Professional Documents
Culture Documents
Case Study PHN
Case Study PHN
dela Cruz
I- PHN
CASE STUDIES
1. A 45-year-old man comes in for his annual physical.
Height 5’10”, weight 210 lb, nonsmoker, no history of CAD, DM, or dyslipidemia.
On questioning, he is unconcerned about his weight, which he attributes to “too much food
and too little exercise.” His wife, however, has been nagging him to lose weight.
On physical exam, he is moderately obese, BP 140/99, pulse 78 and regular, waist
circumference 42 inches; no other abnormalities detected.
Clinical assessment:
1. What further evaluation would you perform?
Lipid profile blood chemistry test, BMI, IBW, TCR, Thyroid testing, ECG
No, weight loss medications are done only after attempting the use of non drug
interventions for the first six months of weight management. In addition, the patient’s
waist circumference is within normal limits of less than 31 inches and the patient’s BMI
is within the normal range of 18.5 kg/m2 – 25 kg/m2.
I would advise my patient to try the combined therapy which results as the most
successful for weight loss and maintenance that includes a combined intervention of
a calorie-deficit diet, increased physical activity, and behavioral treatment. I would tell
her that the best way to lose weight in a long-term span has no shortcut like that of
diet pills which may result to short term weight loss due to lack of discipline in the diet
and absence of exercise. Discipline of oneself is the ultimate key to attain a long-term
regimen of weight loss. Diet pills may be used only when needed or after the first six
months of non drug interventions.
3. Based on YOUR most recent or estimated height and weight, compute for the following:
1. Your Body Mass Index
4. Based on a diet divided into 3 meals in a day, come up with a one-day sample menu.
Refer to the Carbohydrate and Fat exchange List provided.
Breakfast Food Item Calories
Fruit
Milk
Fish or Substitute
Rice or Substitute
Sugar
Fish or Substitute
Rice or Substitute
Fruit
Sugar
Rice or Substitute
Fruit
Sugar