NTD_(Case_Study)-min

Specialty: NTD (2016)
Paper: Case Study
Coeff: 5
CASE ONE
You are a health worker in-charge at the Motombolombo health centre.
Mr. Akung has come to your health facility with complaint of headache
that has lasted for more than one year, blurred vision that has progress
over the years, rapid heartbeat; he also complaint of increased number
times be urinates in the night, increase thirst to drink water, increase
appetite, produce large volumes of urine. On clinical assessment he had
a blood pressure of 160/100mmHg, height, 1.57m, weight 110kg,
temperature 38.5 o C
1. What could be the possible diagnosis for Mr. Akung complaints?
2. Calculate his BMI.
3. What health education will you provide to this client?
4. Study the figure below and name that parts corresponding to the
letters indicated.

Complete the blank spaces in the table bellow
Hormone Function Target site
insulin
prolactin
Calcitonin
CASE TWO
Mme egbe aged 50 has the desire to control her diet. She weighs 50 Kg
for a height of 1m 60. Propose an adequate diet for her knowing that she
is a low active person? What will be futher considerations for the
proposed diet to be healthy? (20 marks)
CASE THREE

Ebong is a 45 year old man during routine consultations he was
diagnosed with diabetes. his current weight is 100Kg for a height of 1m
70. Assuming that he normally needs 2200 Kcal a day, it was found that
he consumes 800 Kcal more each day. He also consumes 7 more
portions of carbohydrates that what is recommended for a diabetic
patient. His blood sugar is 230 higher that 120 normal upper limit
a) Calculate his ideal body weight and BMI. (4mks)
b) What are the 2 possible nutritional diagnoses? (4 mks)
c) Count the amount of carbohydrates in his diet. (4mks)
d) What will be focus of your nutritional intervention and proposed a
nutritional plan of 2200 kcal? (4 mks)
e) How do you intend to monitor and evaluate your intervention?
(4mks)