By Fred Pender
Studying the best way to take care of genuine situations and constructing the power to reach at a reasoned medical judgement are very important elements of a student's training.This certain textual content offers a chain of scientific situations of accelerating complexity and diversity. Readers are taken via a established state of mind that enables medical reasoning and the arriving of a justified therapy plan. every one case encompasses a statement and possibilities for mirrored image on perform, and identifies key studying issues.
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5) Account for any adjustments in the quality of his new diet in terms of renal stones (and control of symptoms) and preferred lipid biochemistry. (1) Study the prescribing criteria for allopurinol, and explain its use and mode of action. (2) Consider and justify a prescription for physical activity to assist with weight loss, weight maintenance and general health improvement. Case 8 Susan Ritzio Ulcerative colitis Study concepts: impact of diagnosis and surgical procedure on lifestyle connection between symptoms and intervention advice role of corticosteroids in disease management short- and longer-term nutritional considerations Study context: ulcerative colitis surgical intervention Susan Ritzio is a 28-year-old student teacher who was diagnosed just after her twentieth birthday as having ulcerative colitis.
Gillian also keeps a few goats and chickens. She and her partner enjoy a glass or two of Rioja each evening on their veranda, and Gillian is a heavy smoker. Gillian is a Lancashire lass, and has returned to the UK for elective bowel surgery. She is diabetic and is taking metformin. She is now seven days post-op and is complaining bitterly about the hospital diet. She says it is tasteless, ‘out of a packet or a tin’, and is not what she is used to at all. She is used to tasty food and does not like the British hospital food (she usually cooks rice with a stock cube and loves home-cooked paella with fresh fish).
Case 4 Professor Plum Renal disease, pre-dialysis Study concepts: interpretation of clinical data therapeutic dietary issues of method of dietary assessment formulation of a care plan Study context: renal disease justification pre-dialysis Professor Plum is a 68-year-old history professor, in the UK on a sabbatical visit from Arizona, USA. Shortly after arrival in the UK, he began to feel nauseated and complained to a medical colleague of tiredness and a lack of energy. He is 176 m and weighs 96 kg.