Assignment Objectives:

Describe the pathophysiologic manifestations of the disease(s).
Identify and select appropriate interventions including diagnostic tests and nursing interventions.
Analyze physiological and psychological responses to illness and treatment modalities.

Purpose: Examine case studies related to endocrine system and answer the assigned questions. This assignment should help refine your clinical/critical thinking skills.

Assignment Description: Answer the questions related to each of the patients provided. Your answer must follow APA 7th edition format. Submit the answer in the assignment area of your course.

Patient 2– A 45-year-old man is being seen because he has been experiencing vision changes, a burning sensation in his feet, and decreasing amounts of urine when he uses the bathroom. He has a long-standing history of hypertension and hyperlipidemia. Your physical exam reveals retinal hemorrhages in both eyes, and decreased sensation to moderate touch in the soles of his feet. A spot urinalysis shows microalbuminuria and a stat Basic Metabolic Profile (BMP) show decreased Glomerular Filtration Rate (GFR).

a. Present your initial diagnosis.

b. Describe the pathophysiologic processes related to your diagnosis that explain the signs/symptoms, and lab results obtained.

c. State the effect of his symptoms on his life expectancy and the rationale for your answer.