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Case Study 6.docx - Department of Kinesiology, Recreation...

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Department of Kinesiology, Recreation and SportPE 489: Chronic Lifestyle DiseasesAutoimmune Conditions Case Study Template and Grading GuideNameJacob NuttallCase StudyMs Michele Miyamoto is a 65 year old Japanese Americanrecently diagnosed with Rheumatoid Arthritis. Physicalexamination reveals bilateral joint tenderness and swelling in thehands and feet. Range of motion in joints is normal, but painful.Medications –diclofenac 150mg and misoprostol 600mg(Arthrotec 50) three times daily and Methotrexate 7.5mg onceper weekSubjective“I have quite a bit of pain in my hands and feet, whichmakes it difficult to walk and work around the house. I am retiredand miss my walks in the park and cooking for my family.”ObjectiveTotal Cholesterol – 220LDL - 80HDL – 65Triglycerides - 165Fasting Blood Glucose – 83H – 60”W – 115lbsBMI – 22-23Resting HR – 70Resting BP 118/70Positive Rheumatoid factor and AnticyclicCitrullinated Peptide
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joint tenderness, chronic lifestyle diseases, Ms Michele Miyamoto, Jacob Nuttall

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