Smoking OLD Age Psychosocial History

Exposure to Environmental Irritants Familial History

Sedentary lifestyle
Structural and Functional changes in the heart and blood vessels Obesity Reduced ventilation and respiratory g

Elevated blood glucose level

Accumulation of atherosclerotic plaque
Impaired vasodilation Increase collagen deposits Fragmentation of arterial elastins
Levofloxacin 750 mg 1 tab OD

Desensitization of beta cells

Decrease elasticity of major blood vessels

Aorta and large arteries are less able to accommodate the volume of blood pumped by the heart
Decreased response to further increase in blood glucose levels

Elevated Blood Glucose leve

Prito
Plendil ER 5 mg 1 tab OD every HS
BP= 130-150/80-90 mmHg Increase Blood pressure

Destruction of alpha and beta cells of pancreas

Increase osmolarity due to glu
Asymptomatic Symptomatic
Vastarel MR 350 mg/tab 1 tab BID

Coronary artery disease with angina or myocardial infarction

Respiratory muscleEnlarged
weaken bronchi and alveoli Number of cilia reduced Failure to produce insulin polydipsia
Production of excess glucagon

Weight loss poly

DEATH
 Acidosis
Loss of water, Sodium, andADH
potassium
released by posterior pituitary gland Electrolyte imbalance polyuria polydipsia

dehydration
Dehydration and Hypovolemia Increase permeability
Nausea, vomiting abdominal pain
Weakness Headache

More collection of fluid

hemoconcentration Chronic Hyperglycemia

Monocyte = 7 %
hyperviscosity Infection
Impaired Immune Function
Small Vessel Disease Accelerated Atherosclerosis

Delayed wound healing

thrombosis

Increase LDL levels

Coronary artery disease
Tissue ischemia Hypertension

Laser Eye Treatment

Diabetic Neuropathy Diabetic nephropathy Diabetic Retinopathy

Dialysis
Blurred vision Loss of vision
Diabetic Foot ulcerations Symmetrical loss of sensation End-stage renal failure
 Destroyed nerve and alter transmission of messages

Numbness or tingling in the extremities

Autonomic neuropathy DEATH

Perception that the body is in constant motion

Epley Maneuver
LEGEND:
Betahistine diHCl 24 mg 1 tab BID BPPV
Risk Factors

Medical Interventions

Disease Condition

Pathophysiology

Clinical Manifestations

Laboratory Results

DEATH

Note: Those highlighted words in green are seen in our client.