HLSC 2463U Study Guide - Midterm Guide: Diabetic Retinopathy, Electronic Health Record, Diabetic Neuropathy
Chapter 19- Alterations of Hormonal Regulation
Study guide
Read the clinical scenario and answer the questions.
Mrs. Mendoza, who has had type 2 diabetes for 17 years, has a below-the-kneww
amputation of her gangrenous left foot yesterday. Her electronic health record indicates
that she has peripheral neuropathy, diabetic retinopathy with loss of visual acuity,
gastroparesis, and two previous hospitalizations for hyperosmolar hyperglycemic
nonketotic syndrome.
1. What are the two basic components of the pathophysiology of type 2 diabetes?
2. What factors most likely contributed to Mrs. Mendoza’s foot needing to be amputated?
3. What is the pathophysiology behind Mrs. Mendoza’s diabetic retinopathy?
4. Is diabetic retinopathy a microvascular problem or a macro vascular problem?
5. At lunchtime, Mrs. Mendoza says, “I can’t eat this lunch! I am still full from breakfast.”
What complication of diabetes is behind her statement?
6. What two words describe the pathophysiology of this complication? Is this complication
a microvascular problem or a macrovascular problem?
7. Why should Mrs. Mendoza’s urine be checked for microalbuminuria?
8. If Mrs.Mendoza develops hypoglycemia from her medications, what signs and symptoms
would be expected?
9. When Mrs. Mendoza developed hyperosmolar hyperglycemic nonketotic syndrome, what
signs and symptoms were likely?
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