a. Present your initial diagnosis.
b. Describe the pathophysiologic explanation(s) to support your diagnosis and the clinical symptoms presented.
c. List the test(s) you would perform to confirm your diagnosis, the rationale for each test ordered, and the results you would expect if your diagnosis is correct.
d. Describe your recommended treatment(s) and the rationale to support your recommendation(s).

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) shows 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.

Sample Solution

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Identify an organism that lives within 50 miles of your home.
Write a 1,050- to 1,400-word paper about how the organism has adapted to survive in their specific environment. Include the following points in your paper:

Briefly describe the environment (temperature, landscape, food sources, etc.) and describe the organism’s role in the environment. Determine which organism your chosen organism would be most closely related to using a phylogenetic tree.
Identify the structures and functions of the main organs found in your selected organism.
Explain how the organism has evolved physiologically to become suited to its environment.
Explain how things would change if the organism were to be transplanted to a significantly different environment:
Would their organ system still be as efficient? Why or why not?
Would the organism survive in this new environment? Why or why not?

Include the diagram and other appropriate pictures in your paper and make sure to provide a full reference for the images in your reference section.