Case Study of the thirsty(p) Woman This case study is approximately a woman named Mrs. Anderson. Mrs. Andersons current dispose has produced effects in numerous form organs. Her clinical presentation showed symptoms of polydipsia, polyuria, and nocturia. The persistents medical record includes a long write up of manic depression distemper treated with Lithium. Mrs. Anderson is asymptomatic when she is allowed to suck massive volumes of water. She has been recently move to a supervised make do facility where her water economic consumption has been drastically limited. Upon physical scrutiny Mrs. Andersons skin is wrinkled, shows change mucous membranes, disorientation, lethargy and confusion. Mrs. Andersons wondrous signs included a occupation pressure of 70/55, mettle and soul rate of 124 get the better of per minute. Her agate line plasma osmolality is 380mOsm/kg, sodium of 152 meq/L, BUN of 36mg/dL, creatinine of 2.1mg/dL and a lithium take aim of 1.9mEq/L. Her urinalysis revealed a peeing output in 24 hours of 17 liters, specific somberness of 1.001, water osmolality of 154 mOsn/kg, tyrannical protein and positive rosy blood cells in her urine. Mrs. Anderson body has resulted in chemical substance defects that read affected her opposite body systems in a nix way. The lithium that Mrs. Anderson has been winning as created pathologic changes in her kidneys.
These changes involve occur trigger-happy gradually everywhere many years. The answers to the questions in the bore be as follows. Diabetes insipidus, scoop describes her medical condition. Her renal tubules be atrophic that create tubular interstitial fibrosis. The lithium therapy resulted in the absence of water membrane proteins. The inability of principal cells in the lay in ducts to oppose to ADH results in symptoms of polyuria. Her urine sample showed the mien of red blood cells, a condition that results in glomerular filtration membrane damage. Mrs. Andersons low blood pressure measuring shake up is due to herexcessive water intake. urea is a substance that is recycled back...If you deficiency to get a upright essay, order it on our website:
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