Marcy a thirty two year old teacher, is tealling friends that she is feeling str
ID: 3473206 • Letter: M
Question
Marcy a thirty two year old teacher, is tealling friends that she is feeling strange, but cannot be specifically identify her condition with precision. She is unmarried, but enjoys a healthy relationship with her fiancé. About two months prior she had a Dexxa scan. Some osteopania with mild scores of osteoporosis especially in her lower spine has been noted. Her doctor wishes to pursue some investigational testing. She has one bout with kidney stones. He believe her mother might have had kidney stones as well but she is not sure. She has occasional abdominal pain, with concurrent joint and bone pain. Her appetite is Ok, but sometimes is off. She is occasionally depressed.
1. Might any additional questions be asked of this patient?
2. List several; possible diagnoses.
3.What test might be order.
4.What is the primary and secondary of this particular endocrine disorder?
5. What are some conventional treatment for the condition
Explanation / Answer
1. It might prefer to ask a question of her daily routiene sitting work.
2. The diagnosis in case of osteoporosis,abdominal,joint and bone pain may include osteomalacia, tumor, osteonecrosis, infection and other bone softening metabolic disorders.
The diagnosis of kidney stones is best accomplished by using ultrasound, intravenous pyleography or a CT scan.
3.Thyroid test, uric acid test, calcium tests might be ordered.
4.The disorsers may be abnormal tissue response, lack of receptors, lack of enzymes for cell response, decreased plasma protein binding.
5.Lithotripsy is followed for kidney stones and for osteoporosis vitamin D drugs like calcitrol are preffered.