Cerebrovascular Accidents (CVAs):

• Discuss the key pathophysiological mechanisms involved in cerebrovascular accidents (strokes). What are the major risk factors, and how do they contribute to the occurrence of a CVA?
• How can primary and secondary prevention strategies (including lifestyle changes and medical management) be used to reduce the risk of stroke?

Deep Tendon Reflex Scoring:

• Explain the 0 to 4+ scale for scoring deep tendon reflexes. How does this scale assist in assessing neurological health, and what can abnormal reflex findings indicate about a patient’s condition?

Diabetic Peripheral Neuropathy:

• Describe the pathophysiology of diabetic peripheral neuropathy (DPN). What clinical signs and symptoms are typically seen in patients with DPN?
• Discuss evidence-based health promotion strategies to prevent or manage DPN in diabetic patients, focusing on lifestyle modifications, medication management, and patient education.

Endocrine Disorders:

• • Cushing’s Syndrome
• Discuss the pathophysiology of Cushing’s Syndrome and its impact on overall health.
• What are the major risk factors for this disorder, and how can these risks be mitigated through health promotion strategies such as lifestyle modifications, medication management, and patient education?

Mrs. Deer is a 72-year-old female who presents to your office complaining of right upper quadrant pain that has been increasing in intensity over the past 2 days. She would have come sooner, but she lacked transportation and waited until her son could drive her. She states that she has not been sleeping very much because of the pain. She has been nauseous and vomited a couple of times two days ago but has only been drinking fluids. She states that she has not been around anyone else that had an upset stomach. She recalls prior to the onset of pain she had been at a church supper that included meats, refried beans, and many desserts which she sampled. She described the fried pies that she brought to the supper and ate the extras that afternoon.

Vital Signs: BP 130/80, HR 85, RR 20, Temp 99.0°F.

Discuss the following:

1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?
2) What additional objective data will you be assessing for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What radiological examinations or additional diagnostic studies would you order?
6) What treatment and specific information about the prescription that you will give this patient?
7) What are the potential complications from the treatment ordered?
8) What additional laboratory tests might you consider ordering?
9) What additional patient teaching may be needed?
10) Will you be looking for a consult?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Attached