NR 508 Week 6 Discussions 1 Part 1

jonathon is a 56 year-old retired automobile mechanic who has not been to the doctor in approximately 6-7 years. he presents to your office complaining that 3 weeks ago he was awoken with severe pain and inflammation in his knee, which has been consistent since that initial night. upon physical examination of his knee, it appears swollen and erythematous with periarticular involvement. upon physical examination and laboratory results you notice the following:

physical examination:

gen: well nourished, obese male (310 pounds)

vs: bp 191/112 hr 75 rr 15 t 98.6, ht 5’8”

ext: knee joint inflammation

laboratory (fasting):

na 139 meq/l

k 3.8 meq/l

ca 9.1 mg/dl

cl 102 mmol/l

hco3 22 meq/l

bun 10 mg/dl

scr 0.9 mg/dl

serum uric acid 6.5 mg/dl

alb 4.1 g/dl

cholesterol 300 mg/dl

ua: ph 6.8, uric acid 250 mg/24h

what problems can be identified in this patient? please provide a list of differential diagnoses, as well as indication of your primary diagnosis.

what is your pharmacological plan for your primary diagnosis including the medication, dose, and mechanism of action?

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.