Patient is 10 years old and suffers from cystic fibrosis. Due to the worsening of the cystic fibrosis, the patient was started on large doses of prednisolone to help manage his symptoms. The patient presented to his pulmonologist's office where both he and his mother complained of polydipsia and polyuria. He has also been very tired—above and beyond the usual tiredness associated with his
cystic fibrosis. Based on the patient's symptoms, the doctor checked his blood sugars using a glucometer. The results were a staggeringly high 495. The physician diagnoses the patient with steroid-induced diabetes mellitus. She decided to admit the patient to the hospital to get his blood sugars under rapid control. She also ordered an endocrinology consult.
Dx: Steroid-induced diabetes mellitus; cystic fibrois
What will be an ideal response?
Answer: Steroid-induced diabetes—E09.9
Adverse effects of prednisolone—T38.0X5A
Cystic fibrosis—E84.9
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The most important functions of the liver are:
A. detoxification and secretion of bile B. releasing hydrochloric acid C. producing red blood cells D. producing thymosin
After you obtain a refusal at a residence in a neighborhood, a couple approaches the ambulance and inform you that they have concerns that a 6-year-old child who lives in a home two doors away may be physically abused. They state that they heard the child crying and what sounded like physical abuse occurring. In this situation, you would:
A) Contact the police and wait in the ambulance until they arrive B) Attempt entry into the home to determine whether the child is injured C) Inform the couple that they must contact a child welfare agency D) Knock on the door and confront the parents about the complaint