Step 1: Review the following client scenario:
Bayani, a 62-year-old male client, presents to the NP with abdominal pain with his wife. Bayani is mildly confused, and according to his wife, he is normally fully oriented. His abdomen is soft and non-distended, and his wife states he has been urinating and drinking more water than usual. She also states he has had foul-smelling urine and is concerned he also has a urinary tract infection.
Step 2: Review your assigned disease process from the chart below. Your assigned disease process is based on the first letter of your last name.
Last Name Disease Process
A – H Condition: Peptic Ulcer Disease (PUD)
I – P Condition: Cirrhosis
Q – Z Condition: Type 2 Diabetes
Step 3: Review the client case scenario and answer the discussion prompts below with explanation and detail, providing complete references for all citations.
Step 4: Reply to a peer with a different assigned disease process.
Include the following sections:
1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
- Discuss the underlying pathophysiological mechanisms of Peptic Ulcer Disease (PUD). Which clinical manifestations observed in Bayanis case could be explained by the pathophysiological mechanisms?
- Analyze Bayanis clinical manifestations in the context of Peptic Ulcer Disease (PUD). Do these findings support a diagnosis of Peptic Ulcer Disease (PUD)? Why or why not?
- Identify and justify the diagnostic tests (including labs, imaging, or other diagnostic tests) that would be most appropriate for investigating a diagnosis of Peptic Ulcer Disease (PUD) in Bayani. What could the results of these tests look like in Peptic Ulcer Disease (PUD)?
- Compare and contrast your response with a peer assigned a different condition. Does their condition fit Bayanis case? Why or why not?

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