Marianna M. is a 61-year-old female who is in the clinic for a check-up. Her last examination was 5 years ago. She has no complaint other than leg numbness and tingling from time to time. She also reports feeling thirsty and tired.What major problems can you identify for this patient? What subjective and objective information in the case supports each of those problems? What is your assessment and plan for each problem? What medications (with mechanism of action information) and doses are appropriate for this patient?Social history: no smoking or alcohol consumption.Physical examination:GEN: well nourished slightly obese female.VS: BP 180/103 HR 73 RR 13 T 98.4 Wt 90 kg HT 5’6”HEENT: PERRLACOR: RRR NMRGCHEST: CTANEURO: monofilament test shows decreased peripheral sensationEXT: normalLaboratory (fasting):Na 139K 3.8ALT 34Ca 9.1CL 102HCO3 22AST 39TP 6BUN 33SCr 1.8Alb 4.1Cholesterol 254BG 275UA: SG 1.013 pH 6.5 proteinplease answer in APA style and the answer needs to be supported by evidence from appropriate sources published within the last 5 years.
