Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Case Study

10/08/2020 Client: sarahhitz Deadline: 2 Day

 


A 30 year old Latino woman presents for evaluation of wrist pain and swelling. She developed symptoms about 3 months ago and has noted progressive worsening since that time. In addition, she has tenderness across the balls of her feet with any weight bearing. The pain is worse when she is inactive and improves with activity. The symptoms have significantly affected her ability to perform her job as a receptionist in a busy office. She denies any recent trauma to her hands or feet or other joint pain.

She reports stiffness in the feet and ankles as well as 4 hours of overall morning stiffness that improves only marginally for the rest of the day. She has noted increased fatigue and weakness in activities significantly. She does not recall being bitten by any insects recently.


PMH: Non-contributory

SH: Receptionist, single, barely supports herself without assistance from close by family. Denies smoking history, social drinker on the weekends with friends.

Medications: Birth control pills and MV


ROS:



  • Constitutional: Denies fever or chills, denies weight loss

  • Eyes: Denies dry eyes or visual changes

  • ENT: Denies dry mouth

  • Respiratory: Denies difficulty breathing

  • Cardiovacsular: Denies chest pain

  • Genitourinary: Denies bladder changes

  • Gastrointestinal: Denies any bowel changes

  • Endocrine: Denies polyuria, polydipsia, or polyphagia

  • Musculoskeletal: Denies neck or shoulder stiffness

  • Skin/Integument: Denies rashes, lesions, ulcers, changes in hair, skin or nails


Physical Exam:



  • General: Appears in no acute distress

  • Vitals: 110 lbs, height 63 in., temp orally of 100 degree F, BP is 120/70. HR 64. RR 12 and regular.


All other exam findings normal except:

Neuromuscular: There is moderate synovitis (swelling) of the MCP and PIP joints bilaterally and of the MTP joints bilaterally. The patient has limited ROM of the UE and LE digits due to the pain. There are no nodules noted on any extremities. The Phalen’s, Finkelstein’s, and Tinel’s tests are negative. There is no warmth or redness of any joint. DTR’s are 2+ throughout.


Question answers should be based on evidence found in readings and from peer-reviewed literature. At least two sources must be used and cited in APA format for each question. Only one source can be a textbook. Resources should generally be within 5 years unless you are explaining the pathophysiology of a disease or providing pertinent background information


Discussion Questions:



  1. Review the symptoms and abnormal physical exam above and review readings from Chapter 45, Alterations of Musculoskeletal functions, and support your interpretation of the most likely diagnosis with evidence.

  2. List all the symptoms from the above that support this diagnosis.

  3. Briefly describe the pathophysiology of the disorder and the impact of environmental and genetic factors on this disorder.

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Top Essay Tutor
Top Grade Tutor
Assignment Hub
Essay Writing Help
Homework Guru
Engineering Guru
Writer Writer Name Offer Chat
Top Essay Tutor

ONLINE

Top Essay Tutor

I feel, I would be the best choice for this project, I have more than 10 years of working experience in writing essys, reports, case studies and dissertations. Give me your work and get relax

$25 Chat With Writer
Top Grade Tutor

ONLINE

Top Grade Tutor

I can provide you with a guarantee of plagiarism free work. I am producing quality content for my clients including ARTICLE WRITING, ESSAY WRITING, RESEARCH PAPERS, BUSINESS PLAN, TECHNICAL WRITING, MATLAB, THESIS & DISSERTATIONS.

$50 Chat With Writer
Assignment Hub

ONLINE

Assignment Hub

I feel, I am the best option for you to fulfill this project with 100% perfection. I am working on this forum since 2014 and I have served more than 1200 clients with a full amount of satisfaction.

$30 Chat With Writer
Essay Writing Help

ONLINE

Essay Writing Help

I can provide plagiarism-free work for you within your given deadline. My professional writing career started around 5 years back with a local writing company in my city where I have produced 1000+ documents for my clients.

$30 Chat With Writer
Homework Guru

ONLINE

Homework Guru

I am a Ph.D. writer with more than 9 years of working experience in Writing. I have successfully completed more than 4500 projects for my clients with their full amount of satisfaction. I will provide you super quality work according to your given requirements and deadline with ZERO plagiarism. I can manage business and professional writing against very reasonable prices.

$35 Chat With Writer
Engineering Guru

ONLINE

Engineering Guru

Hello, I have more than 10 years of writing experience. I can manage essays, summaries, reports and analysis works in very short period of time. I produce plagiarism free content for my clients, will send you FREE TURNITIN Reports as well. Thank you.

$55 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Https coolclimate berkeley edu calculator - A function prototype does not have to - Short answer - 24723 w dove peak buckeye az 85326 - Why do some executives refuse to function as project sponsors? - What gas is produced by the decomposition of hydrogen peroxide - What poetic technique is this - Bus business administration capstone exam - What was the first implementation of rpc called - Please help - Consider a memory system with the following parameters - Sophos mobile security features include choose all that apply - Calculate the molar mass of baking soda - Lemoto v able technical - Disney space matrix - Disadvantages of advertising to consumers - Problem solving inventory psi pdf - 2016 hsc legal studies - Hershey company 2009 case study solution - John vechey net worth - Nursing Disaster Planning - Ids desktop solution - Measuring the speed of light using a microwave - Thermodynamics enthalpy of reaction and hess's law lab calculations answers - How to evaluate a lesson plan - Discussion 4 - Which of the following statements best describes scientific research - P3 35a accounting answers - Thesis and sources - University of bath campus map - Pederson company reported the following: - New zealand qualifications framework nzqf - 300 words - Good sizzling starts for persuasive writing - Shirebrook valley nature reserve - Introduction to dynamic web content - Commercial monologues for auditions - Seven eleven japan case study pdf - Michael jordan's basketball hall of fame enshrinement speech - Lyrics to have you ever seen the rain - It 210 basic security considerations - When was banjo paterson born - Wells Fargo Fraud - Bluebeam insert page numbers - My people: a kath walker collection - 3 fellers bakery case study - Moonbeam company manufactures toasters - 4240 carnation ln las vegas nv 89108 - TLMT318 Week 2 Quiz 1 SCORE 100 PERCENT - Www tutor2u net business - What is done cannot be undone macbeth - How to do a webliography - Egyptian mummy case template - Sam's letters to jennifer sparknotes - Lower cutoff frequency formula - 300 360 widesign book - Current issues and enduring questions 8th edition pdf - Centripetal pump in purifier - Math calculus - Paper - Concordia college jobs bronxville - 228 attunga road yowie bay - Biohazards in veterinary hospitals - Which was the first cash crop of the english colonies - Nobunaga's ambition sphere of influence growth type - Our vanishing wildlife alexander pope replica - SQL - Windows 7 traditional chinese input - Sheffield hallam finance office - Website enrollment form - Bedtime sticker chart printable - 9x 2 4y 2 36 graph - Psychology - Conch republic electronics mini case - Value expressive function example - Emc vnxe default service password - How to start a chegg free trial - Teddy bunter firm west ham - A mighty long way full book - Kanto plain japan map - Disaster Recovery Management - Pdms 2 reliability and validity - Connie's tambourine man a new reading of arnold friend - The great gatsby chapter 1 4 questions and answers - I can depend on god rev charles nicks lyrics - Atgaaagcctatgcacca - Hesta unique super identifier - Psychotherapy a Biological Basis - Counselor impairment - Robert Merton's Goal Attainment Theory - Nursing scholarships australian government - Aluminum coefficient of linear expansion - Story telling in architecture - Whole foods competitive strategy - Eco - Cornell notes example history - Iload mobi free mp3 songs - Case 35 deluxe corporation solution - Australian college of applied psychology sydney campus - Stand by me chris