Nobody downloaded yet


Comments (0) Cite this document
Clinical Cases; Questions and Answer Part 1 Case Study 1: Glycaemic status Question 1 Blood glucose monitoring has been an important tool in the effective management of out-patients with diabetes. This tool which entails self monitoring of blood glucose level in a specified period has been designed to help in glycaemic control and lowered the risk associated with high blood sugar level…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER93.8% of users find it useful
Read TextPreview


Download file to see previous pages Fasting blood glucose clearly shows a higher value that is far beyond the normal range hence an impaired fasting glycaemia. The main implication of the impaired fasting glucose is that of excessively high glycaemic level. The Urea value for the patient is also very high compared to the normal range. This simply indicates a higher concentration of urea in the blood which is an indication of a poorly functioning kidney with poor control of waste products. The HbA1c is also high hence an unsatisfactory assessment for the glycaemic control by the patient. This is because of the importance of the analysis which helps in analysing the average blood glucose level for an average of three months. The osmolality which is slightly lower than normal range does not actually support a high concentration of chemical particles or electrolytes in the blood but a reduced concentration which support a normal glycaemic control for the patient. However, it can be fully concluded that this osmolality is slightly lower than the normal range might be as a result of slight increased in fluid intake and poor control of water intake by the kidney. Question 2 In-house glycaemic monitoring has been an important mode of managing diabetes mellitus in out-patients. It has been found that a tightly controlled blood glucose level in patients with diabetes mellitus helps in reducing various forms of associated microvascular and macrovascular complications that could be seen in those patients (Gerich, J, 2005). Microvascular complications in those poorly controlled or monitored blood glucose level has been found to be the major cause of morbidity and mortality in people (Edelman, 1998). Those complications can also be seen in some groups of patient even before they are being diagnosed. It has been concluded by various researches that glycaemic monitoring has helped in achieving a normal HbA1c range over time and associated with the lowest risk of complications (Ousman & Sharma 2001). When the glycaemic control is being achieved effectively, the risk of manifestations of those immediate and late associated effects will be reduced and the patient will have his or her biochemical analysis results within the normal range. The major issue about the condition is that of those associated complications which the affected individuals tend to manifest when they are with a poorly controlled blood sugar. The major effects which are described as microvascular or macrovascular complications, shows their manifestation in most major systems of the body. The immediate effects of poorly controlled glycaemic level could be described in terms of disruption of the basic concentration of the body electrolytes with subsequent immediate and delayed effects. The derangement of the blood electrolytes will affects the functioning of the body's system hence deranged metabolic activity. One major effect is what is called the diabetic ketoacidosis and accelerated atherosclerosis which could lead to major systemic consequences which includes; cardiovascular effects, neurovascular effects, kidney failure, blindness, loss of hearing (American diabetes association, 2011). Question 3 Tight control program that could actually help this patient who has type 2 diabetes include; trying to lose the weight, and checking the blood glucose regularly. For this patient, achieving a weight loss could be accomplished ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“CLINICAL BIOCHEMISTRY Case Study Example | Topics and Well Written Essays - 1500 words”, n.d.)
Retrieved from
(CLINICAL BIOCHEMISTRY Case Study Example | Topics and Well Written Essays - 1500 Words)
“CLINICAL BIOCHEMISTRY Case Study Example | Topics and Well Written Essays - 1500 Words”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document


Credit-Default Swaps and the Fate of AIG

3 Pages(750 words)Essay

Clinical biochemistry 2

...? CLINICAL BIOCHEMISTRY Clinical Biochemistry Appraise the role of the clinical biochemistry laboratory in the assessment of adrenal function. Make reference to specific disease states/conditions and appropriate analytical techniques in your answer. The biochemistry laboratory is extremely important for the diagnosis of various pathological conditions. The laboratory results provide crucial evidence for reaching to a conclusion with regard to diagnosis and management. Blood and urine samples are mainly used for the assessment in the biochemistry lab. The biochemistry lab plays a vital role for an endocrinologist as well. Assessments of hormonal functions are important to provide for the diagnosis of endocrinology disorders... for the...
3 Pages(750 words)Essay

Global Operations Management IP II

4 Pages(1000 words)Essay

Clinical biochemistry

...? Clinical Biochemistry Assignment Other (s) Clinical Biochemistry Assignment Enzymes COMT (Catechol-O-methyltransferase) COMT (Catechol-O-methyltransferase) is an important enzyme that acts as a catalyst in the transfer of methyl group from S-adenosylmethione to catecholamines including epineprhrine, neurotrsnmitters, dopamine and nonepineprhrine (BRENDA 2). The process of O-methylation normally occurs in one of the degenerative pathways of catecholamine transmitters. In this regard, the pathways include dopamine degradation and betaxanthin biosynthesis. Encoded by COMT gene, Catechol-O-methyltransferase also plays a critical role in the metabolism of many catechol drugs used in the treatment of hypertension, Parkinson’s disease... Clinical...
3 Pages(750 words)Assignment

Clinical biochemistry and advanced assessment in nutrition

...?Other (s) Clinical Biochemistry and Advanced Assessment in Nutrition Similarities and differences between Pyruvate Dehydrogenase Complex and Branched Chain Ketoacid Dehydrogenase Complex There are a number of similarities and differences regarding the functionality and nutrient requirements of Pyruvate Dehydrogenase and Branched Chain Ketoacid Dehydrogenase enzyme complexes. Pyruvate dehydrogenase complex is an important enxyme complex that particularly works by transforming pyruvate into acetyl-CoA through a process known as pyruvate decarboxylation (Smolle 196). The resultant product (acetyl-CoA) is then normally used during the citric acid cycle to enhance cell respiration. Structurally and...
3 Pages(750 words)Assignment

Clinical Biochemistry Case Study

... Clinical Biochemistry Case Study Introduction James, aged 56 years, male was found collapsed and incoherent in the street. He was complaining of chest pain. He was brought by the paramedics to the ER who attributed the bruises on the side of the body to trauma sustained by fall. Emergency clinical biochemistry laboratory tests indicated elevated CK, AST, and LDH. The junior doctor concluded a diagnosis of myocardial infarction and without consulting a senior doctor administered streptokinase, and four hours later, the patient sustained a stroke and expired. Case Study The symptoms caused by heart disease result most commonly from myocardial ischemia, from disturbance of the contraction and/or relaxation of the myocardium... , or from...
6 Pages(1500 words)Case Study

Clinical Biochemistry Coursework

... decreased T4 amount but normal rate of TSH and T3. This combination is characteristic for increased conversion of T4 to T3. 4th patient has increased TSH level, normal level of T3 could be explained by the increased conversion of T4 to T3. Additional Information The absence of clinical data can influence on the decision making - there is expediently to include in the file the data about clinical manifestations of diseases. Recommendations: Tests for thyroid autoantibodies (antimicrosomal or anti-TPO antibodies) and antithyroglobulin (anti-Tg) could be helpful for differentiating causes of the disease. Medical imaging and biopsy also could be applied #2 Patient Details: 26 years old man Nature of Test Requested: testosteron... &...
4 Pages(1000 words)Case Study

Clinical Biochemistry- Case Study

...EXAMINATION OF THE PATIENT Findings: Patient complains of repeated vomiting, nausea, and generalised tiredness for two weeks. Patient is found to be hypotensive, tachypnic, with normal temperature and pulse rate. She also suffers from hyponatremia and hyperkalemia. Because no other abnormalities were revealed upon abdominal, cardiovascular, respiratory, and neurological examinations, an endocrinal abnormality lead is followed. Laboratory tests reveal that the patient has high serum urea, creatinine and adrenocorticotropic hormone (ACTH) levels. High ACTH levels may indicate a non-responsiveness of its target organ, the adrenal glands. The result of short ACTH stimulation test and random serum cortisol levels confirm this suspicion...
2 Pages(500 words)Essay

Topics in Clinical Biochemistry and Haematology (Haematology)

...Clinical Biochemistry and Haematology Insert (s) Clinical Biochemistry and Haematology Case study 1 1. What is the differential diagnosis? (20 marks) Based on John’s clinical history and the presented signs and symptoms, the underlying pathology of his condition is most likely to be caused by autoimmune haemolytic anaemia. There is however a number of other likely diagnoses that should be taken into consideration before an appropriate treatment and management plan are selected (Beck, 2009, p.45). One of the differential diagnoses is Sideroblastic anaemia. Generally Sideroblastic anaemia is condition where by the bone marrow is unable to produce healthy...
10 Pages(2500 words)Essay

Clinical biochemistry

...CLINICAL BIOCHEMISTRY Clinical biochemistry Clinical biochemistry, which is also termed as medical biochemistry or chemical pathology is an area of study that deals with the examination of body fluids. This area of the study was developed in the late part of the 19th century as a result of the discoveries made when diverse simple chemical tests were carried out on the constituents of blood and urine. This exploration was greatly aided by the related studies applied in measurement and use of enzyme action, electrophoresis and spectrophotometry (Varcoe 2001). Chemical pathology as a discipline is concerned with the whole...
3 Pages(750 words)Essay
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Case Study on topic CLINICAL BIOCHEMISTRY for FREE!

Contact Us