Jennifer Medical Case Study Assessment
- Subject Code :
SBI241
Case Study
Jennifer, 58-year-old female farmer presents to her GP with generalised weakness and fatigue. She also complains of feelings of pins and needles in her fingertips. She has been a known diabetic for 22 years. On careful history taking, the GP realises that Jennifer has not been compliant to her diabetes medications for the last 2-3 years. She doesn't smoke and has no history of intoxicants abuse. Her appetite is good, and according to her she has been gaining some weight during the past few months.
On physical examination, her body weight is 65 kg, pulse is 78/minute, BP is 141/85 mmHg, temperature is 36.8 C.
GP orders a few tests. Jennifer is called back to the clinic a few days later and after discussing the lab reports (shown below) with her, the GP refers her to a nephrologist.
1. The word range for this assignment is between 450 to 550 words, this does not include references. Please stick to word limit, failing to do so will result in losing marks.
2. Only word and pdf formats are acceptable (formats like ".pages" are NOT acceptable). Do not copy the case study in your submission, just provide your
answers.
3. This assignment must be submitted via Safe Assign/Turitin on Learnline. No other form of submission is acceptable including email, hand delivery or post.
4. No COVER PAGE required.
5. Please note there is NO DRAFT SUBMISSION for this assignment. Once you upload your file and click submit, it will be submitted for grading.
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7. Proof reading or feedback of any kind of ASSIGNMENT QUESTIONS will not be provided prior to submission.
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Please answer the following TWO questions:
Q1. What is the pathophysiological basis of chronic kidney disease in a patient with poorly controlled long-standing diabetes mellitus? (400 words approx.)
Q2. Based on the clinical picture and laboratory investigations provided, what stage of chronic kidney disease this patient is in and what will be the main management approach at this stage? (200 words approx.)
