Archive for the ‘diabetes’ Category
A 15-year-old obese attends consultation to control your diabetes type II. Your dating overweight since childhood and had continued to gain weight in recent years.
Abdominal examination was difficult because of extreme obesity (considered morbid in clinical notes) but caused no pain or tenderness were megalomaniacs. El doctor prescribed a topical cream for acne, controlled laboratory tests, the insulin dose adjusted and recommended that she return to see if the abdominal pain recurred.
The next day the doctor receives a phone call informing the obstetrician that she had given birth to a baby of 34 weeks.
The doctor realized that the alleged incontinence was actually amniotic fluid and abdominal pains contractions …
- She confessed to a rape victim 7 months ago for fear that he had not reported.
- The description of the patient predisposes us to the most obvious (obesity, diabetes) turning aside of nonspecific symptoms that follow.
- Obesity the doctor described as morbid disagree with the definition that requires a BMI of 35 or more.This discrepancy suggests that there is something more than the fat that contributes to the appearance of the patient
- The challenge for those trying adolescent is to consider problems prevalent in this age group are hidden.
- The reluctance, contradictory information and unexplained symptoms suggest that the adolescent is unable or unwilling to discuss their symptoms, ask questions or describe facts are alarming, confusing or embarrassing.
Behavior with these characters during a visit requires the physician to explore those aspects of the story of a teenager represented by the acronym HEADSS (which has its equivalent in Spanish letter by letter)
- Education (school)
- Activities (peers, work)
- Prohibited substances
Teens who ensures confidentiality are more predisposed to reveal these aspects than those in which there is no such agreement (In the U.S. the parents and the patient discussed in the first visit if the information or adolescent will be shared with parents ) In this story that aspect was not mentioned.
A survey of 1,346 tourists in the tents that the Ministry of Health of the province settled in the Atlantic coast showed that 22.3% have a history of hypertension, 14.2% are diabetic and almost 25% smoke.
With the idea of raising awareness during the holidays for prevalent diseases and provide prevention counseling, the provincial health ministry set up for the first time, seven “medical tents” in Mar del Plata, Miramar, Villa Giselle, Panama, Mar de Ago and Santa Tersest under the SAT (Tourist Assistance System).
There, passengers answer a survey history of diabetes, hypertension and high cholesterol. Also, provide a record of behavior in which snuff recorded if consumed and whether being active. Then the specialists will perform the measurement of height and weight, I take blood pressure, blood glucose and measure their visual acuity.
One of the data that most worries experts is that two out of ten respondents claimed to have suffered hypertension, one of the main predictors of cardiovascular disease.
In the first ten days of January 7, tents went to the 3044 people. An analysis of 1,346 tourists who went to the tents of Panama, Villa Giselle, and Miramar confirmed a high prevalence of hypertension and diabetes.
“The team working on the tents gives special attention to the disease with a history of providing recommendations for a healthy diet and the control of hypertension and diabetes,” explained the provincial Health Minister Alexander Collie.
The health portfolio holder added that, according to the poll, “more than 22% have a history of hypertension, high cholesterol 12% and almost 25% said smoking, conditions are true cardiovascular risk factors.”
In this regard, Collie recalled that cardiovascular diseases are the leading cause of death and disability in the country and the province of Buenos Aires. In fact, in territory each year, more than 32 thousand deaths from this cause, includes heart attacks, strokes, heart failure and sudden death.
The lack of physical activity, snuff consumption, high sodium and saturated fats in the diet, coupled with high levels of stress are increasingly common habits that increase the risk of hypertension, one of the conditions that generate increased susceptibility to cardiovascular events.