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Monday, March 4, 2013

Thirsty Woman

Case Study of the Thirsty Woman
This case study is almost a woman named Mrs. Anderson. Mrs. Andersons current condition has produced effects in numerous body organs. Her clinical presentation showed symptoms of polydipsia, polyuria, and nocturia. The endurings medical narration includes a long history of manic depression illness treated with Lithium. Mrs. Anderson is asymptomatic when she is allowed to imbibe massive volumes of water. She has been recently moved to a supervised finagle facility where her water intake has been drastically limited. Upon physical testing Mrs. Andersons skin is wrinkled, shows dry mucous membranes, disorientation, lethargy and confusion.
Mrs. Andersons spanking signs included a blood pressure of 70/55, heart and soul rate of 124 beats per minute. Her blood plasma osmolality is 380mOsm/kg, sodium of 152 meq/L, BUN of 36mg/dL, creatinine of 2.1mg/dL and a lithium level of 1.9mEq/L. Her urinalysis revealed a urine output in 24 hours of 17 liters, specific gravity of 1.001, urine osmolality of 154 mOsn/kg, positive protein and positive rosy blood cells in her urine.
Mrs. Anderson body has resulted in chemical defects that read affected her different body systems in a nix way. The lithium that Mrs. Anderson has been taking as created pathologic changes in her kidneys.

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These changes involve occurred gradually over many years.
The answers to the questions in the exercise be as follows. Diabetes insipidus, best describes her medical condition. Her renal tubules are 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 respond 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 stick is due to herexcessive water intake. Urea is a substance that is recycled back...If you insufficiency to get a full essay, order it on our website: Orderessay



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