Question 8
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2 pts
A 32 year old woman is seeing you for the first time. Her chief complaint is weight loss. She has been treated for
hypertension since she was 28 and her blood pressure has been under good control
. She is sedentary and eats a
typical
American diet. She has gradually gained weight since she was in her early teens to the point
where she was approximately
30 pounds overweight one year ago. At that time, she started losing weight for no
apparent reason. She was quite pleased
with her weight loss and didn't question the cause. Now she has lost about 45 pounds
in the last year. She is very fatigued
and complains of polyuria and polydipsia. She has also had blurry vision and saw an
optometrist who recommended she
see a primary care provider. Her vital signs and physical exam are normal. Her
random blood sugar in your office is 385
mg/dl. What is your diagnosis? Why does she have blurry vision? What other
laboratory would you want to order? How
would you treat this person? What other long term follow up would you
recommend?