Therefore diagnosing the patient with rheumatoid

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experienced pain in both her wrists, ankles, and knees. Therefore, diagnosing the patient with rheumatoid arthritis would be justifiable. 3. Multiple Sclerosis There are four types of multiple sclerosis which are relapsing-remitting, progressive- relapsing, primary-progressive and secondary-progressive. The major symptom of the disease is that it affects the nervous system hence disabling the connection between the brain and the spinal cord. Other symptoms of multiple sclerosis include numbness in the limbs, loss of vision, pain in parts of the body such as joints etc., In addition, patients with multiple sclerosis are known to display anxiety and depression ( Marrie, Reingold, Cohen, Stuve, Trojano, Sorensen & Reider, 2015). The patient in the case study described she felt pain in her joints hence making it a diagnosis. Further History, Examination, and Diagnostic Studies The patient indicated she had never had any surgery or serious illness which might have affected her hence leading to the question whether it was her first time to go to the beach or not. The patient’s answer would enable me to know what triggered the lupus. In addition, it would be important to know if any of her family members might have once been affected by lupus or rheumatoid arthritis. Getting more answers to questions such as; are you experiencing fatigue, how is your sleep pattern, any pain, stiffness or swelling and how is your appetite will confirm the diagnosis. It would be prudent to conduct diagnostic tests such as an ESR and CBC. Final Diagnosis
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CASE STUDY 8 From the laboratory tests, it’s clear the patient is suffering from lupus. The antinuclear antibody test also known as ANA became positive and the ESR registered 210 mm/hr which is higher than normal. The above results and the symptoms displayed by the patient lead to a conclusion she is infected with lupus. Hence, it will be important for the patient to begin treatment earlier enough to avoid more complications arising. References
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CASE STUDY 9 Cash, J. C., & Glass, C. A. (Eds.). (2015). Adult-gerontology practice guidelines . Springer Publishing Company. Marrie, R. A., Reingold, S., Cohen, J., Stuve, O., Trojano, M., Sorensen, P. S., ... & Reider, N. (2015). The incidence and prevalence of psychiatric disorders in multiple sclerosis: a systematic review. Multiple Sclerosis Journal , 21 (3), 305-317. Pynnonen, M. A., Lynn, S., Kern, H. E., Novis, S. J., Akkina, S. R., Keshavarzi, N. R., & Davis, M. M. (2015). Diagnosis and treatment of acute sinusitis in the primary care setting: a retrospective cohort. The Laryngoscope , 125 (10), 2266-2272. Rosenfeld, R. M. (2016). Acute sinusitis in adults. New England Journal of Medicine , 375 (10), 962-970.
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