Evaluation and Management of Renal and Genitourinary Disorders

Evaluation and Management of Renal and Genitourinary Disorders

Evaluation and Management of Renal and Genitourinary Disorders

Case Study

A 52 year old woman presented to the clinic for ongoing fatigue and weight loss during the last 6 weeks. She thinks she’s loss at least “10 pounds”. For the past week and a half she’s noted some progressing ‘muscle cramping’ tetany, as well as ‘tingling’ sensation around her mouth and lower extremities. She’s also noted some intermittent colicky abdominal pain. On your exam, you noted a positive Chvostek’s sign. PMH: 20 year history of Crohn’s disease. She also tells you that she is a practicing vegan.

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List the primary diagnosis and rational
List at least 3 differential diagnosis with a brief rational
Describe the pertinent history required to rule in or rule out
Describe you physical exam findings or screening tools used
Discuss the treatment plan for the patient in your case study using this format
Prescriptions(s):

Interventions/ lifestyle changes:

Referrals:

Follow up:

Education:

(Minimum 2 references)