Question: Howard Is A 50 Y.o. Male. He Knows His Blood Pressure Is High-he “has Been Hearing About It For Years”- But Doesn’t Want To “take Any Drugs”. He Has Begun A Low Carbohydrate Diet To Try To Lose Some Weight, And Has Lost 12 Pounds In A Month. Vitals: Temp 98.0 BP 160/110 P 70 Resp 15 Weight 280 Height 5’10” UA: Color-amber Glucose Bilirubin Ketone …

Howard is a 50 y.o. male. He knows his blood pressure is high-he “has been hearing about it for years”- but doesn’t want to “take any drugs”. He has begun a low carbohydrate diet to try to lose some weight, and has lost 12 pounds in a month. Vitals: Temp 98.0 BP 160/110 P 70 Resp 15 Weight 280 Height 5’10” UA: color-amber Glucose Bilirubin Ketone Spec. Gravi Blood pH Protein 1.010 (+) 5 (+) Urobilinogen Nitrite Leuk (-) (trace) Micro: epithelial cells, RBC 1. Identify the abnormal values in the lab results. For each abnormal, describe the physiology that could produce the result. 2. Explain the ketone and pH values with respect to the patient history 3. Explain the protein value (maybe the leukocyte, too) with respect to the history 4. List and explain the reason for 2-4 other conditions the patient is likely at risk for, given the presentation. 5. Evaluate the patient’s diet plan. Is this a good one, given the rest of his picture? Why or why not?