Essay about Final

1297 Words May 6th, 2014 6 Pages
Final Exam: Endocrine system case studies
UNIT XI: Endocrine Function, Metabolism, and Nutrition
Case Studies

Case 1
B.J. is a 54-year-old attorney who for several months has been experiencing generalized headaches that have responded poorly to nonnarcotic analgesics. He is also experiencing visual disturbances including blurred vision and double vision. On questioning, B.J. reports that he has gained 20 pounds over 2 years despite no change in activity or eating patterns. About his weight gain, B.J. jokes, “I guess it’s all in my feet. I had to buy new shoes, and my shoe size went from a size 10 to a size 12.” It was determined that B.J. should have a CT scan of his head to assess for a pituitary adenoma resulting in the
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7. During periods of stress, B.J. is likely to require an adjustment in hormone therapy. Which hormone is most critical and why?
The most critical hormone to monitor for elevated stress levels is hydrocortisone. Levels of this hormone should be increased with the increase in stress to prevent adrenal crisis.

Case 2
D.K. is an 18-year-old high school student who began to experience weight loss despite a ravenous appetite and resulting increased dietary intake. She has to make frequent trips to the bathroom to urinate and has difficulty concentrating on her work because of fatigue. She drinks large volumes of coffee to help with a constant dry mouth and to combat her fatigue. At a clinic appointment, it was noted that D.K.’s weight has dropped from 140 to 128 pounds. She is 5 feet 7 inches tall. Her urine specimen shows glycosuria and ketonuria. A chemstick blood glucose level is 412 mg/dl. D.K. had eaten breakfast 3 hours before the chemstick blood test.

Discussion Questions
1. Considering D.K.’s presenting history and physical data, what form of diabetes mellitus is indicated?

2. What are the physiologic mechanisms involved with the polydipsia, polyuria, and polyphagia in diabetes mellitus?

3. What immediate and long-term therapy will D.K. need to manage her disorder?

4. D.K. will have to frequently monitor her own glucose levels to evaluate

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