CASE STUDY #1

Review the case below and answer the following questions.

This should be original work, no references or informationfrom online. Please be detailed.

38-year-old female with excessive thirst, frequent urination,and weight loss.

History: Cindy Mallon, an 38 year old Caucasian female inpreviously good health, she has noticed that in the past month, sheis increasingly thirsty. She gets up several times a night tourinate, and finds herself gulping down glassfuls of water. At thedinner table, she seems unusually hungry, yet she has lost 5 poundsin the past month. In the past three days, she has felt lethargicand had noted some visual changes where her vision is blurry.

QUESTIONS:

At the doctor's office, blood and urine samples are taken. Thefollowing lab results are noted:

blood glucose level = 445 mg/dl (normal = 50 - 170mg/dl)

blood pH level = 7.40 (normal = 7.35 -7.45)

urine = tested positive for glucose and negative foracetone / acetoacetate (i.e. ketone bodies)

Answer the following questions, be sure to use properterminology and detail your answers considering your review of yourchapter via textbook, notes and video screen cast of modulecomponents:

1. What would be some endocrinological reasons for herblood-glucose levels to be elevated?

2. At the office, you examine her and notice that shehas a dark pigmented ring around her neck and is considered to bemorbidly obese. The pigmentation is called acanthosis nigricans andis sometimes noted with metabolic disorders. Do those signs have todo with her current condition?

3. Explain why Cindy is urinating so frequently indetail and physiologically how and why it occurs.

4. Explain her constant thirst in detail including whatcauses it.

5. What are the possible long-term complications of herdisease?