compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing

Jeff is a 57-year-old male with a long history of type 1 diabetes. He takes insulin to manage his diabetes, but he has been having trouble maintaining steady blood glucose levels over the last two weeks. Jeff suffered a week-long case of influenza last month but is otherwise healthy. This morning, he began vomiting upon waking. This was followed by extreme abdominal pain and extreme thirst. He called his endocrinologist, who told him that he needs to seek emergency care.Kidney failure, cardiac arrest, and cerebral edema are all possible complications if Jeff’s condition is not treated.   True False

Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds. Edna’s symptoms are similar to those present in Grave’s disease.  True  False

Mr j a 76 year old man was admitted to the hospital with rest pain in both legs and a non healing ulcer on the right foot. Subjective data History of MI, stroke, hypertension, chronic heart failure and diabetes mellitus Underwent a left femoral popliteal by pass 5 years ago. Has been on insulin for 30 yrs Complains of sudden, increase in right foot pain for 2 hours Has slept on recliner with right leg in dependent position for several months. Current medications Furosemide 40 mg po daily Aspart( Novolog) insulin with meals Diltiazem sustained release 240 mg PO daily. Aspirin. 325 mg P.O daily Objective data Physical examination BP 148/92 mm Hg, respiratory rate 22/minute. Alert and oriented but anxious, no apparent physical/mental deficits from previous stroke Has a diminished right femoral pulse, popliteal pulse by doppler only, posterior tibial pulse and dosalis pedis pulse absent. Right leg ABI 0.4 left leg ABI 0.4 Has a 2 cm necrotic ulcer on tip of right toe Right foot is very…

Emma is a 19-year-old national level elite triathlete, and she trains about 25 hours per week with 5 hours as strength exercises. Her BMI is 20, and her percent body fat is 15%. She eats a varied diet but does not like fruits and vegetables and tends to focus on carbohydrate-rich foods and meat and cheese, but because of her schedule, she eats irregularly and eats out a lot, tending towards sandwiches and wraps.

Hypervitaminosis is largely attributed to which of the following?   Restrictive diets   Gastric bypass surgery   Alcoholism   Supplementation

Jeff is a 57-year-old male with a long history of type 1 diabetes. He takes insulin to manage his diabetes, but he has been having trouble maintaining steady blood glucose levels over the last two weeks. Jeff suffered a week-long case of influenza last month but is otherwise healthy. This morning, he began vomiting upon waking. This was followed by extreme abdominal pain and extreme thirst. He called his endocrinologist, who told him that he needs to seek emergency care. Briefly explain why Jeff has a feeling of extreme thirst.

NS is a 32-year-old female who had been sick with a cold virus for 10 days. She states that she had flu symptoms of cough, sore throat, and fatigue. It has been 3 weeks since the cold, and she continues to be fatigued and finds it hard to get enough energy to do things. NS says she has noted that she has been bruising easily. She hit her arm accidentally on the edge of a counter, and now she has a large bruise. She has also noted little purple spots all over her hands and chest. On examination it is noted that she does have a large bruise on her right arm and petechiae and purpura over her chest and hands. Lab work comes back with a platelet count of 40,000mm3.   Choose and EXPLAIN which diagnosis does NS have? Who can get it? A. TTP B.  ITP C. DIC

41. An 18-year-old female college freshman comes to the health center because of a 3-month history of fatigue and intermittent headaches. She also has had an unintentional weight loss of 4 kg (9 lb) during the past 6 weeks and difficulty concentrating on her schoolwork. She moved from her home to a campus dormitory 5 months ago. She was an avid tennis player but says she has not played since school began because she has no energy and has lost interest in sports. She notes that she recently broke off her long- distance relationship with her boyfriend back home. She tearfully says she feels lonely and is frustrated with her performance on final examinations. She occasionally drinks alcoholic beverages "to help with sleep." She does not use illicit drugs. She appears thin and has a sad affect. Physical examination shows no abnormalities. Which of the following is the most appropriate initial response by the physician? A) "Although this is a difficult time for many, I'm concerned that…

__ influence of treating an individual with TSH on their body temperature.