Stratford University Pituitary and Thyroid Disorders & Respiratory Disorders Paper i’m attaching the questions. they are all to be answered the temperate p

Stratford University Pituitary and Thyroid Disorders & Respiratory Disorders Paper i’m attaching the questions. they are all to be answered the temperate providedthanks DIRECTIONS: .Completing the table, list the causative agent for the disease
Disease
Community-acquired pneumonia
Tuberculosis
Rhinitis
Tonsillitis
Laryngitis
Pharyngitis
Acute bronchitis
Hospital-acquired pneumonia
Epiglottitis
Acute sinusitis
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Organism(s)
Student Handout for Worst-Case Scenarios: Respiratory Disorders
DIRECTIONS: Complete the complications associated with each of the diseases listed below
Disease
Community-acquired
pneumonia
Tuberculosis
Rhinitis
Tonsillitis
Laryngitis
Pharyngitis
Acute bronchitis
Hospital-acquired
pneumonia
Epiglottitis
Acute sinusitis
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Worst Case
Student Handout for Case Study: Obstructive Pulmonary Disorders
DIRECTIONS: Discuss the following patient scenarios and what you would expect with each.
Record your answers below.
Barbara is 61 years old and has been smoking since she was 22 years old. Despite numerous attempts,
she has been unable to break her pack-a-day habit. During her annual examination at her physician’s
office, Barbara reports being “constantly out of breath” and tired. She is wheezing slightly and states this
is because she has recently been fighting a cold. On assessment, her physician notes several symptoms,
including clubbing of the fingers. Barbara has a barrel-shaped chest, breathes with pursed lips, and uses
accessory muscles to breathe. She has difficulty catching her breath while speaking. Inspection reveals
peripheral edema. Vital signs include a heart rate of 82 beats per minute and respiratory rate of 12
breaths per minute. Oxygen saturation is 82%. Spirometry results show reduced vital lung capacity and
reduced forced vital capacity.
1. What may explain the clubbing of Barbara’s fingers?
2. Is Barbara’s oxygen saturation value normal?
3. Why has Barbara developed a barrel-shaped appearance to her chest?
4. Why is Barbara using pursed-lip breathing?
5. What is the significance of the spirometry test results?
6. Given Barbara’s pulmonary issues, why may she have developed peripheral edema?
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Student Handout for Knowledge : Pituitary and Thyroid Disorders
DIRECTIONS Name the specific disorders, describe the signs and symptoms, and
summarize treatment for each of the endocrine dysfunctions listed.
Dysfunction
Specific Related
Disorders
Signs and Symptoms
Hypopituitarism—
posterior pituitary
Hyperpituitarism—
posterior pituitary
Hypothyroidism
Hyperthyroidism
Hypopituitarism—
anterior pituitary
Hyperpituitarism—
anterior pituitary
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Treatment
DIRECTIONS: Complete the following activity based on the case Study
Recent weight gain and fatigue have caused Tammy, a 48-year-old woman, to seek medical help. She
states that she has always been in good shape and maintained her weight, but she has gained 15 pounds
in the past 3 months. She tells you that she even feels too tired to exercise, something she did daily in the
past. It is not only the weight gain that is bothering Tammy. She feels her body is “changing.” Her face
has a more rounded appearance than when you saw her previously. Interscapular fat deposition is also
apparent. Striae have appeared on her abdomen, breasts, and arms. Tammy also complains of slower
than normal wound healing. She reports more facial hair, and she feels as if her voice is deepening. At
first, Tammy thought some of the changes may be due to menopause, because her menstrual periods
were less frequent. Now, she is not so sure. Vital signs and blood laboratory results reveal Tammy has
elevated blood pressure, serum glucose, and cortisol. Cortisol levels are five times higher than normal.
ACTH and CRF levels are undetectable.
1. What condition do you suspect Tammy has?
2. What led you to this conclusion?
3. Explain how her condition causes each of her signs and symptoms.
4. In addition to blood tests, what other diagnostic tests may be ordered for Tammy’s condition?
5. What is the treatment course for Tammy’s condition?
6. If Tammy’s laboratory levels had revealed elevated cortisol and elevated ACTH, how would this have
altered the diagnosis
DIRECTIONS: Read each of the following patient questions. Determine the topics that should be
discussed in response to each question and frame a response for each.
Patient Questions
1. A 10-year old girl recently diagnosed with T1DM asks, “Why do I have to have insulin shots while my
grandpa gets to take pills and he has diabetes?”
2. A man who was diagnosed with T2DM wants to know, “Why do I have to check my blood glucose so
many times a day?”
3. Parents of a child recently diagnosed with T1DM want to know, “What are the most important things we
can do with diet and activity to help our child with blood glucose regulation?”
4. A high school teenager with T1DM asks, “Why can’t I just eat whatever I want, when I want, like
everyone else?”
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5. A 50-year old woman worries she may be developing T2DM because it runs in her family. She asks,
“What tests can be done to see if I have diabetes?”
6. The wife of a man with T2DM that is poorly controlled with oral antidiabetic agents asks, “Why is insulin
being considered as a therapy for his diabetes? Why are the medications not working?”
DIRECTIONS: Review the following questions on the diagnosis and management of diabetes mellitus
and write a comprehensive response for each.
1. What are the causes of type 1 and type 2 diabetes mellitus?
2. Why are the following important in diabetes diagnosis and management: A1c values, postprandial
glucose values, and oral glucose tolerance test?
3. Name three difference in the management of type 1 and type 2 diabetes.
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DIRECTIONS: Identify the short-term complications indicated by the different sets of
assessment findings and laboratory results.
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DIRECTIONS: Provide an explanation of the underlying pathological processes for each item listed and
why they occur.
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Systemic Complications of Diabetes
DIRECTIONS: For each body system, follow the progression of the “worst case
scenario” of this system being affected by diabetes mellitus.
Body System
“Worst Case Scenario”
Cerebrovascular
Vision
Renal
Cardiac
Arterial
Peripheral nervous system
Peripheral vascular
Immune
Psychological/emotional
Reproductive
Autonomic nervous
system
Skin
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DIRECTIONS: Use the provided list of disorders to identify the disease present in each of the
brief patient descriptions located below.
Word Bank:
acute glomerulonephritis
acute kidney injury
chronic renal failure
Goodpasture’s syndrome
nephrotic syndrome
nephrolithiasis
polycystic kidney disease
pyelonephritis
1. Laboratory results show high anti-glomerular antibody levels. Plasmapheresis is
recommended.
Disorder:
2. Patient with hypertension and diabetes mellitus presents with periorbital edema. Diagnostic
tests show hyperlipidemia and albuminuria. Treatment plan includes low sodium diet and
increase in fluid intake while taking a diuretic.
Disorder:
3. Patient with recent streptococcal infection presents with swollen abdomen. Diagnostic tests
reveal hematuria and proteinuria.
Disorder:
4. Blood tests reveal hyperkalemia, hypocalcemia, and low iron. Serum Cr is extremely
elevated with a significantly reduced GFR. Urinalysis reveal proteinuria. Blood tests reveal no
renal or glomerular antibodies. Dialysis is recommended and patient added to kidney
transplant list.
Disorder:
5.
Patient present with costovertebral angle pain and fever. Chills, fever, dysuria and increased
frequency of urination are patient symptoms.
Disorder:
6. Patient has diagnosed renal genetic disorder. Presents with mid-back pain and blood in
urine. Ultrasound reveals kidneys with prominent cysts.
Disorder:
7. CVA pain is reason for patient seeking medical care. Urinalysis reveals blood and crystals.
Pain medication given, as well as recommendation to increase fluid intake to 3 L per day.
Urine should be strained.
Disorder:
8. ICU patient with severe sepsis. Blood and urine tests reveal elevated BUN and Cr, along with
edema in extremities. If sepsis is controlled, kidney issue will likely be reversed.
Disorder:
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