Presentation

You are a final year medical student on a General Practice attachment. Dr. McPhee is the supervising doctor.

Mr. Green, a 56-year-old man, attends the clinic that morning. He complains of nocturia and increased thirst. You take a look at the medical notes; Mr. Green has a history of hypertension, well-controlled on ramipril. An echocardiogram performed last year showed a normal left ventricular ejection fraction of 60% (normal >55%), with no structural heart disease. Physical examination is unremarkable. His BMI is 27 kg/m2. You decide to perform a urinalysis, which shows 1+ glucose, negative for blood, ketones, and proteins; no inflammatory cells, casts or crystals on urine microscopy.

You decide to check Mr. Green's fasting blood glucose level and HbA1c before deciding on the best course of action. Laboratory results show a fasting blood glucose level of 152 mg/dL and 148 mg/dL (NR <126 mg/dL). His HbA1c is 7.8%. eGFR is 78 mL/min/1.73 m2; AST/ALT are within normal limits.

Which drug should be prescribed for Mr. Green?

  • Θα στείλουμε Γενική Ούρων και Καλλιέργεια, καθώς και αιματολογικές εξετάσεις. [undo]
  • Προσέλευση [undo]
  • [undo]
  • Allow the family member to stay on screen without clarifying their role [undo]
  • Node 1: Introduction [undo]
  • Observation [undo]
  • Σαλβουταμόλη 5mg και Βρωμιούχο ιπρατρόπιο 250μg με νεφελοποιητή [undo]
  • Εργαστηριακά [undo]
  • Ζητάς από τη νοσοκόμα να περάσει αμέσως το παιδί σε ένα εξεταστήριο ώστε να το εκτιμήσεις [undo]
  • LAB SAFETY [undo]
  • Καλείς επειγόντως τον αναισθησιολόγο [undo]
  • Εργαστηριακά [undo]
  • Insulin [undo]
  • Εισαγωγή [undo]
  • ΠΑΡΟΥΣΙΑΣΗ ΠΕΡΙΣΤΑΤΙΚΟΥ [undo]
  • Ανακεφαλαίωση [undo]
  • Empagliflozin [undo]
  • Σαλβουταμόλη 5mg με νεφελοποίηση μέσω παροχής Ο2 [undo]
  • Σαλβουταμόλη pMDI 600μg μέσω αεροθαλάμου [undo]
  • Ask rapid questions using medical jargon (ischemia, necrotic tissue, perfusion). [undo]
  • Δεν χρειάζομαι. Αρχίζω iv πενικιλίνη [undo]
  • METABOLISM OF THE CELL ENZYMES [undo]
  • USING BASIC LABORATORY EQUIPMENT [undo]
  • Έναρξη [undo]
  • Glipizide [undo]
  • ΚΥΤΤΑΡΙΚΗ ΔΟΜΗ ΚΑΙ ΛΕΙΤΟΥΡΓΙΑ [undo]
  • Ο μπαμπάς συζητά με το γιο του. [undo]
  • Ο2 & iv υγρά & σαλβουταμόλη.. και αέρια αίματος [undo]
  • Επανεκτίμηση από παιδίατρο [undo]
  • Θα προχωρήσουμε σε ουροδυναμικό έλεγχο [undo]
  • Furosemide (loop diuretic) [undo]
  • Call for someone to help [undo]
  • Grapefruit-thiazide interaction [undo]
  • Past Medical History (PMH) [undo]
  • Activitatea este pictura. [undo]
  • Start [undo]
  • Σαλβουταμόλη pMDI 400 μg απ΄ευθείας στο στόμα. [undo]
  • Intro [undo]
  • Emergency Department [undo]
  • Root Node [undo]
  • Root Node [undo]
  • Τις ημερήσιες ανάγκες συνυπολογίζοντας την αφυδάτωση; [undo]
  • [undo]
  • Insulin [undo]
  • Gjør og sier ingenting mer. Det er ikke mitt problem måten hun oppfører seg [undo]
  • Υπερέκκριση βλέννας [undo]
  • Root Node [undo]
  • Root Node [undo]
  • Έναρξη [undo]
  • Root Node [undo]
  • Glipizide [undo]
  • Commentary [undo]
  • Presentation [undo]

Map: Michael Green_GEMD_1 (1115)
Node: 21086
Score:

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