Case+1

= Case #1 =

**This wiki is the being used as a housing location for these case scenarios. Each student is to answer each of the case scenarios and turn in for grading as per the course syllabus. ** 

Dorothy is a 57 year old female who weighs 220 lbs and is 5 feet tall, and she is seeking relief of the soreness in her mouth. She complains that when she brushes her teeth, her gums bleed. When you examine her oral cavity, you note the presence of white patchy areas on the tongue.

﻿ A month ago Dorothy had three toes amputated at a same-day surgery center, and she cannot feel her remaining toes. She has generalized moderate with localized severe periodontitis. She currently has a respiratory infection for which she is taking 500 mg of cephalexin four times a day and Entex LA twice daily. Recently her blood glucose levels have been between 240 -300 in the evening.

Her medication regimen is: Insulin, NPH, 35 U in the morning, 10 U in the evening Glyburide, 10 mg qd Metformin, 850 mg bid Maxzide, qd Femstat vaginal crème q hs for the past three nights

Dorothy’s blood pressure was 165/92. You step out of the room to sign up for a pathology check and when you return, you find Dorothy unconscious.

**Questions** **1.** **Identify the symptoms and complications that Dorothy has related to her diabetes.**

<span style="font-family: 'Comic Sans MS',cursive;">**2. What should her HgA1c levels be?**

<span style="font-family: 'Comic Sans MS',cursive;">**3. What is the etiology of the white patches on her tongue?** <span style="font-family: 'Comic Sans MS',cursive;"> <span style="font-family: 'Comic Sans MS',cursive;">**4. What are the drugs for that Dorothy is taking?**

<span style="font-family: 'Comic Sans MS',cursive;">**5. Do the dosages seem reasonable? Are any excessive?** <span style="font-family: 'Comic Sans MS',cursive;"> <span style="font-family: 'Comic Sans MS',cursive;">**6. What are the indicated uses that the drugs are being taken for?** <span style="font-family: 'Comic Sans MS',cursive;"> <span style="font-family: 'Comic Sans MS',cursive;">**7. Do any of the drugs have a dental contraindication or drug-to-drug interactions?** <span style="font-family: 'Comic Sans MS',cursive;"> <span style="font-family: 'Comic Sans MS',cursive;">**8. What oral complications does each drug have – if any?** <span style="font-family: 'Comic Sans MS',cursive;"> <span style="font-family: 'Comic Sans MS',cursive;">**9. What procedures should have occurred prior to treating patient?**