CASE STUDY 3

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Home>Homework Answsers>Nursing homework helpstatoriginalASSIGNMENT 1Patient With FatigueEM is a 74-year-old male with a history of rheumatoid arthritis (RA) who presents in the clinic with a complaint of fatigue. EM is ambulatory with a walker and recently has had intermittent flare-ups of his rheumatoid arthritis (RA) disease activity, with increasing pain and swelling in his affected joints. His energy has been declining over the past few months, so he thought it was a good time to come in for follow-up laboratory testing and reassessment of his medications. Most troublesome, he has fainted twice in the past 2 weeks, which resulted in falls onto his carpeted floor. He is afraid to go out into public and even more afraid to drive his car. He has also had some chest pains with exertion. He is eating and sleeping okay, although he does sleep better if his head is elevated on a few extra pillows. He lives alone and gets meals delivered by a local organization.Past Medical HistoryRA for 35 years, affecting hands, feet, knees, hips, and cervical spineSystolic hypertensionPresbycusisMedicationsIbuprofen, 600 mg three to four times per day as neededMethotrexate, 7.5 mg weeklyAtenolol, 25 mg dailyHydrocodone/acetaminophen, 5 mg/500 mg every 6 hours as needed for painPhysical ExaminationHeight: 71 inches; weight: 160 lbs.; BMI: 22.3; blood pressure: 162/60; pulse: 84; respiration rate: 16; temperature: 98.6 °FWell-developed, well-nourished elderly male in no distress; paleLungs: bibasilar ralesHeart: regular rate and rhythm, grade 3/6 systolic murmur, audible S3; positive carotid bruit on the leftAbdomen: no masses, nontenderRectal: prostate 3+ enlarged, hemoccult negative brown stoolExtremities: marked ulnar deviation of MCP and IP joints in both handsLabs and ImagingHemoglobin: 8.9 g/dLMean corpuscular volume (MCV): 80 fLWhite blood cell count: 10.7 × 109/LPlatelets: 250,000/LReticulocyte count: 0.8%Ferritin: 415 mcg/LElectrocardiogram: no acute findings; some evidence of left ventricular hypertrophyDiscussion Questions1.What is EM’s diagnosis?2.What is the underlying pathophysiology of EM’s condition?3.What is the best therapeutic approach to the treatment of EM’s condition?1 PAGE TO ANSWE THE 3 QUESTIONS ABOVE ACCORDING TO THE CASE ABOVE.NO PLAGIO MORE THAN 10 %3 SCHOLARLY REFERENCES NO OLDER THAN 5 YEARSDUE DATE FEBRUARY 8 , 20233 years ago08.02.20235Report issueBids(84)PROF_ALISTERSheryl HoganFiona DavaProf Double Rsherry proffMISS HILLARY A+Discount AssignDr CloverJudithTutorMARTHA92_PHDJahky BMajesticMaestroColeen AndersonBrilliant GeekWIZARD_KIMquerubohTeacher A+ WorkAshley ElliePROFESSOR DAISYYoung NyanyaShow All Bidsother Questions(10)The Properties of Watersamkurmour 5 hoursDirect Current CircuitsMicrobes Everywhere ExperimentDiagramBusiness Homework Questionsfor Jacques AsuntaenglishaSi need someone to write my project text for my english class

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