Patient InformationAge: 44 yearsGender: M, self-identifiedRace/Ethnicity: White, self-identifiedSite of Care: officeHistoryReason for Visit/Chief Concern: I am thirsty all the time, and it’s getting worse.History of Present Illness:6-month history of increased thirsthas had to urinate more frequently for 4 months; urinates every 34 hoursfeels generally weaker and more tired than usualhas also had a 1-year history of joint pain in the handsPast Medical History:gastroesophageal reflux diseasetension headachesMedications:pantoprazole, amitriptyline, multivitaminAllergies:no known drug allergiesPsychosocial History:has smoked one-half pack of cigarettes daily for 15 yearsoccasionally drinks two or three beers on weekendsused to be sexually active with his husband but has been losing interest in sexual activity for the past 6 monthsPhysical ExaminationTemp 37.2deg C (99.0deg F)Pulse 78/minResp 16/minBP 127/77 mm HgO2 Sat -Ht 188 cm (6 ft 2 in)Wt 85 kg(187 lb)BMI 24 kg/m2Appearance: no acute distressHEENT: sclerae anicteric; no oropharyngeal erythema or exudatePulmonary: clear to auscultationCardiac: regular rate and rhythm; normal S1 and S2; no murmurs, rubs, or gallopsAbdominal: no tenderness, guarding, masses, or bruits; the liver span is 15 cmPelvic: small, firm testes; no nodules or massesExtremities: tenderness to palpation and stiffness of the metacarpophalangeal joints of both handsSkin: diffusely hyperpigmentedNeurologic: alert and oriented; cranial nerves grossly intact; no focal neurologic deficitsThis patient is at greatest risk for which of the following complications?*1 pointPulmonary valve stenosisRenal vein thrombosisCoronary artery aneurysmCardiac conduction blockTemporal artery inflammation
[Solved]: Patient InformationAge: 44 yearsGender: M,…
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