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Case Study AnalysisCASE STUDY ANALYSISReviewing patient history, presenting complaintsProviding pieces of evidence through screening tests and reports1
Case Study AnalysisCASE 1 (MR.MCKAY)Mr. McKay showed up with apparent symptoms related to knee pain, soreness, and fatigue,hearing and vision problems. Yet to identify the actual reason behind his symptomatologyrequires a full body assessment. This assessment includes medical history, physical examination,and assessing the affected joint.MEDICAL HISTORYThis discussion will help evaluate the patient's knee status, symptoms, diagnosis, anddifferential diagnosis:The history of presenting complaints( When did the knee pain start, for how long is thepain, changing intensity/ patterns)Associated diseases ( digestion, skin allergies)Prior medications ( any medications used for the relief of pain, if yes, from how long, anyside effects )Past incidents (Accidents, fallen, injury, got a fever)Impacts of Physical Activity on the body (How long have been climbing heightenedsurfaces causing the problem, any other physical activity disturbing. If yes, from howlong, how often the exercise is done, from how long have walking caused tiresome)Family history ( Genetics, biological bone deformities, diseases)Childhood history (congenital disabilities if any )(Anne C. Poinie, Martin J. Gabica, Oct2017)PHYSICAL EXAMDuring the physical exam:Starting with any skin issuesThe eyes, ears, mouthThe limbs; for swelling, infections, tenderness or soreness.Movement of limbs, hands and legs; for assessing affected joint( wrists, hands, elbow,shoulder, hip, knees, knuckles)Once all the background information regarding Mr. McKay is taken, it is time to diagnose thecase. To do that following differential is followed to have a precise diagnosis.DIIFERENTIALCHARACTERISTICSOSTEOARTHRITISRHEUMATOIDARTHRITISANKYLOSINGSPONDYLITISAGEBegins in later life;60 onwardsIt can occur at any agebut mainly show upbetween 30 and 5080% of patients affectedat the age greater than 30and 15% at the agegreater than 402
Case Study AnalysisyearsONSETIt progressgradually throughyearsAfter first appear itprogress in week tomonthsAfter appearing for thefirst time progress inmonths and yearsSYMPTOMSPain, decreaserange of mobility,fatigue, stiffnessJoint pain, swelling,warmth, rednessStiffness (especially inthe morning), lowappetite, lack ofenergy, dryness of eyesand chest pain due toinflammationLower back, hips pain,stiffness, joint pain inother body parts inirregular intervalandinflammation, fatigueDURATIONPain initiates aftersevere physicalactivity, morningstiffness is presentbut less than 30minutesThe stiffness lasts formore than an hourThe pain in lower backhips wax and waneINTESNSITYIf not treated painworsen and makedaily activitiesdifficult.

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