Entries by Bernard

A 47-year-old African American male presents to the clinic with chief complaints of polyuria polydipsia polyphagia and weight loss

September 22, 2020 in /by

A 47-year-old African American male presents to the clinic with chief complaints of polyuria polydipsia polyphagia and weight loss A 47-year-old African American male presents to the clinic with chief complaints of polyuria, polydipsia, polyphagia, and weight loss. He also said that his vison occasionally blurs and that his feet sometimes feel numb.  He has increased hunger despite weight loss and admits to feeling unusually tired. He also complains of “swelling” and enlargement […]

A 47-year-old female is referred to the endocrinologist for evaluation of her chronically elevated blood pressure hypokalemia and hypervolemia

September 22, 2020 in /by

A 47-year-old female is referred to the endocrinologist for evaluation of her chronically elevated blood pressure hypokalemia and hypervolemia A 47-year-old female is referred to the endocrinologist for evaluation of her chronically elevated blood pressure, hypokalemia, and hypervolemia. The patient’s hypertension has been refractory to the usual medications such as beta blockers, diuretics, and angiotensin-converting enzyme (ACE) inhibitors. After a full work up including serum […]

A 32-year-old woman presented to the clinic complaining of weight gain swelling in her legs and ankles and a puffy face

September 22, 2020 in /by

A 32-year-old woman presented to the clinic complaining of weight gain swelling in her legs and ankles and a puffy face A 32-year-old woman presented to the clinic complaining of weight gain, swelling in her legs and ankles and a puffy face. She also recently developed hypertension and diabetes type 2. She noted poor short-term memory, irritability, excess hair growth […]

A 67-year-old African American male presents to the clinic with a chief complaint that he has to go to the bathroom all the time and I feel really weak

September 22, 2020 in /by

A 67-year-old African American male presents to the clinic with a chief complaint that he has to go to the bathroom all the time and I feel really weak A 67-year-old African American male presents to the clinic with a chief complaint that he has to “go to the bathroom all the time and I feel really weak.” He states that […]

A 17-year-old boy recently diagnosed with Type I diabetes is brought to the pediatricians office by his parents with a chief complaint of having the flu

September 22, 2020 in /by

A 17-year-old boy recently diagnosed with Type I diabetes is brought to the pediatricians office by his parents with a chief complaint of having the flu A 17-year-old boy recently diagnosed with Type I diabetes is brought to the pediatrician’s office by his parents with a chief complaint of “having the flu”. His symptoms began 2 days ago, and he has vomited several times and has not eaten […]

A 17-year-old boy is brought to the pediatricians office by his parents who are concerned about their sons weight loss despite eating more

September 22, 2020 in /by

A 17-year-old boy is brought to the pediatricians office by his parents who are concerned about their sons weight loss despite eating more A 17-year-old boy is brought to the pediatrician’s office by his parents who are concerned about their son’s weight loss despite eating more, frequent urination, unquenchable thirst, and fatigue that is interfering with his school/work activities. He had […]

A 64-year-old Caucasian female who is 4 weeks status post total parathyroidectomy with forearm gland insertion presents to the general surgeon

September 22, 2020 in /by

A 64-year-old Caucasian female who is 4 weeks status post total parathyroidectomy with forearm gland insertion presents to the general surgeon A 64-year-old Caucasian female who is 4 weeks status post total parathyroidectomy with forearm gland insertion presents to the general surgeon for her post-operative checkup. She states that her mouth feels numb and she feels “tingly all over. The surgeon suspects the patient has hypoparathyroidism secondary to the parathyroidectomy with delayed vascularization of the […]

A 64-year-old Caucasian female presents to the clinic with vague symptoms of non- specific abdominal pain, myalgias, constipation, polyuria

September 22, 2020 in /by

A 64-year-old Caucasian female presents to the clinic with vague symptoms of non- specific abdominal pain, myalgias, constipation, polyuria A 64-year-old Caucasian female presents to the clinic with vague symptoms of non- specific abdominal pain, myalgias, constipation, polyuria, and says she feels “fuzzy headed” much of the time. She had a fracture of her right metatarsal […]

A 64-year-old Caucasian female presents to the clinic with vague symptoms of non- specific abdominal pain myalgias constipation polyuria

September 22, 2020 in /by

A 64-year-old Caucasian female presents to the clinic with vague symptoms of non- specific abdominal pain myalgias constipation polyuria A 64-year-old Caucasian female presents to the clinic with vague symptoms of non- specific abdominal pain, myalgias, constipation, polyuria, and says she feels “fuzzy headed” much of the time. She had about of kidney stones a few weeks ago and she fortunately […]

A 43-year-old female presents to the clinic with a chief complaint of fever chills nausea and vomiting and weakness

September 22, 2020 in /by

A 43-year-old female presents to the clinic with a chief complaint of fever chills nausea and vomiting and weakness A 43-year-old female presents to the clinic with a chief complaint of fever, chills, nausea and vomiting and weakness. She has been unable to keep any food, liquids or medications down. The symptoms began 3 days ago and have […]