Essays on Lotensin

M.K is a female, 45 years old with 5.5” height and 225 lbs. weight and has a history of smoking for 22 years and poor diet. The history of Type II diabetes mellitus and primary hypertension is also observed with the recent diagnosis of chronic bronchitis. She has been observed with chronic cough with sputum, light headedness, excessive peripheral edema, distended neck veins and increased urination during the night. She has been using the medications comprising of Lotensin and Lasix to treat hypertension and Glucophage for diabetes mellitus.

Vitals and Lab Results

The patient is observed chronic cough with sputum and the cough ...

PHYSICAL EXAM:

You will be expected to write up your response as follows: List of Differential Diagnoses [rank ordered] A. Congestive Heart Failure B. Angina C. Hypercholesterolemia D. Myocardial Infarction

E. Diabetes Mellitus

F. with Grade II diastolic heart failure.

G. Hypertriglyceridemia

H. GERD I.

J. Hypertension

Leading hypothesis : Congestive Heart Failure Active Alternative hypotheses Must not miss diagnoses [critical rule outs] Congestive Heart Failure Angina Hypertriglyceridemia Hypercholesterolemia Most common diagnoses [reasonable alternatives] GERD Hypertension Diabetes Mellitus Presumptive Diagnosis [assumption] Congestive Heart Failure

Treatment Plan

Non-pharmacologic / lifestyle interventions (provide rationale) • Modify Diet. - Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...