Renal disorder

  A 52 year old woman presented to the clinic for ongoing fatigue and weight loss during the last 6 weeks. She thinks she’s loss at least “10 pounds”. For the past week and a half she’s noted some progressing ‘muscle cramping’ tetany, as well as ‘tingling’ sensation around her mouth and lower extremities. She’s also noted some intermittent colicky abdominal pain. On your exam, you noted a positive Chvostek’s sign. PMH: 20 year history of Crohn’s disease. She also tells you that she is a practicing vegan.   1) Write an explanation of the diagnosis of Hypocalcemia and Hyperkalemia Renal dysfunction Malnutrition Cancer- 2) Describe the role the patient history and physical exam played in the diagnosis. 3) Then, suggest potential treatment options based on the diagnosis.     7.   Neurologic disorder   A 50-year-old African American male presents with complaints of dizziness left arm weakness and fatigue. PMH: poorly controlled diabetes, hypertension, hyperlipidemia PE: Upon exam, you noted a very mild dysarthria, he understands and follows commands very well. Mild weakness on the left side of the face is noted, and left sided homonymous hemianopsia but no ptosis or nystagmus or uvula deviation.       1) Write an explanation of the diagnosis of Ischemic Stroke Hemorrhagic stroke: Transient ischemic attack Brain tumor   2) Describe the role the patient history and physical exam played in the diagnosis. 3) Then, suggest potential treatment options based on the diagnosis.      

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