NRS 410v Pathophisiology Case study Mr. C.

NRS 410v Pathophisiology Case study Mr. C. CASE STUDY: MR. C Case Study: Mr. C The case study: Mr. C is a 32-year-old male who works at a telephone call center. He recently went to an outpatient center to obtain information regarding bariatric surgery due his long battle with obesity. Mr. C states that he has had problems with his weight since he was a child. In the past two to three years he has gained 100 pounds. Mr. C’s medical diagnoses include hypertension and sleep apnea. He does not take any routine medication and tries to control his hypertension by restricting his dietary sodium. Mr. C states for about the past six months he has been experiencing shortness of breath, swelling in his ankles, and pruritus. Mr. C’s physical examination reveals that he is 68 inches tall (5 feet 8 inches) and weighs 134.5 kilograms (296 pounds). He has three plus pitting edema bilaterally to his feet and ankles. His lab results are as follows: fasting blood glucose-146, total cholesterol-250, triglycerides-312, HDL-30, serum creatinine-1.8, and BUN-32. His blood pressure is elevated, 172/98 and so are his respiration, 26. His heart rate is 88. Previous medical examines did not indicate any metabolic diseases.