Week 7
For this case study, you will create an engaging, 20-minute recorded presentation on condition
management, that encompasses pharmacological and non-pharmacological utilizing evidence-based
guidelines within the last five years. Pick one of the following cases:
1. Shaon is a 41-year-old African American male with a history of hypertension and
hypertriglyceridemia. Current medications include: ezetimibe 10 mg daily, niacin SR 1,000 mg at
bedtime and HCTZ/lisinopril 25/20 mg daily. He complains of lack of energy, core weight gain,
and a decrease in erections. Labs reveal: testosterone 180 ng/dL (193–836 ng/dL) with normal
TSH/thyroxine, FSH, LH, and PSA. Is this patient a candidate for testosterone therapy? Why or
why not? Which, if any, of his medications are contributing to his symptoms? Discuss the
medications that you will prescribe and/or recommend. Include patient education for the visit,
as well. Include diagnostics and work-up, as deemed appropriate for the clinical guidelines.
The presentation should include an overview of the health problem identified, an in-depth review of the
associated epidemiology, anatomy and physiology, clinical manifestations/symptoms, diagnostics/work-
up, and an overview of treatment methodologies, including pharmacological and non-pharmacological
management; in addition, include patient education. If your scenario has specific questions. You can use
a slide in your presentation to address the questions.
Your presentation should be prepared in PowerPoint and recorded with voice over narration (.PPT
or .PPTX file) and in APA Format. The PowerPoint should have a conclusion slide to summarize the points
of the presentation, title slide and reference slide. Illustrations should be used. A minimum of 4 scholarly
references are required.
Shaon presents with symptoms of lack of energy, core weight gain, and decreased erections, alongside a
low testosterone level of 180 ng/dL. These symptoms and lab results suggest possible hypogonadism, a
condition characterized by low testosterone levels.
Epidemiology
Hypogonadism can affect men of various ages but is more prevalent as men age. It can lead to symptoms
such as fatigue, weight gain, and sexual dysfunction, which Shaon is experiencing (Bhasin et al., 2018).
Anatomy and Physiology
Testosterone is a crucial hormone in males, produced primarily in the testes. It plays a vital role in
maintaining muscle mass, bone density, and sexual function. Low levels can lead to the symptoms Shaon
is experiencing (Khera et al., 2016).
Clinical Manifestations/Symptoms
This study source was downloaded by 100000822442696 from CourseHero.com on 11-15-2025 05:50:58 GMT -06:00
https://www.coursehero.com/file/245842044/Week-7-Powerpoint-presentationdocx/
, Shaon's symptoms of lack of energy, weight gain, and decreased erections align with those of low
testosterone levels. His lab results confirm a testosterone level below the normal range (193–836 ng/dL).
Diagnostics/Work-up
In addition to measuring testosterone levels, it's important to rule out other causes of his symptoms.
Normal TSH/thyroxine, FSH, LH, and PSA levels suggest that his thyroid function and pituitary gland are
not contributing factors. Further evaluation might include assessing lifestyle factors, such as diet and
exercise, and reviewing his medication regimen (Bhasin et al., 2018).
Medications and Their Contributions
Shaon's current medications include ezetimibe, niacin SR, and HCTZ/lisinopril. Thiazide diuretics like
HCTZ can potentially lower testosterone levels and contribute to erectile dysfunction (Corona et al.,
2016). Niacin, while beneficial for lipid control, can also cause flushing and fatigue.
Candidate for Testosterone Therapy?
Shaon could be considered a candidate for testosterone therapy, given his low testosterone levels and
symptoms. However, it's crucial to weigh the benefits against potential risks, such as cardiovascular
issues, especially given his hypertension (Khera et al., 2016).
Treatment Recommendations
1. Pharmacological Management: Consider initiating testosterone replacement therapy (TRT) after
discussing potential risks and benefits with Shaon. Monitor his response and adjust as necessary.
2. Non-Pharmacological Management: Encourage lifestyle modifications, including regular
exercise, a balanced diet, and weight management, which can naturally boost testosterone levels
and improve overall health.
Patient Education
Educate Shaon on the importance of adhering to his treatment plan, potential side effects of TRT, and
lifestyle changes. Discuss the importance of regular follow-up appointments to monitor his condition and
adjust treatment as needed.
Conclusion
Shaon's symptoms and lab results suggest hypogonadism, potentially exacerbated by his current
medication regimen. Testosterone therapy, alongside lifestyle modifications, may offer symptom relief.
Ongoing monitoring and patient education are essential components of his management plan.
References
Bhasin, S., Brito, J. P., Cunningham, G. R., Hayes, F. J., Hodis, H. N., Matsumoto, A. M., ... &
Yialamas, M. A. (2018). Testosterone therapy in men with hypogonadism: an Endocrine Society
clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 103(5), 1715-
1744.
This study source was downloaded by 100000822442696 from CourseHero.com on 11-15-2025 05:50:58 GMT -06:00
https://www.coursehero.com/file/245842044/Week-7-Powerpoint-presentationdocx/
For this case study, you will create an engaging, 20-minute recorded presentation on condition
management, that encompasses pharmacological and non-pharmacological utilizing evidence-based
guidelines within the last five years. Pick one of the following cases:
1. Shaon is a 41-year-old African American male with a history of hypertension and
hypertriglyceridemia. Current medications include: ezetimibe 10 mg daily, niacin SR 1,000 mg at
bedtime and HCTZ/lisinopril 25/20 mg daily. He complains of lack of energy, core weight gain,
and a decrease in erections. Labs reveal: testosterone 180 ng/dL (193–836 ng/dL) with normal
TSH/thyroxine, FSH, LH, and PSA. Is this patient a candidate for testosterone therapy? Why or
why not? Which, if any, of his medications are contributing to his symptoms? Discuss the
medications that you will prescribe and/or recommend. Include patient education for the visit,
as well. Include diagnostics and work-up, as deemed appropriate for the clinical guidelines.
The presentation should include an overview of the health problem identified, an in-depth review of the
associated epidemiology, anatomy and physiology, clinical manifestations/symptoms, diagnostics/work-
up, and an overview of treatment methodologies, including pharmacological and non-pharmacological
management; in addition, include patient education. If your scenario has specific questions. You can use
a slide in your presentation to address the questions.
Your presentation should be prepared in PowerPoint and recorded with voice over narration (.PPT
or .PPTX file) and in APA Format. The PowerPoint should have a conclusion slide to summarize the points
of the presentation, title slide and reference slide. Illustrations should be used. A minimum of 4 scholarly
references are required.
Shaon presents with symptoms of lack of energy, core weight gain, and decreased erections, alongside a
low testosterone level of 180 ng/dL. These symptoms and lab results suggest possible hypogonadism, a
condition characterized by low testosterone levels.
Epidemiology
Hypogonadism can affect men of various ages but is more prevalent as men age. It can lead to symptoms
such as fatigue, weight gain, and sexual dysfunction, which Shaon is experiencing (Bhasin et al., 2018).
Anatomy and Physiology
Testosterone is a crucial hormone in males, produced primarily in the testes. It plays a vital role in
maintaining muscle mass, bone density, and sexual function. Low levels can lead to the symptoms Shaon
is experiencing (Khera et al., 2016).
Clinical Manifestations/Symptoms
This study source was downloaded by 100000822442696 from CourseHero.com on 11-15-2025 05:50:58 GMT -06:00
https://www.coursehero.com/file/245842044/Week-7-Powerpoint-presentationdocx/
, Shaon's symptoms of lack of energy, weight gain, and decreased erections align with those of low
testosterone levels. His lab results confirm a testosterone level below the normal range (193–836 ng/dL).
Diagnostics/Work-up
In addition to measuring testosterone levels, it's important to rule out other causes of his symptoms.
Normal TSH/thyroxine, FSH, LH, and PSA levels suggest that his thyroid function and pituitary gland are
not contributing factors. Further evaluation might include assessing lifestyle factors, such as diet and
exercise, and reviewing his medication regimen (Bhasin et al., 2018).
Medications and Their Contributions
Shaon's current medications include ezetimibe, niacin SR, and HCTZ/lisinopril. Thiazide diuretics like
HCTZ can potentially lower testosterone levels and contribute to erectile dysfunction (Corona et al.,
2016). Niacin, while beneficial for lipid control, can also cause flushing and fatigue.
Candidate for Testosterone Therapy?
Shaon could be considered a candidate for testosterone therapy, given his low testosterone levels and
symptoms. However, it's crucial to weigh the benefits against potential risks, such as cardiovascular
issues, especially given his hypertension (Khera et al., 2016).
Treatment Recommendations
1. Pharmacological Management: Consider initiating testosterone replacement therapy (TRT) after
discussing potential risks and benefits with Shaon. Monitor his response and adjust as necessary.
2. Non-Pharmacological Management: Encourage lifestyle modifications, including regular
exercise, a balanced diet, and weight management, which can naturally boost testosterone levels
and improve overall health.
Patient Education
Educate Shaon on the importance of adhering to his treatment plan, potential side effects of TRT, and
lifestyle changes. Discuss the importance of regular follow-up appointments to monitor his condition and
adjust treatment as needed.
Conclusion
Shaon's symptoms and lab results suggest hypogonadism, potentially exacerbated by his current
medication regimen. Testosterone therapy, alongside lifestyle modifications, may offer symptom relief.
Ongoing monitoring and patient education are essential components of his management plan.
References
Bhasin, S., Brito, J. P., Cunningham, G. R., Hayes, F. J., Hodis, H. N., Matsumoto, A. M., ... &
Yialamas, M. A. (2018). Testosterone therapy in men with hypogonadism: an Endocrine Society
clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 103(5), 1715-
1744.
This study source was downloaded by 100000822442696 from CourseHero.com on 11-15-2025 05:50:58 GMT -06:00
https://www.coursehero.com/file/245842044/Week-7-Powerpoint-presentationdocx/
