18 Oct Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals and other team members needed to complete patient care.

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example,  #2 Carl, type 2 diabetes.

Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals and other team members needed to complete patient care.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different case study.

Case Studies

1. Marissa is a 29-year-old transgender female (male to female) who works as produce manager at Whole Foods. She is not currently in a monogamous relationship. Marissa smokes a pack of cigarettes a day, smokes marijuana occasionally, and drinks 10 to 12 beers every weekend. Marissa is 5’9, 162 lbs. She presents to the clinic for a physical exam and preventative care. This is the brief information that you have obtained from her intake sheet. Discuss your strategy and plan of care.

2. Carl is a 67-year-old Hispanic male with type 2 diabetes who takes metformin 1000mg twice daily. He stopped smoking more than 20 years ago and does not drink. He is 5’8’ and weighs 188 lbs. His last cholesterol level reading last month was 188 triglycerides 108, A1C 6.9. His blood pressure has been maintained at a normal range. What health promotion priorities do you have for Carl on this visit?

3. Mary is a 72-year-old grandmother of six, who recently moved to your area to be closer to her older son who recently lost his wife. She lives with her son and two teenage grandsons. Mary has not had a physical exam in about 5 years, but she does not report any significant health issues. She has a history of hypertension that has been controlled with Lisinopril for the past five years. Discuss your health promotion priorities for Mary.

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