The 56-year-old Caucasian male complains about dizziness and nausea for the past four days, and he has experienced cerebrovascular accident twice.For the last few days, he has frequently been urinating beside experiencing increased thirst levels.Also, he reported a medical history of diabetes mellitus, hypertension, and coronary artery disease. However, there was no headaches and blurry vision. The patient has not been accessing Lantus and metformin, and with examinations, he presents normal respiration,body temperatures, as well as high heart rate, blood pressure, and blood sugar level.

Therefore, the differential diagnoses for this patient are diabetes mellitus, cerebrovascular accident, and coronary artery disease. The treatment regimen for the patient is an injection of plasminogen activator that will dissolve the clot associated with the coronary artery disease(Foreman & Harrigan, 2017). The treatment plan is not expensive as compared to the surgical operations to remove the clot. However, the treatment can be affected by the comorbidity of the patient. The cerebrovascular accident is related to diabetes mellitus, hypertension, and CAD because it resulted in dizziness and nausea(Rashid et al., 2016). As such, the comorbidity diagnosis impacted his symptoms such as increased heart rate, thirst, and blood pressure.

The patient believed that he could only access his medications like Lantus and metformin just after checking his disability. In spite of this, the patient’s DM management outcome is altered leading to the presented symptoms of high blood sugar and pressure (Patel, 2016). The CVA can be managed alongside several other predisposing conditions to achieve potential stability outcome. Therefore, the underlying conditions are critical in comprehensive care for the appropriate result in cases of CVA, which is usually affected by comorbid illnesses.

References

Foreman, P., & Harrigan, M. (2017). Blunt Traumatic Extracranial Cerebrovascular Injury and Ischemic Stroke. Cerebrovascular Diseases Extra, 7(1), 72-83.

Patel, S. S. (2016). Cerebrovascular complications of diabetes: alpha-glucosidase inhibitor as a potential therapy. Hormone and Metabolic Research, 48(02), 83-91.

Rashid, M., Kwok, C. S., Gale, C. P., Doherty, P., Oliver, I., Sperrin, M., … & Mamas, M. A. (2016). Impact of a co-morbid burden on mortality in patients with coronary heart disease, heart failure, and cerebrovascular accident: a systematic review and meta-analysis. European Heart Journal–Quality of Care and Clinical Outcomes, 3(1), 20-36.

 
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