nr507 week 4 discussions
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Week 4: Alterations in Renal Function –
Discussion Part One
This week’s graded topics relate to the
following Course Outcomes (COs).
1 Analyze pathophysiologic mechanisms associated
with selected disease states. (PO 1)
2 Differentiate the epidemiology, etiology,
developmental considerations, pathogenesis, and clinical and laboratory
manifestations of specific disease processes. (PO 1)
3 Examine the way in which homeostatic,
adaptive, and compensatory physiological mechanisms can be supported and/or
altered through specific therapeutic interventions. (PO 1, 7)
4 Distinguish risk factors associated with
selected disease states. (PO 1)
5 Describe outcomes of disruptive or alterations
in specific physiologic processes. (PO 1)
6 Distinguish risk factors associated with
selected disease states. (PO 1)
7 Explore age-specific and developmental
alterations in physiologic and disease states. (PO 1
Mrs. Orndorf is a 28-year-old woman married for
3 years who has just returned from an outdoor camping trip with her husband,
with symptoms of dysuria with a burning sensation, urgency to urinate, and
frequent urination. She said, “I have had similar symptoms three times over the
last 2 years. Pubic and low back discomfort awoke me two nights ago and that is
why I am here.” On physical examination, her temperature was 98.6° F, blood
pressure was 114/64 mm Hg, pulse was 68 beats per minute, and the respiratory
rate was 12 breaths per minute. Other than a tender abdominal pelvic area, the
examination was unremarkable.
§ What is your list of differential diagnoses in this case and
explain how each of these fits with the case patient as described above. Be
sure to list at least four (4) pertinent differential diagnoses. Indicate which
of these you would select as the most likely diagnosis and explain why.
§ According to the first item in your differential, what are the
risk factors for this disorder?
§ What are some treatments for this disorder?
Week 4: Alterations in Renal Function –
Discussion Part Two
Discussion
This week’s graded topics relate to the
following Course Outcomes (COs).
1 Analyze pathophysiologic mechanisms associated
with selected disease states. (PO 1)
2 Differentiate the epidemiology, etiology ,
developmental considerations, pathogenesis, and clinical and laboratory
manifestations of specific disease processes. (PO 1)
3 Examine the way in which homeostatic,
adaptive, and compensatory physiological mechanisms can be supported and/or
altered through specific therapeutic interventions. (PO 1, 7)
4 Distinguish risk factors associated with
selected disease states. (PO 1)
5 Describe outcomes of disruptive or alterations
in specific physiologic processes. (PO 1)
6 Distinguish risk factors associated with
selected disease states. (PO 1)
7 Explore age-specific and developmental
alterations in physiologic and disease states. (PO 1, 4)
A 56-year-old female comes into the clinic
complaining of intermittent severe pain that radiates from the flank to the
groin and sometimes to theinner thigh. Upon further questioning she tell you
that she has an urge to always go to the restroom and that she sometime sweats
and feels nauseous. A urinalysis provides traces of blood, a few white blood
cells and no bacteria.
§ What is your differential diagnosis? Discuss in detail the pathophysiology
of each item in your differential and how it might fit in describing this case.
§ The x-ray comes back and there is nothing abnormal except a
slightly dilated ureter. Does this change your differential or narrow it?
§ How would you treat the pain in this case?
Week 4: Alterations in Renal Function –
Discussion Part Three
This week’s graded topics relate to the
following Course Outcomes (COs).
1 Analyze pathophysiologic mechanisms associated
with selected disease states. (PO 1)
2 Differentiate the epidemiology, etiology,
developmental considerations, pathogenesis, and clinical and laboratory
manifestations of specific disease processes. (PO 1)
3 Examine the way in which homeostatic,
adaptive, and compensatory physiological mechanisms can be supported and/or
altered through specific therapeutic interventions. (PO 1, 7)
4 Distinguish risk factors associated with
selected disease states. (PO 1)
5 Describe outcomes of disruptive or alterations
in specific physiologic processes. (PO 1)
6 Distinguish risk factors associated with
selected disease states. (PO 1)
7 Explore age-specific and developmental
alterations in physiologic and disease states. (PO 1, 4)
A 60-year-old patient comes into your office
with a history of hypertension and a myocardial infarction 13 years ago. You
notice that both of her ankles are swollen and that her skin seems shiny. She
first noticed her ankle swelling 9 months ago and it has gotten progressively
worse. She has a smell of ammonia on her. She also has a 2 year history of
diabetes.
§ What are at least five systemic effects of chronic kidney disease?
§ How would you modify the diet and what is the rationale to the
changes of the diet that you make?
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