Examination and Laboratory results Study
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Jonathon is a 56 year-old retired automobile mechanic who has not been to the doctor in approximately 6-7 years. He presents to your office complaining that 3 weeks ago he was awoken with severe pain and inflammation in his knee, which has been consistent since that initial night. Upon physical examination of his knee, it appears swollen and erythematous with periarticular involvement. Upon physical examination and laboratory results you notice the following: Physical examination: GEN: well nourished, obese male (310 pounds) VS: BP 191/112 HR 75 RR 15 T 98.6, HT 5’8” EXT: Knee joint inflammation Laboratory (fasting): Na 139 mEq/L K 3.8 mEq/L Ca 9.1 mg/dL CL 102 mmol/L HCO3 22 mEq/L BUN 10 mg/dL SCr 0.9 mg/dL Serum Uric Acid 6.5 mg/dL Alb 4.1 g/dL Cholesterol 300 mg/dL UA: pH 6.8, uric acid 250 mg/24h What problems can be identified in this patient? Please provide a list of differential diagnoses, as well as indication of your primary diagnosis.What is your pharmacological plan for your primary diagnosis including the medication, dose, and mechanism of action?
Source: https://safewritings.com//questions/health-care/576881-nr508-Week-6-discussion-1/
© https://safewritings.com/A laboratory (lab) test is a procedure in which a health care provider takes a sample of your blood, urine, other bodily fluid, or body tissue to get information about your health. Some lab tests are used to help diagnose, screen, or monitor a specific disease or condition.A typical environmental data report may list the results as “ND” or not detected. It is critical to understand that this does not mean that the sample does not contain the contaminant of concern. A result of “ND” simply means that the results were less than the Method Reporting Limit for that test.
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