Discussion 1 A 67-year-old female presents for her annual exam, having lost an i

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Discussion 1
A 67-year-old female presents for her annual exam, having lost an i

Discussion 1
A 67-year-old female presents for her annual exam, having lost an inch in height. She smokes one and a half packs of cigarettes per day and has GERD. She has not taken her Fosamax because she states that it upsets her stomach.
1. What other information will you need?
2. What are the two adult endocrine or metabotic syndrome differential diagnosis?
3. What diagnostic tests are indicated?
4. What are the non-pharmacological and pharmalogical treatment plans?
5. Describe and explain the risk factors and education?
6. What will be the follow-up? Should the patient be referred? Explain all rationale.
Discussion 2
A 12-year-old female presents to clinic with her mother. When reviewing her growth chart, you find that she has only grown a half-inch in 2 years and is currently at 5 feet tall. You also become aware that she seems to have a moon face appearance along with a buffalo hump fat pad on her upper back. Her mother states that the patient seems to be very tired and depressed, which is not what she was like previously.
1. What other information do you need for this patient?
2. What two pediatric endocrine diffierential diagnosis?
3. What tests would you like to order for this patient?
4. What are your working diagnosis and non- pharmacological and pharmacological treatment plan for this patient?
5. What are the risk factors and education for this patient?
6. What would be the followup or possible referral ?

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