S.S. is a young white female who is 5 feet tall and presently weighs 87 pounds.

Question

S.S. is a young white female who is 5 feet tall and presently weighs 87 pounds. She has lost 7 pounds during the past 2 weeks, despite eating 5-6 meals daily. Her skin is pale and dry. Her vital signs are within normal limits, although her respiration and pulse rates are higher than there were on previous physical exams. She is vomiting large amounts of urine every 1 ½ to 2 hours. She is constantly both hungry and thirsty. She is also frequently fatigued.The physician checks fasting glucose levels and finds that it is 396 mg/dl. Urine sugar is 2% and acetone is positive.

questions:

1- What is your diagnosis?

a.Hyperthyroidism

b.Hypothyroidism

c.Type I diabetes mellitus

d.Type II diabetes Mellitus.Diabetes insipidus

2-Why did you choose the diagnosis you chose? List at least 3 reasons:

4-The most likely cause of S.S.’s polyuria and weight loss was: (½ pt)a.inadequate dietary intakeb.lack of functioning insulinc.lack of functioning glucagon.inadequate thyroid function 5-Why does S.S. have both polyuria and weight loss? Give a rationale for your answer.

Explanation / Answer

1) Type I diabetes mellitus

2) since for both diabetes type signs are almost same but as mentioned large amount urine was vomitted that happens in type I diabetes.

3) lack of functioning insulin

4) The glucose that goes out when you pee takes calories with it. That’s why many people with high blood sugar lose weight.

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