Case Study
Marcus Johnson is a 70-year-old male. He presents to the emergency department complaining of confusion, drowsiness, upset stomach, and headache. He reports that his symptoms have been developing slowly over time, and they seem to be worsening. He has an increased heart rate and breath that smells fruity.
Mr. Johnson’s medical history includes type 2 diabetes and high blood pressure. He reports that he does not strictly adhere to the dietary guidelines recommended by his doctor to manage his conditions.
Using at least two reliable sources, please answer the following questions:
1. This patient is suffering from a pH imbalance. Please identify tests that can be ordered to diagnose the imbalance.
● What does each test measure?
● What is the rationale for ordering each test?
2. Which pH imbalance does he have?
● How would you define this imbalance (using your own words)?
3. How did you make this diagnosis?
