Discussion Part One (graded)
Ms. S. is a 62-year-old black female who has returned to the
clinic to discuss her concerns that her lifestyle modifications to lose weight
have not worked. At the last visit 3 months ago, she was advised to change her
eating habits and increase activity to promote weight loss. She reports walking
at least 30 minutes a day but has lost very little weight. She indicates that
the walking only made her extremely thirsty and hungry and attributes her
increased thirst and hunger to increased exercise and her increased urination
due to drinking more water since “it’s been hot lately” and exercise makes me
thirsty”. She has returned to the clinic to discuss if there is anything else
that can be done to lose weight and to determine why she is so tired, thirsty
and hungry all the time. She also thinks she may have an overactive bladder
since she has to urinate frequently during the day, which has influenced her
not to go on outings with her friends.
Discussion Questions Part One
Conduct a ROS on this patient.
Indicate which symptoms are most concerning to you.
List your differential diagnoses.
What types of screenings would be appropriate to use based
on the chief complaint?
What primary diagnosis are you choosing at this point?
