Week 7 Renal System Case Study (read instructions below carefully!!!)

Instructions: Upload a word document with answers. Must have APA resource and rationale with each answer for full-credit.

Case #1 (8 Questions Total)

The patient is a 46 year-old male who has a longstanding history of uncontrolled hypertension and diabetes Type II, presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and emesis. He denies any other medical illnesses.

On physical exam the patient is a well-developed, well-nourished male in moderate distress. Blood pressure 180/110, pulse 80, respirations 24 and he was afebrile. Body weight 76.5 kg. Head/Ear/Neck/Throat (HEENT) exam was remarkable for fundoscopic findings of A-V nicking and copper wire changes consistent with hypertensive injury. Cardiac exam had an S1, S2 and S4 heart sounds. The remainder of the exam was remarkable for 2+ lower extremity edema and superficial excoriations of his skin from scratching.