78 year old man comes into the office for the first time he states his knees hips and waist are always in pain his previous doctor used to give him a pill that helps the pain and make it easier for him to walk and do things around the house his doctor retires so he needs a new doctor he also mentions that the doctor gave him a couple of other medication but doesn't really know what they are he just takes Them once a day .whay do you tell the docter reason why the patient is here
Added by Gary G.
Step 1
The patient, a 78-year-old man, is primarily concerned about chronic pain in his knees, hips, and waist. He mentions that this pain has been managed with medication in the past, which has allowed him to walk and perform daily activities more easily. Show more…
Show all steps
Your feedback will help us improve your experience
Keemin Lee and 69 other Biology educators are ready to help you.
Ask a new question
Labs
Want to see this concept in action?
Explore this concept interactively to see how it behaves as you change inputs.
Key Concepts
Recommended Videos
Mr. Clog is 53 years old and has just suffered a fairly serious heart attack. He has been rushed to the hospital for treatment. When he arrives, the doctor notices that he is in considerable pain. (A) Do you think the doctor will give him an NSAID, a COX-2 inhibitor, a natural opioid or a synthetic opioid analgesic for his pain? Give a specific example of the class you have chosen. Mr. Clog underwent double bypass surgery and will survive but has a long recovery. A few days after his surgery, one of his incision sites showed signs of infection and the doctor chose to give him a tetracycline antibiotic. (B) Briefly indicate the mechanism of action for this class of antibiotics and give a specific example of this class. Mr. Clog should have taken better care of himself as he is starting to receive a number of medications (C) list 5 risks associated with polypharmacy. Mr. Clog is starting to realise that he is getting old and his recent heart attack was not helping the situation. He is starting to feel depressed. (D) Which of the 3 classes of antidepressants do you recommend for him? Give a specific example of the class you have chosen.
Keemin L.
A 45-year-old white man presents to your office complaining of left knee pain that started last night. He says that the pain started suddenly after dinner and was severe within a span of 3 hours. He denies any trauma, fever, systemic symptoms, or prior similar episodes. He has a history of hypertension for which he takes hydrochlorothiazide (HCTZ). He admits to consuming a great amount of wine last night with dinner. On examination, his temperature is 98°F, his pulse is 90 beats/min, his respirations are 22 breaths/min, and his blood pressure is 129/88 mm Hg. Heart and lung examinations are unremarkable. The patient is reluctant to flex the left knee, wincing in pain at touch, and has passive range of motion. The knee is edematous, hot to touch, and has erythema of the overlying skin. No crepitation or deformity is apparent. No other joints are involved. Inguinal lymph nodes are not enlarged. Complete blood count (CBC) reveals a white blood cell count of 10,900 cells/mm³ and is otherwise normal.
Syed H.
T. J. Summerton comes to your office with his two daughters for a second opinion. His older daughter, Vaida, says that their dad's moods are all over the place and that his memory is getting worse. His younger daughter, Eleanor, says that their dad never had any mood problems until their mom died, and then his moods kept getting worse. Vaida says that their dad recently went into a nursing home because he stopped taking care of himself. Since he has been in the nursing home, he has seen the psychiatric nurse practitioner, who sees all the residents at the home. Eleanor says that they are here to see you today because they want a second opinion about the medications and treatment T.J. is getting. Review the records from the nursing home (below) and revise T.J.'s treatment plan. T. J. Summerton, male Resident, Hall C, Room 134 Medical history: high cholesterol, GERD, high blood pressure, memory loss, depression Surgeries: Left knee replacement Allergies: iodine, shellfish A & O x 2-3 Brief examination Depression: 7/10; lays in bed, doesn't attend the nursing home events, says "I want to go to heaven." Anxiety: 5/10 "I just get nervous with the stuff going on around here." SI: "I would never do it because of my faith, but I don't want to be around much longer." Psychosis: denies Sleep: "Even with my sleep medications, I wake up all night." Appetite: Poor; NH staff, patient has lost 5 lbs. in 2 months. Current weight: 177 lbs. Height: 5'9" 14 February 1941 Medication Dosage Instructions Reason Prescribing Doctor Metoprolol 50 mg Daily Blood pressure Dr. Ampadu Synthroid 100 mcg Daily in the morning thyroid Dr. Ampadu Lipitor 20 mg Daily at night cholesterol Dr. Ampadu Flomax 4 mg Daily prostate Bill Jones, PA Ambien 10 mg Daily at night Sleep Jessica Balkus, PMHNP Sertraline 150 mg Daily depression Jessica Balkus, PMHNP Nexium 40 mg Daily GERD Dr. Ampadu Aricept 5 mg Daily Memory Jessica Balkus, PMHNP Allergies: Shellfish, iodine undefined
Sri K.
Recommended Textbooks
Biology for AP Courses
Objective Biology for NEET
Introduction to General, Organic and Biochemistry
Transcript
18,000,000+
Students on Numerade
Trusted by students at 8,000+ universities
Watch the video solution with this free unlock.
EMAIL
PASSWORD