Case Study: Weight Management Strategies for Obesity Complications

This presentation provides a comprehensive overview of weight management for obesity, starting with an introduction that outlines the objectives, including understanding obesity-related complications, evaluating patient data, discussing differential diagnoses, and detailing treatment strategies. The core of the presentation revolves around a case study, presenting the patient's history of present illness, subjective data (medications, medical history, social history, family history, and review of systems), and objective data (vital signs, blood sugar levels, and physical assessment). Differential diagnoses considered include hypertension, metabolic syndrome, and Cushing’s Syndrome, leading to specific diagnostics like blood pressure measurements, polysomnography, and cortisol measurements. Key risk factors such as diabetes, cardiovascular disease, stroke, cancer, and renal failure are identified. The treatment plan involves prescriptions like Phentermine and Saxenda, patient education on diet and exercise, and a follow-up plan to monitor progress. The presentation also references a research article comparing diet and exercise interventions with combined behavioral weight management programs and concludes with a summary, questions, and a list of references.

Running head: Weight Management for Obesity
Weight Management for Obesity
Name of the Student
Name of the University
Author Note

1Weight Management for Obesity
Weight Management for Obesity
Outline of Presentation
I. Introduction
A. Greeting
B. Topic overview: Weight Management for Obesity
C. A review of the Objectives
1. To properly understand the different complications related to obesity by case
presentation
2. To evaluate patient’s subjective and objective data related to obesity
3. To discuss about differential and eventual diagnosis of the disease
4. To outline details regarding strategies to treat people with obesity related
complications
II. Body of the Presentation: Case Study
A. History of the Present Illness (HPI)
B. Subjective Data
1. Medications: Patient currently not taking medications
2. Medical History: Hypertension, Obstructive Sleep Apnea.
3. Social history: married, employed full time, regular smoker, heavy drinker.
4. Family History: Hypertension, Diabetes type 2, Cardiovascular Disease,
Obstructive Sleep Apnea.
5. ROS:
System Review
Visual Normal vision. The patient does not have any eye complications, and
does not wear glasses or contact lenses.
Auditory No auditory problems
Oropharyngeal No problem chewing or swallowing food.
Cardiac Hypertension and mild chest pain towards the left side of the chest.
Respiratory Patient does not have any cough or asthma. The patient is suffering
from Obstructive Sleep Apnea
Gastrointestinal Patient denied constipation, nausea, vomiting or any other
gastrointestinal problems.

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Genitourinary No genitourinary complication
Musculoskeletal Patient denies of any musculoskeletal problems or any problems with
mobility or range of movement.
Neurological Patient denied any neurological condition
Psychiatric Patient complained of constant fatigue due to inadequate sleep.
Integumentary No problems with skin.
C. Objective Data
1. Vital Signs:
Blood Pressure: 180/120
Pulse Rate: 110
Body Mass Index: 35
Hip to waist ratio: 0.95
2. Blood Sugar:
Normal Blood Sugar: 98 mg/dl
Postprandial blood sugar: 135 mg/dl
Fasting blood sugar: 80mg/dl
3. Physical Assessment:
Components Evaluation
Head Atraumatic, normocephalic.
Ears No exudates or drainage from the ear canal. Tympanic membrane is intact.
No bulging or erythema to indicate infection. Hearing is intact.
Nose No discharge, deformity of bleeding from nose
Oral Cavity Lip and teeth normal, Oral mucosa is moist and pink, Uvula is elongated,
airways slightly obstructed, normal voice, no stridor.
Neck Neck is supple, signs of jujular vein distention on both sides of neck, signs
of neck bruits. Trachea is midline.
Chest Slight chest pain towards left side, symmetrical and equal breath sounds
Lungs CTA bilateral, no wheezing sounds or rales or ronchi.
Heart Signs of cardiac arrthmia, no murmur, but an s3 heart sound.
Abdomen Soft, tender and distended, bowel sounds normal
Rectal Normal tone, no masses, daily bowl movement
Genitourinary Normal
Extremities Clubbed fingernails, pulses are strong in femoral and dorsalis pedis
arteries, but non equal, no signs of trauma.
Skin Skin with no wound, discoloration or deformity.
Neurologic All the cranial nerves (2 to 12 are intact), normal gait. Insomnia, constant
fatigue
Psychiatric Irritable and restless
D. Differential Diagnosis
1. Hypertension
2. Metabolic Syndrome

3Weight Management for Obesity
3. Cushing’s Syndrome
E. Diagnostics
1. Measuring systolic and diastolic blood pressure
2. Polysomnography
3. Home Sleep Apnea Testing
4. Cortisol Measurements
F. Risk Factors
Diabetes, Cardiovascular Disease, Stroke, Cancer, Renal Failure
G. Treatment Plan
1. Prescription: Phentermine and Saxenda
2. Patient Education: diet, exercise, & complications
3. Follow up: treatment plan, exercise plan, diet plan, medication
III. Research Article Information: Johns, D. J., Hartmann-Boyce, J., Jebb, S. A., &
Aveyard, P. (2014). Diet or exercise interventions vs combined behavioral
weight management programs: a systematic review and meta-analysis of direct
comparisons. Journal of the Academy of Nutrition and Dietetics, 114(10), 1557-
1568.
IV. Conclusion
V. Questions
VI. References:
cdc.gov. (2018). Adult Obesity Facts | Overweight & Obesity | CDC. Retrieved from
https://www.cdc.gov/obesity/data/adult.html
Johns, D. J., Hartmann-Boyce, J., Jebb, S. A., & Aveyard, P. (2014). Diet or exercise
interventions vs combined behavioral weight management programs: a systematic
review and meta-analysis of direct comparisons. Journal of the Academy of Nutrition
and Dietetics, 114(10), 1557-1568
who.int. (2018). Obesity and overweight. Retrieved from
http://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight

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who.int. (2018). WHO | Waist circumference and waist–hip ratio. Retrieved from
http://www.who.int/nutrition/publications/obesity/WHO_report_waistcircumference_
and_waisthip_ratio/en/