NURSING PNP401: Case Study: Endocrine: Diabetes; Helen Lam is a 52-year-old South Asian woman.

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NURSING PNP401: Case Study: Endocrine: Diabetes; Helen Lam is a 52-year-old South Asian woman.-Helen Lam is a 52-year-old South Asian woman who comes to your walk-in clinic with complaints of chronic ... fatigue, increased thirst, constant hunger, and frequent urination. She further reports a 3-month history of painful feet; they often “burn or feel like there are pins/needles in them. She tells you she has treated 2 urinary tract infections in the last year. Currently, she denies any pain, burning, or low-back pain on urination. She works full time as a clinical admin in a busy outpatient primary care clinic. She says, “by the time I get home and make supper for my family, I am too tired to exercise.” She has gained considerable weight over the last 2 years, the “COVID 15 lbs, that I can’t lose!”. H.L.’s reports that she does not have a PCP, “they retired 5 years ago and I haven’t been able to find a new one, that is why I come here”. She has been using walk in clinic very infrequently. Her current weight is 173 pounds, she is 5’3 tall. Today, her blood pressure (BP) is 152/97 mmHg, and a random plasma glucose level from 2 months ago was 13.5 mmol/L, which was ordered when she presented with UTI symptoms, however she was lost to follow up. PAST MEDICAL HISTORY (PMH): Gestational Diabetes Recurrent UTI (2 in the last year) Hypertension (not currently treated) FAMILY HISTORY: Father – deceased. R MCA Ischemic Stroke; age 68. Hypertension, Hyperlipidemia, T2DM. Mother – Hypertension. [Show More]

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