need help in answering the attached case_study_4.docx .docx - need help in answering the attached case_study_4 CASE STUDY 4 Osteoarthritis INITIAL

need help in answering the attached case_study_4.docx .docx...

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need help in answering the attached case_study_4.docx CASE STUDY 4: Osteoarthritis INITIAL HISTORY: Ø 80 year old female complains of long-standing history of pain in bilateral hips, knees, and hands Ø Difficulty walking and getting up from sitting or kneeling position due to discomfort and “stiffness” Ø Reports low back pain for several years Ø Only history of fracture of right arm as a child at approximately age 9
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Question 1: What other questions about her symptoms would you like to ask this patient? ADDITIONAL HISTORY >Pain in hips and knees have existed for many years, gradually getting worse. >Here today at encouragement of daughter and husband; states, I couldn’t get up when Iwas i n the flower garden. I had to crawl into the house.” >Reports joints on right side of body are most painful and troublesome >Reports weight gain of 10 pounds over past 4 months, which she attributes to decreased activity >Joints are most painful during rainy weather, in the
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morning, or after sitting or kneeling for a long time. Reports that joints loosen up after activity. >Farmer’s wife, active in flower and vegetable gardening, long history of horseback riding. >Reports being “thrown” 15 years ago and landing on her right hip. No known associated fracture; hasn’t ridden since. >Denies redness, swelling, or heat at the joint. >Reports low back pain which she has had for many years without recent exacerbation >Denies numbness, tingling, weakness, or shooting pain in her legs >States on rare occasions takes aspirin 325 mg for pain once or twice per week Question 2:
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What questions would you like to ask to ask her about her medical history? MEDICAL HISTORY: Ø Surgical history: Cholecystectomy Ø Medical history: Has given birth to 9 healthy children from 9 pregnancies Ø Seasonal affective disorderr Ø She denies history of cardiac, renal, endocrine, gastrointestinal, or lung disease Ø Denies ever being diagnosed with arthritis or osteoporosis Ø Reports her mother suffered from aching joints and was “bent over” due to severe scoliosis
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Ø Currently taking no medications or supplements Ø Has never taken hormone replacement therapy Ø Denies any drug allergies
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  • Fall '16
  • Christopher L. Litten, MA, Ph.D.

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