Hello there! Want a discount? Grab 5% OFFon your first order!
originalresearchpapers.com logo
Hello there! Want a discount? Grab 5% OFF on your first order!
originalresearchpapers.com logo

case studyExercise Content 1. Top of FormWeek 6 Case Study IIIPatient With FatigueEM is a 74-year-old male with a

case study

Exercise Content

1.

Top of Form

Week 6 Case Study III

Patient With Fatigue

EM is a 74-year-old male with a history of rheumatoid arthritis (RA) who presents in the clinic with a complaint of fatigue. EM is ambulatory with a walker and recently has had intermittent flare-ups of his rheumatoid arthritis (RA) disease activity, with increasing pain and swelling in his affected joints. His energy has been declining over the past few months, so he thought it was a good time to come in for follow-up laboratory testing and reassessment of his medications. Most troublesome, he has fainted twice in the past 2 weeks, which resulted in falls onto his carpeted floor. He is afraid to go out into public and even more afraid to drive his car. He has also had some chest pains with exertion. He is eating and sleeping okay, although he does sleep better if his head is elevated on a few extra pillows. He lives alone and gets meals delivered by a local organization.

Past Medical History

· RA for 35 years, affecting hands, feet, knees, hips, and cervical spine

· Systolic hypertension

· Presbycusis

Medications

· Ibuprofen, 600 mg three to four times per day as needed

· Methotrexate, 7.5 mg weekly

· Atenolol, 25 mg daily

· Hydrocodone/acetaminophen, 5 mg/500 mg every 6 hours as needed for pain

Physical Examination

· Height: 71 inches; weight: 160 lbs.; BMI: 22.3; blood pressure: 162/60; pulse: 84; respiration rate: 16; temperature: 98.6 °F

· Well-developed, well-nourished elderly male in no distress; pale

· Lungs: bibasilar rales

· Heart: regular rate and rhythm, grade 3/6 systolic murmur, audible S3; positive carotid bruit on the left

· Abdomen: no masses, nontender

· Rectal: prostate 3+ enlarged, hemoccult negative brown stool

· Extremities: marked ulnar deviation of MCP and IP joints in both hands

Labs and Imaging

· Hemoglobin: 8.9 g/dL

· Mean corpuscular volume (MCV): 80 fL

· White blood cell count: 10.7 × 10

9
/L

· Platelets: 250,000/L

· Reticulocyte count: 0.8%

· Ferritin: 415 mcg/L

· Electrocardiogram: no acute findings; some evidence of left ventricular hypertrophy

Discussion Questions

1.What is EM’s diagnosis?

2.What is the underlying pathophysiology of EM’s condition?

3.What is the best therapeutic approach to the treatment of EM’s condition?

Bottom of Form


Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Help responding to collegues Please respond to the following colleaguesAS Angela

Help responding to collegues  Please respond to the following colleagues AS Angela Stapleton-Burley Jun 25 10:56pm Manage Discussion by Angela Stapleton-Burley Reply from Angela Stapleton-Burley   Hi Everoyne, One significant benefit of incorporating big data into clinical systems is the enhancement of predictive analytics, which allows providers to proactively identify

Purpose: The purpose of this assignment is to assess your ability to conduct a systematic and comprehensive head-to-toe physical assessment. This will

Purpose: The purpose of this assignment is to assess your ability to conduct a systematic and comprehensive head-to-toe physical assessment. This will help reinforce critical thinking, clinical reasoning, and documentation skills essential for nursing practice. By completing this assignment, you will demonstrate proficiency in assessing various body systems, identifying normal

COMPLETE USING DOCUMENT POSTED WITH ASSIGNMENTThumbnails/thumbnail.pngDetermining Anesthesia Service Payments and Modifiers As a new medical

COMPLETE USING DOCUMENT POSTED WITH ASSIGNMENT Thumbnails/thumbnail.png Determining Anesthesia Service Payments and Modifiers As a new medical coder for an Anesthesiologist group, it is important that you practice calculating service payments by assigning the appropriate anesthesia code(s) and modifier(s), as well as determining the base and time unit values, any

COMPLETE ALL QUESTIONSThumbnails/thumbnail.png1) The ICD-10-CM Official Guidelines for Coding and Reporting are approved by the FILL IN

COMPLETE ALL QUESTIONS Thumbnails/thumbnail.png 1) The ICD-10-CM Official Guidelines for Coding and Reporting are approved by the FILL IN BLANK  parties for ICD-10-CM to accompany and complement the official conventions and instructions provided within ICD-10-CM. 2) Official coding guidelines use the term FILL IN BLANK  when referring to face-to-face contact between patients and health

  Questions Discussion Board: Instructions Purpose: The purpose of this assignment is to familiarize you the complexity of quantitative statistical

  Questions Discussion Board: Instructions Purpose: The purpose of this assignment is to familiarize you the complexity of quantitative statistical analysis. Instructions: For this discussion, please complete the following: Review the assigned chapters in Polit and Beck (2017): i.e., chapters 18-20. Identify five different facts or pieces of information that

You deserve a bonus!

Subscribe and get regular bonuses and discounts.