A 52 year old woman presented to the clinic for ongoing fatigue and weight loss during the last 6 weeks
Case Study 3
A 52 year old woman presented to the clinic for ongoing fatigue and weight loss during the last 6 weeks. She thinks she’s loss at least “10 pounds”. For the past week and a half she’s noted some progressing ‘muscle cramping’ tetany, as well as ‘tingling’ sensation around her mouth and lower extremities. She’s also noted some intermittent colicky abdominal pain. On your exam, you noted a positive Chvostek’s sign. PMH: 20 year history of Crohn’s disease. She also tells you that she is a practicing vegan.
To prepare:
· Review Part 13 and 17 of the Buttaro et al. text in this week’s Resources.
· Review the patient case study and reflect on the information provided about the patient.
· Think about the personal, medical, and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation.
· Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study.
· Reflect on a possible diagnosis for the patient.
· Review the Marroquin article in this week’s Resources. If you suspect prostate cancer, consider whether or not you would recommend a biopsy.
· Think about potential treatment options for the patient.
Required Readings
Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2017). Primary care: A collaborative practice (5th ed.). St. Louis, MO: Elsevier.
· Part 13, “Evaluation and Management of Genitourinary Disorders” (pp. 731-798)
This part explores the pathophysiology, clinical presentation, and management of genitourinary disorders, including incontinence and prostate disorders. It also provides a differential diagnosis for genitourinary disorders.
· Part 17, “Evaluation and Management of Endocrine and Metabolic Disorders”
· Chapter 209, “Hypercalcemia and Hypocalcemia” (pp. 1108-1112)
· Chapter 210, “Hypernatremia and Hyponatremia” (pp. 1112-1120)
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