MDC Patient with Polydipsia and Weight Gain Discussion

Question Description

I’m working on a health & medical discussion question and need an explanation and answer to help me learn.

Patient With Polydipsia and Weight Gain

FM is a 52-year-old man complaining of excessive thirst. He was in his usual state of health until about 3 to 4 weeks ago when he experienced a significant weight gain that he blames on the stay-at-home order in response to the COVID-19 pandemic. He has been lonely and depressed and sitting at home ating everything in sight. ver the past week he has noticed increasing thirst, urinary frequency, and blurred vision.

Past Medical History

Hypertension
Hyperlipidemia

Medications

Lisinopril, 10 mg daily
Hydrochlorothiazide, 25 mg daily
Atorvastatin, 10 mg daily

Physical Examination

Height: 68 inches; weight: 262 lbs.; BMI: 39.8; blood pressure: 158/96; pulse: 82; respiration rate: 16; temperature: 98.2 ¦nbsp;
Well-developed obese Latino male in no distress
Lungs: clear
Heart: regular rate and rhythm
Extremities: no edema
Neurological: no deficits

Labs

Hematocrit: 42%
Random capillary blood glucose: 358 mg/dL
Hemoglobin A1c: 11.4% rinalysis: specific gravity 1.010, pH 7.4, 4+ glucose, zero acetone

Discussion Questions

1. What nonpharmacologic treatments should be recommended to FM?

2. What pharmacologic treatments should be recommended or avoided in FM?

3. What additional laboratory tests should be recommended to FM?

Explanation & Answer:

300 Words

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