I have attached requirements for my signature assignment for my physiology course. It is a case study with multiple questions to be answered.
Paper must be original, no plagiarism, school runs safeassign for plagiarism.
Physiology: Signature Assignment
For your signature assignment, compose a 3- to 4-page case analysis (in addition to a title page and a reference page) written in APA format (latest APA format) with at least 3 references, with one non-Internet reference.
Paper must be original, no plagiarism, school runs safeassign for plagiarism.
The following should be covered in the paper:
Title page: Case title, full name, section, date, instructor, and campus
· Introduction: Explain the physiological importance of the liver, pancreas, and kidneys for the proper functioning of the human body.
· Body: Respond to the prompts. Organize your analysis with headings that thoroughly answer the prompts (e.g., “Calcium and Sodium Imbalance” should be the heading for question 1).
· Conclusion: Summarize the paper in a paragraph.
End-Stage Kidney Disease
Sarah, a 63-year-old female with a past medical history significant for diabetes mellitus, cirrhosis, gout, and a 30-pack a year smoking history presents to the emergency room with chest pain revealing pericarditis in the echocardiogram, secondary to recently diagnosed end-stage renal disease. Physical examination reveals yellowish discoloration to the skin and sclera, multiple bruises, 2+ bilateral edema, and weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin. Her recent laboratory results are as follows:



126 mEq/L


220 mmol/L


7.1 mg/dl

Red blood cell count

3.9 cells/ul


Blood Pressure

92/64 mmHg

Blood Gases




30 mmHg


12 mmol/L

Hormone Panel








Vit D


Vit K


Vit E


Vit A


Urine and Stool Sample

Stool color


Stool content

Increased Fat Content

Urine color

Rev 12-17-17
Please address each of the following regarding Sarah’s case:
1. Explain the cause for her low calcium and sodium levels.
2. Explain the cause of her anemia. What laboratory test should indicate she is suffering from anemia?
3. Explain the cause of her hypotension. How will her body attempt to establish homeostasis?
4. What type of acid-base disorder has she developed, and how will her body compensate?
5. Explain the cause of her elevated ADH and glucose levels.
6. What is the correlation between her illnesses and the low vitamins (D, K, E, and A), renin, and aldosterone levels?
7. Which hormone would the body elevate in response to her low calcium levels? Why?
8. Explain the physiological reason behind her physical findings (yellowish hint of the skin, sclera, multiple bruises, weakness, and edema).
9. Explain the cause of her abnormal stool and urine sample.
10. What cell does Glisten work on? Explain how this medication is able to stimulate insulin secretion.

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