A 58-year-old obese white male presents to ED with chief complaint of fever, chills, pain, and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical exam reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl. In your Case Study Analysis related to the scenario provided, explain the following: ⢠Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms. ⢠Any racial/ethnic variables that may impact physiological functioning. ⢠How these processes interact to affect the patient. Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following: Explain both the neurological and musculoskeletal pathophysiologic processes of why the patient presents these symptoms. Explain how the highlighted processes (scenario above) interact to affect the patient. Explain any racial/ethnic variables that may impact physiological functioning. Paragraphs Should: make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focusedâneither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. Correct grammar, mechanics, and proper punctuation The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
A 58-year-old obese white male presents to ED with chief com
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