Case study: Endocrine

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 1 – The parents of an 11 year old girl bring her for an office visit. She has been developing normally
and has been healthy and active. Her parents report that for the past several weeks, she has been feeling tired
and weak, drinking more fluids than normal, and has been urinating so much she has wet the bed at night. Two
days ago, they noticed that her breath smelled “like fruit” and she lost 8 pounds these last weeks. Yesterday
she began breathing fast and deep.
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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Shaker gene in aedes aegypti

https://www.nature.com/articles/nature03486
https://pubmed.ncbi.nlm.nih.gov/27487216/
https://science.sciencemag.org/content/237/4816/770.abstract
https://pubmed.ncbi.nlm.nih.gov/33509778/

Sample Solution

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Can Mr. Smith Get To Washington?

View the video “Can Mr. Smith Get To Washington?” Then, answer two of the four
questions below. You must use information from the Video, then only after identifying the information from the
video that applies to the question, you may offer your opinion (what do you think personally about what you
saw or interpreted from the video on this topic?).
(PACs) What challenges are faced by people who want to change the political landscape in Washington?
Social Networks: Do you think Jeff Smith would have been elected if he were a member of a well-connected
political family?
Voting Trends: Why do you think that so many people complain about politicians but reliably vote for those who
are firmly part of the establishment?
Policy impact on Issues: What does the groundswell of support for Jeff Smith tell us about the potential for
social change?

Sample Solution

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Project Management

Perform the exercises below.
You may use a project management software, spreadsheet, or table to document the project plan.
List any assumptions, constraints, and/or basis used to develop the project plan
Information can be real-world or made-up. For example, a made-up or real-world labor cost.
1) Select one of the projects below:
a. Implementing self-checkout kiosks at the college’s bookstore
b. Developing a new game that you will sell to a large gaming company
c. Forming and opening a startup company
d. Creating a new project management software
e. Build a mobile app to address a problem or an opportunity
2) Use the selected project to perform following exercises:
a. Apply the three-sphere model for system management to list five organizational, five business, and five
technology issues to be addressed during the project.
b. Create a Project Plan with a Waterfall or Agile-Scrum (with Sprints) lifecycle to include Work Breakdown
Structure (WBS), Schedule, Resource and Cost Estimates, and Quality Control activities. Document the
assumptions and basis you made in preparing the project plan.
c. Discuss the process(es) you would use to measure project performance using the baselines.
d. Discuss two processes, techniques, or tools you will use to manage each of the following resources,
communication, and risks on the project. Implement the processes, techniques, or tools discussed for each of
the knowledge areas.

Sample Solution

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