negative opinion about fibromyalgia

    WEEK 3 Questions 1. Many nurses have a very negative opinion about fibromyalgia and feel that it is not a legitimate diagnosis.a. Write a 275- word Discuss personal views and opinions on fibromyalgia and research related topics about fibromyalgia.  APA format 1 reference b. Write a 275 –word Discussfibromyalgia, including your personal opinion regarding whether or not the disorder should be reclassified and suppressed from a pathophysiologic perspective. Provide justification for your opinion. APA format 2 References. 2. As NPs, you must be capable of diagnosing both hypothyroidism and hyperthyroidism, but you will only treat patients for hypothyroidism. Patients that you diagnose with hyperthyroidism need to be referred to an endocrinologist. In addition, variations of hypothyroidism with subtle abnormalities will warrant further work-up. Write 550-word  APA format 3 referencesa.  Discuss the difference between hypothyroidism and hyperthyroidism b. Provide an accurate diagnosis and in-depth knowledge of the symptomology of the patient with hypothyroidism presentation coupled with proper lab interpretationand identifying which of the following symptoms align to Hashimoto's disease and which align to Grave's disease:• Fatigue• Weight gain• Weight loss• Tachycardia• Bradycardia• Heavy periods• Scanty periods• Palpitations• Constipation• Diarrhea• Anxiety• Cold intolerance• Warm skin, sweaty palms• Edema of extremities• Pretibialmyxedema• Periorbital edema• Exophthalmos• Loss of hair, coarse brittle hair• Thinning hair• TSH suppressed• TSH elevated• TPO antibodies positive• Thyroglobulin antibodies positive• Low T4• Low T3• High T4• High T3• TSI (thyroid stimulating antibodies) positive 3. According to the CDC, over 29 million Americans (9.3% of the population) has diabetes and 86 million are living with prediabetes, making diabetes the seventh leading cause of death in the United States. For an NP, a significant percentage of your patients will be dealing with diabetes, and so it is critical that you be proficient at diagnosing and treating it, as well as educating your patients about it.Write 550-word APA format 3 references. a. Research the following terms and their relevance in regards to diabetes and to metabolic syndrome:• Nephropathy• FBS >100• Decreased glucose uptake in peripheral tissue• Neuropathy• BP > 130/85• Increased glucose reabsorption in kidneys• Peripheral vascular disease• Trigs > 150• Microvascular disease• Increased lipolysis of the fat• Decreased incretins of the gut• HDL < 40 in men, < 50 in women• Retinopathy• Cerebrovascular disease• Waist >35″ in women, >40″ in men• Brain neurotransmitter dysfunction• Increased hepatic glucose production• Increased glucagon secretion by alpha cells • Coronary artery disease• Impaired insulin secretion by beta cells• Macrovascular disease b. Create a flowchart using symbols (boxes, shapes, and arrows) that illustrates the following: • Which of the terms comprise metabolic syndrome?• Which of the terms comprise the ominous octet?• Categorize which complications are associated with microvascular disease and document both a subjective and objective component you would do to assess for each complication identified. • Categorize which complications are associated with macrovascular disease and document both a subjective and objective component you would do to assess for each complication identified.   4. 275 word APA format 2 References Discuss OmnousOctet  see attached file 5. Discuss Endocrine System: 275 word APA format 2 references a. list the 5 criteria that comprise Metabolic Syndromeb. contrast  glucagon from glycogenc. explain the normal metabolic pathway of carbohydrate metabolism to achieve euglycemiad identify lab tests used for diagnosing T1DM