write a case study on this patient, Ricky Alvarez, a

write a case study on this patient, Ricky Alvarez, a 13-year-old Native American male with poorly managed type 1 diabetes, presented to the emergency department on Wednesday morning with a foot wound infection and symptoms of hyperglycemia. Patient Information ________________________________________ Chief Informant: Patient’s mother, Cheryl Alvarez, and patient, Ric Chief Complaint: Hunger, thirst, frequent urination, vomiting, naus History of Current Problem: Type 1 diabetes mellitus for past couple of months. Foot wound on right great toe sustained when patient stubbed toe on a piece of concrete while playing basketball with friends. Attempted to treat at home without improvement. Allergies: NKA Family History: No immediate family history of diabetes. His cousin, Erik, has had type 1 diabetes for 14 years but does not manage his diabetes well, per mother. Mother reports that she has high cholesterol but is not on medication to treat this. She also reports that Ricky’s father, Stone, has high blood pressure that is controlled with medication. Grandparents on both sides are alive. Paternal grandfather has high blood pressure; treated with medication.

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