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GrandRounds

ByBrandonFields,GraceOlson,ShannonNguyen,andShastaParker

Thenotesonallgroupssymptoms.
Mein
Fuhrer
Flasherdictatesthatwehavetohaveaclaim,evidence,and
reasoningforeachpatientintheformofaparagraph.

Notasporgruponmerouno

Havetotakeinsulinshots
Bloodsugardrops/strikes
Familyhistory,passeddownfromgentogen
Can'tmakeinsulin
Blurredvision
Changingappetite

Diagnosis:
Type1diabetes

Grupodos

Fatigue
extremethirst
Hunger
Fevers
weightloss
slowwoundhealing
blurryvision
Notgenetic
Frequenturine
dehydrated

Diagnosis:
Type2diabetes

Grupotres

Paininmidsection
Purplestretchmarks
Bruiseeasily,fatigue,redface
Familyhistory=???(nevertalkedabout)
Thinningofthelegs
Diagnosis:Cushing'ssyndrome


Grup5

Musclespasms
Lowcalcium
Muscleachesandcramps
Tinglingandburning
Dryskinandhairloss
Brittlenails
Fatigue
Anxietyanddepression

Diagnosis:
Hypoparathyroidism

Grump6

Largetongue
Erectiledysfunction
Protrudingjaw
Snoring
Fatigue
Enlargedorgans
Deepeningvoice
Largeears
Visiondisorder

Diagnosis:
Acromegaly

Trump7

Abnormalfluidcollections
Heartabnormalities
Abnormalkidneys
Wideorweblikeneck
Recedingorsmalllowerjaw
Highnarrowroofofthemouth

Diagnosis:Turnersyndrome

Possibleailments:

Growthhormonedeficiency
Type1diabetes
Type2diabetes
Cushingsdisease
Hypoparathyroidism
Gravesdisease
Acromegaly
Turnersyndrome
Ms.Ward

GroupOneParagraph:
ThepatientfromgrouponehasType1Diabetes,andthiscanbeproveninavarietyof
ways.Firstly,theyhavefluctuatingbloodsugarlevels,amajorindicatorthatthisailmentis
diabetes.Thisiscausedbylowinsulinlevels,whichmeansthispatienthastotakeinsulinshots.
Type1Diabetescausesinsulinlevelsinthebodytodropbecauseitdestroysthepancreas
betacells,whichproduceinsulin.Insulinisusedtomovesugarsintobodytissues,whichmeans
thatthepatienthasfluctuatingbloodsugarlevelsbecauseoftheirlackofthisessential
hormone.ThereasonthispatienthasType1Diabetes,notType2Diabetes,isbecauseType1
isgenetic,andthepatientsfamilyhadahistoryofDiabetes.Forallthesereasons,patient1has
Type1Diabetes.

GroupTwoParagraph
ThepatientfromgrouptwohasType2Diabetes.Theyhavemanysymptomsindicating
thattheyhaveType2Diabetes.Firstofall,theyhavefatigue,extremethirst,andhunger.They
alsohavefeversandweightloss.Thepatienthasalsobeenexperiencingblurryvisionandslow
woundhealing.Inaddition,theirdiseaseisnotgenetic,whichmeansitisnotType1Diabetes.

Group3Paragraph
ThepatientfromGroup3hasCushing'sSyndrome.Thepatienthasbeenshowingthe
followingsymptoms:paininmidsection,purplestretchmarks,andthinningofthelegs.The

patientbruiseseasily,hasaredfaceandfatigueaswell.Thissyndromeiswhenyourbodyhas
abnormallyhighlevelsofahormonecalledcortisol.

Group4Paragraph:

Thatsus!Sonoparagraph.

Group5Paragraph:

ThepatientfromGroup5hashypoparathyroidism.Thesymptomsthatthepatienthas
beenshowingaremusclespasms,muscleachesandcramps.Thepatientalsoreportedhaving
tinglingandburningaswellasdryskin,hairloss,andbrittlenails.Furtherinspectionshowsthat
thepatienthaslowcalciumaswellasfatigue,anxietyanddepression.Allofthesesymptoms
leadtooneonlydiagnosis:hypoparathyroidism.

Group6Paragraph:
Thepatientfromgroup6hasacromegaly.Thesymptomsthepatienthasbeenshowing
arelargeears,alargetongue,deepeningvoice,andaprotrudingjaw.Othersymptomsinclude
erectiledysfunction,snoring,fatigue,aswellasenlargedorgansandvisionproblems.Allthese
symptomsindicatethatthepatienthasacromegaly.

Group7Paragraph:
Thepatientfromgroup7hasTurnerSyndrome,astheyshowallthesamesymptomsas
someonewhohastheillness.Thepatienthasabnormalfluidcollections,heartabnormalities,
abnormalkidneys,awideneck,arecedingorsmalllowerjaw,andahigh,narrowroofofthe
mouth.TheseareallhighlycharacteristicofTurnerSyndrome,whichoccurswhenawomanis
missinganXchromosome.Therefore,thepatienthasTurnerSyndrome.

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