Adv path wk8 case
Home>Homework Answsers>Nursing homework helpnursingpathophysiologyPatient is a 44 year old male presenting with swollen, painful, red left knee for 2 days. Reports he is unable to bear weight on that leg. He is now also having toe pain. Symptoms started after the weekend when he attended a BBQ where he had 4 beers with his meal. He denies fever, rash or injury. BMI is 32. History of HTN, takes Hydrochlorothiazide, and works as a floor installer.Aspiration of synovial fluid:Monosodium urate (MSU) crystals positiveLab resultsLab Result Reference RangeUric Acid 8 3.5 and 7.2 mg/dLESR 65 0-15 mm/hrCRP 10.5 <0.3 mg/dLQuestions:Identify key symptoms presented that will help to determine the diagnosis.- Swollen, painful red knee joint- No related injury- Recent alcohol consumption- Labs support acute gout flareExplain the musculoskeletal pathophysiologic processes of why the patient presents these symptoms.- Excess uric acid in the bloodstream from renal issues, purine-rich diet, alcohol, etc- Urate crystals travel to and stay in the joint spaces- The accumulation of crystals in the joints causes inflammation and severe painExplain how obesity plays a role in the progression of osteoarthritis/gout in the knee joints.- Hx of installing flooring can lead to osteoarthritis- Excess weight leads to more stress on the joints- Excess weight shown to be directly related to higher serum urate levels- Obesity can stress the kidneys, which makes it more difficult for the body to eliminate uric acidExplain risk factors that may contribute to the development of the disease.- Obesity- Diet high in purines- MaleMedication3 months ago19.04.202510Report issueBids(50)Dr. Ellen RMDr. Aylin JMProf Double REmily Clarefirstclass tutorMiss DeannaDemi_RoseMUSYOKIONES A+Dr ClovergrA+de plusSheryl Hoganpacesetters2121ProWritingGuruDr. Everleigh_JKColeen AndersonIsabella HarvardBrilliant GeekWIZARD_KIMAshley ElliePROFESSOR DAISYShow All Bidsother Questions(10)Assignment 1oneScience Discussion, Deep Homology, need original workBZ - SCS 300XMi need help with my Marketing HWhelpMATHGUY18 - MARKETING - NEED TUES PLEASEWeek 4 part 2 - 2nd time postingSociology
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