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Endocrine case studyCC/PMI:  GB is a 65 year-old male who is available in for a check-up on the request of his partner.  His final check-up was 10 years in the past.  He has no complaints apart from some leg numbness and tingling from time-to-time and feeling thirsty and drained more often than not.SH:  no smoking or alcohol consumptionPhysical Examination:GEN:  well-nourished, barely overweight maleVS:  BP 170/100, Hr 70, RR 12, T 98.7, Wt 89kg, Ht 5’eight”HEENT:  PERRLACOR:  RRR, NMRGCHEST:  CTANEURO:  monofilament check reveals decreased peripheral sensationEXT: normalLaboratory (fasting): Na 140Cl 100BUN 32BG 250Ok three.7HCO3 24SCr 1.9ALT 35AST 40Alb four.0Ca 9.0TP 7Cholesterol 250 UA: SG 1.zero12, pH 6.four, +++ protein QuestionsWhat main issues are you able to establish with this affected person? What’s your Assessment and plan for every drawback? Present pharmacological and nonpharmacological care (do not forget to be particular).  Will you add any new medicines? How will you monitor every drawback and every remedy included in your plan? When will you counsel following up with the affected person? Is there any laboratory monitoring that can have to be carried out to guarantee the security of the affected person?  

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