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

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

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

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

Related Questions

Quality Improvement Project Hide Assignment Information Instructions Spring 2025 Leadership in Professional Nursing (NURS-… SD Assignments

Quality Improvement Project Hide Assignment Information Instructions Spring 2025 Leadership in Professional Nursing (NURS-… SD Assignments Quality Improvement Project The purpose of this assignment is to immerse the BSN student in an active quality improvement (QI) initiative on their assigned unit, critically analyze its implementation, and contribute meaningfully to its

NAME UNIVERSITY NAME CLASS PROF NAME

NAME UNIVERSITY NAME CLASS PROF NAME DATE NRNP 6531 i-Human Template / Week 2 Case Management Plan Template 1. Problem Statement a. How would you present this patient to your preceptor? Include both subjective and objective findings. · Patient is a 36-year-old female with PMH of Type 2 DM, who