Diabetes Patient Case
Longitudinal Case Study for StudentsMarch 9, 2009 Print-friendly version
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Diabetes
Joyce Watkina is a 28 year old Latina female. You are Joyce's main pharmacist. To communicate with Joyce please send her an email.
CC: "I need to get some help with my diabetes. My husband and I are thinking about starting a family and I want to get my diabetes under control first!"
HPI: Ms. Watkina was diagnosed with Type II diabetes 1 year ago.
PMH: Carpel tunnel surgery (2006), migraines (since 2003).
FH: Father died of complication of diabetes mellitus. Mother alive and well at 64 years of age. Sister with type 2 diabetes at age 35.
SH: Nonsmoker, occasional social drinker (1-2 drinks per night). Married 3 years.
Meds: Metformin 500 mg BID, Maxalt 10 mg PRN, multivitamin QD
ALL: Penicillin - rash, Sulfa - rash
PE:
Gen: WD, LBF in NAD; 5'10", 330 lbs, BP 132 mmHg/82 mmHg, HR 70
HEENT: NC/AT, EOMI, PERRLA, (-) JVD, nasopharynx clear
CV: S1, S2, normal rate and rhythm
Lungs: Clear to auscultation, + bilateral breath sounds, no RRW
Abdomen: + BS, NT
Ext: (-) C/C/E
Neuro: A and O x 3/3, strength 5/5
Laboratory Results
| Lab |
Value |
| Na+ (mEq/L) |
136 |
| K+ (mEq/L) |
3.8 |
| Cl- (mEq/L) |
112 |
| CO2 (mEq/L) |
25 |
| BUN (mg/dL) |
29 |
| SCr (mg/dL) |
1.0 |
| AM Fasting Glucose (mg/dL) |
187 |
| A1C (HbA1C)% |
8.9 |
|
Urine dipstick: + protein, + glucose
1 | 
