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Concepts of Endocrine Disorders Assignment

Concepts of Endocrine Disorders AssignmentConcepts of Endocrine Disorders AssignmentEndocrine disorders are complex matters, and there is not always a one-size-fits-all treatment. Particularly in matters requiring the adjustment of hormone levels, treatment may require a custom approach tailored to individual patients. An understanding of these complications is essential to supporting these individual treatment plans.Examine alterations in the endocrine system and the resultant disease processes. You also consider patient characteristics, including racial and ethnic variables, and the impact they have on altered physiology.QUESTION 11. Scenario 1: Syndrome of Antidiuretic Hormone (SIADH)A 77-year-old female was brought to the clinic by her daughter who stated that her mother had become slightly confused over the past several days. She had been stumbling at home and had fallen twice but was able to walk with some difficulty. She had no other obvious problems and had been eating and drinking. The daughter became concerned when she forgot her daughter’s name, so she thought she better bring her to the clinic.  Concepts of Endocrine Disorders AssignmentORDER A PLAGIARISM-FREE PAPER HEREHPI: Type II diabetes mellitus (DM) with peripheral neuropathy x 30 years. Emphysema. Situational depression after death of spouse 6-months agoSHFH: – non contributary except for 40 pack/year history tobacco use.Meds: Metformin 1000 mg po BID, ASA 81 mg po qam, escitalopram (Lexapro) 5 mg po q am started 2 months agoLabs-CBC WNL; Chem 7- Glucose-102 mg/dl, BUN 16 mg/dl, Creatinine 1.1 mg/dl, Na+116 mmol/L,K+4.2 mmol/L, CO237 m mol/L, Cl-97 mmol/L.The APRN refers the patient to the ED and called endocrinology for a consult for diagnosis and management of syndrome of inappropriate antidiuretic hormone (SIADH). Concepts of Endocrine Disorders AssignmentQuestion:1.     Define SIADH and identify any patient characteristics that may have contributed to the development of SIADH    QUESTION 21. Scenario 2: Type 1 DiabetesA 14-year-old girl is brought to the pediatrician’s office by his parents who are concerned about their daughter’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with her school activities. She had been seemingly healthy until about 4 months ago when her parents started noticing these symptoms. She admits to sleeping more and gets tired very easily. Concepts of Endocrine Disorders AssignmentPMH: noncontributory.Allergies-NKDAFH:- maternal uncle with “some kind of sugar diabetes problem” but parents unclear on the exact disease processSH: denies alcohol, tobacco or illicit drug use. Not sexually active.Labs: random glucose 244 mg/dl.DIAGNOSIS: Diabetes Mellitus type 1 and refers to an endocrinologist for further work up and management plan.Question1.     Explain the pathophysiology of the three P’s for (polyuria, polydipsia, polyphagia)” with the given diagnosis of Type I DM.QUESTION 31. Scenario 2: Type 1 DiabetesA 14-year-old girl is brought to the pediatrician’s office by his parents who are concerned about their daughter’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with her school activities. She had been seemingly healthy until about 4 months ago when her parents started noticing these symptoms. She admits to sleeping more and gets tired very easily. Concepts of Endocrine Disorders AssignmentPMH: noncontributory.Allergies-NKDAFH:- maternal uncle with “some kind of sugar diabetes problem” but parents unclear on the exact disease processSH: denies alcohol, tobacco or illicit drug use. Not sexually active.Labs: random glucose 244 mg/dl.DIAGNOSIS: Diabetes Mellitus type 1 and refers to an endocrinologist for further work up and management plan.Question 1.    Explain the genetics relationship and how this and the environment can contribute to Type I DM. QUESTION 41. Scenario 3: Type II DMA 55-year-old male presents with complaints of polyuria, polydipsia, polyphagia, and weight loss. He also noted that his feet on the bottom are feeling “strange” “like ants crawling on them” and noted his vision is blurry sometimes. He has increased an increased appetite, but still losing weight. He also complains of “swelling” and enlargement of his abdomen.  Concepts of Endocrine Disorders AssignmentPMH: HTN – well controlled with medications. He has mixed hyperlipidemia, and central abdominal obesity. Physical exam unremarkable except for decreased filament test both feet. Random glucose in office 333 mg/dl.Diagnosis: Type II DM and prescribes oral medication to control the glucose level and also referred the patient to a dietician for dietary teaching.Question:1.     How would you describe the pathophysiology of Type II DM?    QUESTION 5 1. Scenario 4: HypothyroidismA patient walked into your clinic today with the following complaints: Weight gain (15 pounds), however has a decreased appetite with extreme fatigue,  cold intolerance, dry skin, hair loss, and falls asleep watching television. The patient also tearfulness with depression, and with an unknown cause and has noted she is more forgetful.  She does have blurry vision.PMH: Non-contributory.Vitals: Temp 96.4˚F, pulse 58 and regular, BP 106/92,  12 respirations. Dull facial expression with coarse facial features. Periorbital puffiness noted.Diagnosis: hypothyroidism.Concepts of Endocrine Disorders AssignmentQuestion:What causes hypothyroidism? Concepts of Endocrine Disorders Assignment READING RESOURCES McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.· Chapter 21: Mechanisms of Hormonal Regulation, including Summary Review· Chapter 22: Alterations of Hormonal Regulation, including Summary Review· Chapter 23: Obesity and Disorders of Nutrition, including Summary Review American Diabetes Association (2020). Standards of medical care of patients with diabetes mellitus. Diabetes Care, 26(suppl 1), pp. s33-s50. https://care.diabetesjournals.org/content/26/suppl_1/s33 Orlander, P. R. (2018). Hypothyroidism. Retrieved from https://emedicine.medscape.com/article/122393-overview  Hoorn, E. J., & Zietse, R. (2017). Diagnosis and treatment of hyponatremia: Compilation of the guidelines. Journal of the American Society of Nephrology, 28(5), 1340–1349Concepts of Endocrine Disorders Assignment

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