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Patient 2 Patient #2: Jan Johnson Next, Dr. Gupta sees Jan Johnson. She is a 12-year-old female.
She is in the 7th grade and has been on the school swim team for the past four years. She is a
good student and is generally a happy child. Lately, Jan's mother has been worried about her
daughter. Jan has been very irritable the past few months and at first, her mother thought it was
related to the onset of puberty. In addition to mood changes, Mrs. Johnson has also noted a few
other changes in Jan she is often too tired to attend swimming practice and has complained of
feeling too weak to swim and of having headaches. Despite her decreased physical activity, Jan
has been eating almost non-stop but has lost about 5 lbs, she is also drinking more than usual and
has been vomiting frequently. Jan saw her primary care physician, and after running some tests,
has sent Jan to follow up with Dr. Gupta. Jan's blood work and patient information from his
chart are listed below.
Solution
1.Jan is easily fatigued, eating too much (polyphagia) drinking too much water (polydipsia),
sudden weight loss and nausea are the symptoms. All these symptoms relate to the metabolic
disorder called Diabetes.
2.jan is having high blood glucose level than what is considered to be normal. This indicates the
insulin receptors have become resistant to insulin which is type 2 diabetes or adequate amounts
of insulin is not being secreted by the pancreas which is type 1 diabetes. If untreated, diabetes
can be life threatening in the long term. It leads to diabetic retinopathy, kidney parenchymal
changes, coronary artet disease, diabetic foot etc.
3. I must collect information about her diet, frequency of urination, recent injuries, family history
of diabetes, any blurred vision,.

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Patient 2 Patient #2 Jan Johnson Next, Dr. Gupta sees Jan Johnson. .pdf

  • 1. Patient 2 Patient #2: Jan Johnson Next, Dr. Gupta sees Jan Johnson. She is a 12-year-old female. She is in the 7th grade and has been on the school swim team for the past four years. She is a good student and is generally a happy child. Lately, Jan's mother has been worried about her daughter. Jan has been very irritable the past few months and at first, her mother thought it was related to the onset of puberty. In addition to mood changes, Mrs. Johnson has also noted a few other changes in Jan she is often too tired to attend swimming practice and has complained of feeling too weak to swim and of having headaches. Despite her decreased physical activity, Jan has been eating almost non-stop but has lost about 5 lbs, she is also drinking more than usual and has been vomiting frequently. Jan saw her primary care physician, and after running some tests, has sent Jan to follow up with Dr. Gupta. Jan's blood work and patient information from his chart are listed below. Solution 1.Jan is easily fatigued, eating too much (polyphagia) drinking too much water (polydipsia), sudden weight loss and nausea are the symptoms. All these symptoms relate to the metabolic disorder called Diabetes. 2.jan is having high blood glucose level than what is considered to be normal. This indicates the insulin receptors have become resistant to insulin which is type 2 diabetes or adequate amounts of insulin is not being secreted by the pancreas which is type 1 diabetes. If untreated, diabetes can be life threatening in the long term. It leads to diabetic retinopathy, kidney parenchymal changes, coronary artet disease, diabetic foot etc. 3. I must collect information about her diet, frequency of urination, recent injuries, family history of diabetes, any blurred vision,.