All posts by : chebby

Patient is a 44 year old male presenting with swollen, painful, red left knee for 2 days. Reports he is unable to bear weight on that leg. He is now also having toe pain. Symptoms started after the weekend when he attended a BBQ where he had 4 beers with his meal. He denies fever, rash or injury. BMI is 32. History of HTN, takes Hydrochlorothiazide, and works as a floor installer.

Aspiration of synovial fluid:

Monosodium urate (MSU) crystals positive

Lab results

Lab Result Reference Range

Uric Acid 8 3.5 and 7.2 mg/dL

ESR 65 0-15 mm/hr

CRP 10.5 <0.3 mg/dL

Questions:

Identify key symptoms presented that will help to determine the diagnosis.

– Swollen, painful red knee joint

– No related injury

– Recent alcohol consumption

– Labs support acute gout flare

Explain the musculoskeletal pathophysiologic processes of why the patient presents these symptoms.

– Excess uric acid in the bloodstream from renal issues, purine-rich diet, alcohol, etc

– Urate crystals travel to and stay in the joint spaces

– The accumulation of crystals in the joints causes inflammation and severe pain

Explain how obesity plays a role in the progression of osteoarthritis/gout in the knee joints.

– Hx of installing flooring can lead to osteoarthritis

– Excess weight leads to more stress on the joints

– Excess weight shown to be directly related to higher serum urate levels

– Obesity can stress the kidneys, which makes it more difficult for the body to eliminate uric acid

Explain risk factors that may contribute to the development of the disease.

– Obesity

– Diet high in purines

– Male

• Medication

Choose an example of the three different epidemiological studies: case report, case series, and cross-sectional study.

Provide links to each type of article and briefly describe the characteristics of each article, indicating whether it is a case report, a case series, or a cross-sectional study.

Contribute to the initial post using a minimum of 450 words. You must include at least two scholarly sources, format, and cite according to current APA guidelines.

Follow Netiquette guidelines when participating in the discussion forums.

 Students  will create a 3-page analysis of two opposing articles on euthanasia  and physician-assisted suicide to define the issue.

To  effectively address an ethical problem, we have to fully understand it.  After all, we don’t have much chance of making good choices if we don’t  understand the issue. Did you know defining an issue means describing  both sides before sharing your point of view about either side? Defining  both sides can be tricky because it requires being objective even when  you do not agree. Can you do it? Can you define both sides without  sharing how you feel about physician assisted suicide and euthanasia?  Physician assisted suicide and euthanasia are two highly emotionally  charged subjects, which makes this exercise all the more difficult.

Demonstrate your mastery of defining the issue by completing the Unit III Analysis of Unit Resources template.

Use  the template to complete the assignment. Follow the directions in the  template to complete the assignment. Be sure to dedicate some detail to  comparing and contrasting both articles. Take some time to reflect on  the importance of doing so, as well.

The completed assignment should be three pages in length. No sources will be required for this assignment.

The ebook used is “Disputed Moral Issues, 5th edition 

Please see attached instructions

complete this pdf, with information on a 72 year old steven johnson patient named julian (female) no pain meds prior ro wound dressing change

Evidence that supports the idea that specialty certification is associated with an improvement in health outcomes for patients.