A 42 year old man presented to his physician’s office complaining of fatigue, fever, dizziness, malaise, and a rash in his groin area that had not responded to antibiotic cream. He further complained of increased urination and constant thirst. Physical checkup revealed the patient to be overweight. Vital signs on presentation were BP 130/80, heart rate 90, respiratory rate 25 breaths/minute. His father had been diagnosed with DM II at age 46 and the patient’s older sister also was diagnosed with DM II. A CMP and Lipid profile was ordered to be drawn the following day as a fasting sample.
Carbohydrate Case One
A 42 year old man presented to his physician’s office complaining of fatigue, fever, dizziness, malaise, and a rash in his groin area that had not responded to antibiotic cream. He further complained of increased urination and constant thirst. Physical checkup revealed the patient to be overweight. Vital signs on presentation were BP 130/80, heart rate 90, respiratory rate 25 breaths/minute. His father had been diagnosed with DM II at age 46 and the patient’s older sister also was diagnosed with DM II. A CMP and Lipid profile was ordered to be drawn the following day as a fasting sample.
The CMP results were as follows:
| Patient | Reference Range | |
| Sodium | 143 | 136-145 mEq/L |
| Potassium | 3.4 | 3.5-5.1 mEq/L |
| Chloride | 104 | 98-107 mEq/L |
| CO2 | 28 | 22-28 mEq/L |
| Glucose | 135 | 74-100 mg/dL |
| BUN | 10 | 6-20 mg/dL |
| Creatinine | 1.1 | 0.9-1.3 mg/dL |
| Calcium | 9.2 | 8.6-10.2 mg/dL |
| Total Protein | 6.9 | 6.4-8.3 g/dL |
| Albumin | 4.2 | 3.5-5.2 g/dL |
| Total bilirubin | 0.5 | 0-2.0 mg/dL |
| ALP | 56 | 53-128 U/L |
| AST | 36 | <35 U/L |
| ALT | 18 | <45 U/L |
Lipid Profile results:
| Patient | Reference Range | |
| Cholesterol | 136 | <200 mg/dL |
| HDL Cholesterol | 66 | >40 mg/dL |
| LDL Cholesterol | 61 | <100 mg/dL |
| VLDL Cholesterol | 9 | <30 mg/dL |
| Triglycerides | 45 | <150 mg/dL |
Carbohydrate Case Studies
1. Which laboratory results are of concern?
2. What would be the next course of action?
3. A fasting blood glucose was drawn a week later. The result was 130 mg/dL. What is the significance of this result?
The post A 42 year old man presented to his physician’s office complaining of fatigue, fever, dizziness, malaise, and a rash in his groin area that had not responded to antibiotic cream. He further complained of increased urination and constant thirst. Physical checkup revealed the patient to be overweight. Vital signs on presentation were BP 130/80, heart rate 90, respiratory rate 25 breaths/minute. His father had been diagnosed with DM II at age 46 and the patient’s older sister also was diagnosed with DM II. A CMP and Lipid profile was ordered to be drawn the following day as a fasting sample. appeared first on Academicheroes.com.
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