NU621CaseStudy.docx NU621-8F Endocrine Case Study Herzing University NU621-8F: Advance

NU621CaseStudy.docx  NU621-8F  Endocrine Case Study  Herzing University  NU621-8F: Advanced Pathophysiology  Endocrine Case Study  Patient 1  The parents of an 11 year old girl bring her for an office visit. She has been developing normally and has been healthy and active. Her parents report that for the past several weeks, she has been feeling tired and weak, drinking more fluids than normal, and has been urinating so much she has wet the bed at night. Two days ago, they noticed that her breath smelled "like fruit" and she lost 8 pounds these last weeks. Yesterday she began breathing fast and deep.  Initial Diagnosis  The initial diagnosis is that the patient is suffering from diabetic ketoacidosis (DKA). Based on the clinical findings, this patient is likely to have an unknown diagnosis of type 1 diabetes mellitus. The symptoms of thirst, polyuria, weight loss, fruity breath, and fast, deep breathing are all clinical manifestations of DKA. Diabetic ketoacidosis occurs in roughly 30% of children with type 1 DM, and is usually due to poor adherence or an interruption of insulin treatments (Rn & Rn, 2018). Risk factors for DKA include poor glycemic control, younger or older age groups, diagnostic error, ethnic minority, body mass index, preceding infection, and delayed treatment, or in the patients case, an unknown diagnosis (Rn & Rn, 2018).  Pathophysiologic Explanation and Clinical Symptoms  Type 1 diabetes mellitus is grouped into two distinct types, autoimmune (type 1A), the most common, in wh