AG is a sixty-nine-year-old male who presents for an initial visit with a complaint of blurred vision, health and medicine homework help

AG is a sixty-nine-year-old male who presents for an initial visit with a complaint of blurred vision, fatigue, and lack of energy. He is currently being treated for hypertension, hypothyroidism, and gouty arthritis. He is currently retired and married, with three adult children. His vital signs are unremarkable, with a body mass index (BMI) of 30. His current medications include lisinopril 20 mg daily, allopurinol 300 mg daily, and levothyroxine 0.888 mg daily.

As per his blood work today, his A1c level is 7.8%, his fasting blood sugar is 202, his total cholesterol is 180 mg/dL, his high-density lipoprotein (HDL) is 27 mg/dL, his low-density lipoprotein (LDL) is 193 mg/dL, and his triglycerides are 302 mg/dL. Answer the following questions:

  • What additional blood work would you like to complete at this point? Is there any additional information that should be collected from the patient?
  • Evaluate the current therapy and make recommendations concerning any needed changes.
  • What lifestyle modifications or changes do you think would be appropriate for this patient?
  • APA style

Expert Solution Preview

Introduction:

In this scenario, a sixty-nine-year-old male (AG) presents with blurred vision, fatigue, and lack of energy. The patient has a medical history of hypertension, hypothyroidism, and gouty arthritis. His current medications include lisinopril 20 mg daily, allopurinol 300 mg daily, and levothyroxine 0.888 mg daily. As per his blood work, his A1c level is 7.8%, fasting blood sugar is 202, total cholesterol is 180 mg/dL, HDL is 27 mg/dL, LDL is 193 mg/dL, and triglycerides are 302 mg/dL.

Answers:

1. What additional blood work would you like to complete at this point? Is there any additional information that should be collected from the patient?

The current blood work provides a brief idea of the patient’s underlying medical condition. There are a few more blood tests that can be done to evaluate the patient’s condition thoroughly. The additional blood tests required may include a complete blood count (CBC), comprehensive metabolic panel (CMP), levels of electrolytes and liver function tests (LFTs), and hemoglobin A1C. The patient’s medical history, family history, social history, and drug history can also provide useful information for proper patient evaluation.

2. Evaluate the current therapy and make recommendations concerning any needed changes.

The current therapy of lisinopril 20 mg daily, allopurinol 300 mg daily, and levothyroxine 0.888 mg daily is suitable for treating hypertension, hypothyroidism, and gouty arthritis. However, further recommendations can be made based on the current blood work report. The elevated fasting blood sugar, A1C, and a low HDL level indicate high levels of blood sugar and cholesterol. The LDL and triglyceride levels are also high. The patient may require hypoglycemic agents, and statins or fibrates may help manage his LDL and triglyceride level.

3. What lifestyle modifications or changes do you think would be appropriate for this patient?

The patient should make a few lifestyle changes to improve his medical condition, including dietary modifications and regular exercise. A low-fat diet with plenty of fruits, vegetables, and whole grains may help manage his hypercholesterolemia. Additionally, he should reduce his intake of alcohol and quit smoking. The patient should also perform regular physical activity, such as walking for 30 minutes to 60 minutes every day. This physical activity can help maintain a healthy BMI, which is 30, in this case.

4. APA style

The American Psychological Association (APA) style is a method of writing used in scientific and academic writing. It is the most commonly used style in the medical and health sciences field. The APA style requires writing in third-person and citing sources in-text, list of references, and other relevant citations. Additionally, the APA style includes specific guidelines for margins, font size and style, spacing, and other formatting details.

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