Mr. J.R. is a 52-year-old Hispanic male presenting for a routine follow-up. He reports fatigue, increased thirst, and weight gain over the past year.
History:
· PMH: Type 2 diabetes (6 years), hypertension, dyslipidemia, obesity
· Medications: Metformin 1000 mg BID, Lisinopril 10 mg daily, Atorvastatin 20 mg nightly
· Social: Sedentary lifestyle, works two jobs, limited access to healthy food
· Family history: Father with MI at 59
Vitals:
· BP: 148/92 mmHg
· BMI: 36 kg/m²
Labs:
· A1C: 9.1%
· LDL: 142 mg/dL
· Triglycerides: 265 mg/dL
· eGFR: 68 mL/min/1.73m²
· Urine albumin/creatinine ratio: 45 mg/g
Student Assignment Requirements (APA 7)
Students must submit a 7–9 page scholarly paper (excluding title and references) addressing:
1. Pathophysiology (25%)
· Explain the interrelationship between insulin resistance, obesity, hypertension, dyslipidemia, and endothelial dysfunction
· Describe progression to microvascular and macrovascular complications
· Integrate evidence-based literature
2. Comprehensive Assessment (30%)
· Focused and comprehensive primary care assessment
· Cardiovascular risk stratification (ASCVD)
· Identification of red flags and complications
· Preventive care and screening needs
3. Pharmacology & Management (35%)
· Evidence-based medication optimization per ADA, ACC/AHA, and KDIGO guidelines
· Justification for adding/changing medications (e.g., GLP-1 RA, SGLT2 inhibitor)
· Non-pharmacologic management
· Monitoring and follow-up plan
4. Scholarly Writing & APA Format (10%)
· Use of current (≤5 years) peer-reviewed sources
· APA 7 accuracy and clarity
