V.G. is a 47 year old African American male with type 2 diabetes diagnosed two years ago. He is for a follow up and complaining of increased tingling to the lower extremities. PMH: obesity, dyslipidemia, HTN. He quit smoking smoking two years ago. Denies any alcohol use. SH: lives with alone in a subsidized housing. He is a veteran and relies on food stamps and welfare. Works occasionally. MEDS: he lost his medications and hasnâ€™t taken any in about a week. His chart indicates his is on Lisinopril 20mg, Januvia 50mg QD, Lipitor 40mg QD, PE: 5â€™9, BP: 160/100 RBG: 415. To prepare:Review Part 17 and 21 of the Buttaro et al. text in this weekâ€™s Resources.You will either select or be assigned to a patient case study for this Discussion.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.Think about potential treatment options for the patient.Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleaguesâ€™ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!By Day 3Post a an explanation of the primary diagnosis, as well as 3 differential diagnoses, for the patient in the case study that you selected or were assigned. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis. ——Primary diagnosis -diabetic neuropathy…â€¦.differential diagnosis , B-12 deficiency , pernicious anemia,alcoholism
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