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Assignment:
A 68-year-old patient, Mr. Michael James, has a history of diabetes. He presents with weakness and fatigue. The patient's husband, David James, reports that the patient has been acting confused for the last two days. The MA completed vital signs per protocol. Vital Signs
• Temp: 99.3
• Respiratory Rate: 22
• Blood Pressures / Heart Rate: 94/62 105
• Pain: 4/10 Medications
• Metformin XR 1000mg BID
• Trulicity 1.5mg Qweek
• Lisinopril 20mg QD
• Atorvastatin 40mg QD
1. After reviewing Mr. James' history and medication list, what findings are you concerned about as his provider?
2. Please provide a list of three of differential diagnoses with rationale for the altered mental status for the 68-year-old patient.
3. Please provide a list of three of differential diagnoses with rationale for complications of diabetes for the 68-year-old patient.
4 What patient education should be provided?
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