Most Common Comorbidities in Adults Essay

1) Jack is a 54-year-old patient who has difficulty coming in for primary care visits. He sees cardiology, pulmonary clinic, and endocrine clinic for his comorbid conditions of diabetes mellitus, postcoronary artery bypass grafting (CABG) 2 years ago, and mild chronic obstructive pulmonary disease issues from a 30 pack year history of smoking. His last visit with you was over a year ago. Today, your registered nurse brings you a telephone triage call requesting a refill of his Crestor prescription, which was ordered by cardiology soon after his CABG. Per the electronic links to the cardiology service within your facility, the medication was due to be renewed about 2 months ago. His last lipid labs were a year ago and his last complete metabolic panel (CMP) was done at the same time. He was recently at the pulmonary clinic and his last recorded HgA1C was 9.0 from a visit to endocrine 4 months ago. Review of records include a prescription for his hypertension (Lisinopril 20 mg daily), metformin 1,000 mg twice a day for his diabetes, and no known medications for his pulmonary issues. The Crestor prescription appears to have multiple dosing levels over the past few refills. His last vital signs were blood pressure (BP) 170/110 mm Hg, pulse 88, and respirations 22. His body mass index is 30 and he indicates a pain level of four out of five. Most Common Comorbidities in Adults Essay His pulse oximetry was 92% on room air.

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How do you respond to this telephonic request?
What steps are required to get Jack’s therapeutic plan under control? Most Common Comorbidities in Adults Essay
What is the role of the primary care provider (PCP) in this scenario?

2)DK is a 29-year-old patient who presents to the health clinic with multiple complaints. His past medical history includes allergies and allergic rhinitis. His social history includes cigarette smoking. His family history includes a mother who had allergies and a father who had asthma. The signs and symptoms include cough worse at night, purulent nasal discharge, frontal headache, maxillary sinus tenderness on palpation, orbital swelling, and maxillary tooth pain. Most Common Comorbidities in Adults Essay

Identify the patient’s signs of sinusitis.
Identify the patient’s symptoms of sinusitis.
What is the primary etiology of the sinusitis? Most Common Comorbidities in Adults Essay