Discussion: Examining Endocrine, Metabolic, and Hematologic Disorders.

For this Discussion, consider the following three case studies of patients presenting with endocrine, metabolic, and hematological disorders.Case Study 1An 82-year-old female presents to the office complaining of fatigue, dizziness, weakness, and increasing dyspnea on exertion. She has a past medical history of atrial fibrillation, hypertension, and hyperlipidemia. Medications include warfarin 2 milligrams po daily, lisinopril 10 milligrams po daily, and simvastatin 10 milligrams po daily. There are no known drug allergies. The physical exam reveals a 5’2” older female. Her weight is 128 pounds, blood pressure is 144/80, heart rate is 98, temperature is 98 degrees Fahrenheit, and O2 saturation is 98%. Further examination reveals the following:Eyes: + pallor conjunctivaCardiac: irregular rhythm. No S3 S4 or M. NO JVDLungs: CTA w/o rales, wheezes, or rhonchiAbdomen: soft, BS +, + epigastric tenderness. No organomegaly, rebound, or guardingRectal: no stool in rectal vaultTo prepare:Review Part 17 and 21 of the Buttaro et al. text in this week’s Resources.You will either select or be assigned to a patient case study for this Discussion.Review the patient case study and reflect on the information provided about the patient.Think about the personal, medical, and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation.Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study.Reflect on a possible diagnosis for the patient.Think about potential treatment options for the patient.