MAKE THE PATHOPHYSIOLOGY FOR THIS CASE Subjective

MAKE THE PATHOPHYSIOLOGY FOR THIS CASE Subjective Data History of Present Illness Chief complaint. A 68-year-old African-American female came to the clinic because of progressive lethargy, dizziness, and fatigue that began 3 months earlier. Medical and surgical history. The patient has a history of type 2 diabetes mellitus (DM), hypertension (HTN), coronary artery disease (CAD), and osteoporosis. She had a Caesarean section 23 years ago. Allergies. She is allergic to sulfa, which caused hives when she took it 4 years ago. Medications. Medications include the following: lisinopril/hydrochlorothiazide (Prinzide[R]) 20 mg/12.5 mg by mouth daily, aspirin 81 mg by mouth daily, atorvastatin (Lipitor[R]) 20 mg by mouth at night, metformin (Glucophage[R]) 500 mg by mouth twice daily, ergocalciferol 800 units orally once daily, and ibandronate (Boniva[R]) 150 mg every month. Social history. The patient denied any drug and alcohol use or smoking. She retired 4 years ago as a social worker. Family history. She has a family history of CAD, DM, and HTN. Her mother died at age 55 from CAD. Her father died of prostate cancer at age 70. Both her siblings have been diagnosed with HTN. Objective Data Physical Exam and Review of Systems The patient is 5 feet 6 inches tall and weighs 200 pounds. Vital signs. Heart rate 100 beats per minute, blood pressure 130/80 mm Hg, respirations 20 breaths per minute, oxygen saturation 94% on room air Head and neck. Patient has a beefy red tongue and pale conjunctiva. Cardiac. Auscultation identifies regular rhythm without any murmur. No peripheral edema is noted. Respiratory. The patient’s chest expansion is symmetrical, with no adventitious breath sounds. She complains of mild shortness of breath when walking long distances. Gastrointestinal (GI). Patient’s abdominal wall is soft and non-tender without any masses. Bowel sounds are active in all four quadrants. She denies any nausea, weight loss or gain, vomiting, or diarrhea. Neurologic. The neurological exam is unremarkable with no decreased sensation to light touch. Genitourinary. The patient denies dysuria, hematuria, urinary incontinence, or polyuria. Musculoskeletal. The patient denies joint stiffness, pain, or swelling. Although she denies any intermittent numbness and tingling in the legs, they are cool to the touch. Patient has an unsteady gait and she uses a cane to walk; she denies any history of falls. Diagnostics. Laboratory results are as follows: hemoglobin (Hgb) 7 g/dl, hematocrit 23%, mean corpuscular volume (MCV) 73 fl/red cell, mean corpuscular hemoglobin (MCH) 25 pictograms/cell, mean corpuscular hemoglobin concentration (MCHC) 30 g/dl, increased total iron-binding capacity (TIBC) 550 mcg/dl, low serum iron 50 mcg/dl, and low serum ferritin 15 ng/ml. SCIENCE HEALTH SCIENCE NURSING NURSING 436

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."