
blood
pressure
a
diabetes
in
there
Sos
,
BMI
being
over
40