Instructions List several pros and cons of patients’ use of health information that has been obtained online.

A 48 year-old male patient who has a long term history of hypertension and diabetes presented to the ER complaining of lethargy, lower extremity edema, pruritis, emesis, and nausea. The patient had noted 14 kg weight gain over the past month The physical exam revealed the followings: • No developmental abnormalities • Moderate distress and anxiety. • Distended abdomen. • Head and neck were unremarkable. • BP 180/120 mmHg, Pulse 85 beats/min, RR 26 breaths/min, and afebrile • Body weight 89.5 kg • Cardiac exam showed S1, S2, and S4 • 3+ lower extremity edema, Superficial skin lesions due to scratching Patient Value LAB Data: Chemistry Sodium Potassium Chloride BUN Creatinine Glucose Calcium Phosphorus Alkaline Phosphatase Hemoglobin Parathyroid Hormone 131 6.4 111 168 17.1 112 Urinalysis pH 6.0 Specific gravity 1.010 Protein 1+ Glucose negative Acetone negative Normal Values 136-146 mmol/L 3.5-5.3 mmol/L 98-108 mmol/L 7-22 mg/dl 0.7-1.5 mg/di 70-110 mg/dl 8.9-10.3 mg/dl 2.6-6.4 mg/dl 30-110 IU/L 14-17 gm/di 10-65 pg/ml 7.8 10.4 321 7.9 915 24-hour urine collection: Volume 830 ml Protein 660 mg/dl Creatinine 195 mg/dl

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