Please help with all the following questions Endocrine Case Histories This first
ID: 3521178 • Letter: P
Question
Please help with all the following questions
Endocrine Case Histories
This first case history is designed as an introduction on how to approach a case history. As the questions for this case are answered, it teaches how to separate information into categories that can be used to determine what is going on with the patient medically.
The other thing being taught is focus. The endocrine system is being studied in this chapter. These cases will all relate to issues with endocrine organs and hormones.
For these answers:
? Do not use complete sentences unless specifically asked for a complete sentence.
? Use correct spelling of all words.
? Do not use punctuation unless you are asked for a complete sentence or a punctuation mark
is listed as part of the how to type the answer in the instructions.
? Use lowercase letters to spell all words, with no abbreviations, when no sentence is
required.
? Use actual numbers instead of spelling the word for the number if a number answer is
required.
? Pay attention to the points values. Points values usually tell how many answers are
required. Multiple answer questions with background information usually have answers worth 0.5 points each. Mutiple answer questions with information related to the organ system being studied usually have answers with 1 point each. For instance, here history, symptoms, vitals, etc. are only worth 0.5 points each. Organs and hormones, since we are studying the endocrine system, are worth 1 point each.
? Point values also tell you which questions are not as important to learning. Notice the last questions is only worth 0.5 points, because the diagnosis is not important in most cases. It is the process used to get to the diagnosis that is important.
Patient Case Information:
Mark, a 19-year-old student was sitting in Anatomy class when he passed out. The instructor felt for a pulse, cleared students away from Mark and called 911. As they waited for the ambulance, Mark came to but was confused about what had happened.
The paramedics took his blood pressure, pulse and breathing rate upon arrival. Blood pressure- 90 mmHg/ 55 mmHg
Heart Rate- 128 beats/ minute
Breathing Rate- 22 breaths/ minute
They asked him some questions, loaded him onto the gurney and started an IV. He was loaded in the ambulance and taken to the emergency room at the local hospital.
At the hospital, Mark was more coherent. The admitting nurse was able to ask some questions. Mark told her for the previous year he had tired easily and was no longer able to study anatomy and physiology. He had lost 65 pounds in the last 2 years in spite of an increased food intake. His present height was 71 inches and his weight 140 pounds. About four years previously, he began to urinate frequently at night, and since then had increasing thirst and high urine output. He reported he felt "awful" during the last 24 hours, was extremely thirsty and irritable, and drank about twelve glasses of water. He was urinating hourly during the last 24- hour period and seemed
unable to get enough to drink. His gums were sore and he had recent difficulty eating because of gum tenderness.
The doctor came in to see Mark and ordered clinical tests of his urine and blood. The urine test revealed the presence of glucose, and his blood plasma level of glucose was elevated.
Additional Information:
Medical information can be broken down into the following categories:
? Patient history is very important to determining what is happening medically with a patient.
History includes any past events, genetic information and family history of medical
ailments.
? Lifestyle can also be important. Lifestyle includes: habits- like smoking and drinking,
exercise, diet, where you live for water, air and soil quality, etc.
? Symptoms- current complaints that have brought you to the doctor or emergency room to
seek treatment.
? Vitals/ Vital Signs- clinical measurements of important body statistics and processes.
? Clinical Tests/ Lab Tests- procedures run using instruments or lab analysis that allow the
clinicians to have a better picture of what is going on with your body.
? Treatments- fluids or medicines, surgical procedures and outward applications of things
such as stitches, bandages, casts or splints, used to correct the medical condition.
From the case information provided, what, if any, patient history information is given? (When you submit your answers, it will be from a list of all information. You will choose all that are correct by clicking the circle to the left of each work in the blackboard assessment.) 2.5 points
From the case information provided, what are Mark’s current symptoms? Keep in mind, some of your answers may fall in both history and current symptom categories. (When you submit your answers, it will be from a list of all information. You will choose all that are correct by clicking the circle to the left of each work in the blackboard assessment.) 3.5 points
From the case information provided, what are Mark’s vital signs? (When you submit your answers, it will be from a list of all information. You will choose all that are correct by clicking the circle to the left of each work in the blackboard assessment.) 3 points
From the case information provided, what clinical tests were performed? (When you submit your answers, it will be from a list of all information. You will choose all that are correct by clicking the circle to the left of each work in the blackboard assessment.) 1 point
From the information provided, what treatment, if any, was given to Mark? (When you submit your answers, it will be from a list of all information. You will choose all that are
correct by clicking the circle to the left of each work in the blackboard assessment.) 0.5
points
Considering the high blood plasma glucose result Mark displays, name three hormones
discussed in the endocrine chapter and chapter notes provided that control blood glucose. For each hormone, given the specific endocrine organ or part of an endocrine organ that releases each hormone, keeping in mind the same endocrine organ releases 2 of the 3 hormones controlling blood glucose. Answers should be typed into the submission link as follows:
hormone (one space) hormone (one space) endocrine organ (one space) hormone (one space) endocrine organ
(5 points)
Considering the frequent urination Mark displays, name two hormones discussed in the endocrine chapter and chapter notes provided that control urine output. For each hormone, given the specific endocrine organ or part of an endocrine organ that releases each hormone. Answers should be typed into the submission link without abbreviations as follows:
hormone (one space) endocrine organ (one space) hormone (one space) endocrine organ (4 points)
From the symptoms and clinical test results, what is the most likely endocrine disorder? Answers should be only 1 word. (1 point)
There are 2 different forms of this endocrine disorder. The two forms use the name of the endocrine disorder given in question 8 and another word indicating the endocrine organ/ hormone that causes each form of the disorder. What are the two different forms of this endocrine disorder? (Be aware that this question does not ask for types of the disorder. Your answer will not be the types.) Answer should be typed into the submission link as:
2 words (one space) 2 words
(Keep in mind the first word will be the same for both answers, and should be the same as the answer to question 8.) 2 points
10. Two different endocrine hormones from two different organs cause each of these forms of this disorder. What are the hormones that cause each form of this disorder given in question 9, and what specific endocrine organ or part of an endocrine organ releases each hormone? Answers should be typed into the submission link as follows:
hormone (one space) endocrine organ (one space) hormone (one space) endocrine organ (2 points)
11. Which of these two disorders does Mark exhibit, based on his symptoms and clinical tests? Answers should be typed as 2 words that were used as one of the lines of your answer to question 9. (0.5 point)
Explanation / Answer
His weight was140 lb and height was 71 inches ( which idealy should be 152-165 lbs), he also lost 65 lbs in 2 years. He urinated frequently for the last 4 yrs, he had increased urine out put, with increased thirst and increased food intake.
Blood and Urine test revealed increased Glucose level in blood as well as presence of glucose in urine.
Insulin secreated from beta cells of pancrease and glucagon is released grom alpha cells of pancrease, Cortisol is secreted from adrenal cortex of the adrenal glands.
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