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Problem: A 40 year old male presents to the clinic with hypertension of recent onset. He reports weight gain and irritability. On examination, it is noted that he is obese, has a plethoric appearance and there are purplish striae over the abdomen and multiple bruises on both lower legs. His blood pressure is 162/96. He reports that he has a history of rhinitis, allergies and eczema and he has been incorrectly over-using his fluticasone nasal spray, and his Flovent inhaler. He also reports that he has been liberally applying betamethasone ointment to his irritated skin areas. You suspect that he may have Cushing's syndrome. What is the pathophysiological cause of his Cushing syndrome? What would you expect to find if you drew a cortisol level? How can you safely decrease his steroid use and is there a formula for decreasing endogenous steroid use? How will this present in the primary care setting? How this information will influence your ability to provide patient care? Such as meds, treatment, therapry and follow up care. Any teaching to provide for the patient? Primary, secondary and tertiary preventions? How will you implement any treatment of this diagnosis in your practice for other patients?
Explain how communication problems cause intergroup conflict in the workplace and provide references for your answer.
Identify the pathophysiology of , UTI, Bladder Cancer, BPH and Nephrolithiasis and Discuss the presenting symptoms for the following , UTI, Bladder Cancer
What is the difference between Crohn's Disease and Ulcerative Colitis?
Throughout the years, scientists have engaged in an array of ethically questionable research endeavors possessing dubious scientific value or validity.
How did the beliefs, assumptions and attitudes of the US and the Soviet Union shape their respective policies during the Cold War and how did their actions based on these policies shape global events and relations?
Brochure / Video and Reflection Information and Scoring Guides - Write at least a two-page reflection about your brochure or video project
Select one of the five types of social movements described in our text and define it before providing an example of the type that you selected.
Contrary to common law, today, in most, if not all states, a person cannot use deadly force in the defense of their property.
What are the ethical issues involved in a duty to protect? Explain using the above scenario and discuss variations to the scenario that might lead you to a different ethical decision
Read your peers' discussion posts and respond to at least two of them. What strategies or resources would you suggest to help them clarify the steps needed to achieve their career vision? What questions can you ask to help them shape their action ..
The student is to research a current event police related technological issue of their choice. The student shall cite at least two references in their research.
The first person narrative is a powerful tool not only to give a person voice but also to present powerful social justice, environmental, or cultural messages.
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