Describe the metabolic events that led to Rachel's symptoms and subsequent admission to the ED (polyuria, polydipsia, polyphagia, fatigue, and weight loss), integrating the pathophysiology of T1DM into your discussion.
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Q. 2Using the information from Rachel's medical record, identify the factors that would allow the physician to distinguish between T1DM and T2DM.
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Q. 3Review the patient's chemistries upon admission. Identify any that are abnormal and describe their clinical significance for this patient, including the likely reason for each abnormality and its nutritional implications.
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Q. 4Are any clinical signs of malnutrition noted in the patient's admission history and physical?
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Q. 5Dr. Cho requested these labs be drawn: Islet cell autoantibodies screen; TSH; thyroglobulin antibodies; C-peptide; immunoglobulin A level; hemoglobin A1C; and anti-tissue transglutaminase antibodies.
Described how each is related to the diagnosis of type 1 diabetes.
Q. 6What type of formula is Isosource HN? One of the residents taking care of Mr. Seyer asks about a formula with a higher concentration of omega-3-fatty acids, antioxidants, arginine, and glutamine that could promote healing after surgery.
What does the evidence indicate regarding nutritional needs for cancer patients and, in particular, nutrients to promote postoperative wound healing? What formulas may meet this profile? List them and discuss why you chose them.
Q. 7What are the standard diagnostic criteria for T1DM? Which are found in Rachel's medical record?
What will be an ideal response?
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