13 Jun Indication of primary diagnosis-Osteoarthritis
Question
give a response to this question ………..part 1 Indication of primary diagnosis-Osteoarthritis- the most common joint disorder. It is due to aging and wear and tear on a joint. Osteoarthritis is the result of cartilage breaking down and wearing away. This causes the bones to rub together which causes the symptoms of pain, swelling, and stiffness. Being overweight increases the risk of osteoarthritis due to extra weight that causes more wear and tear. Her job is also likely to have caused wear and tear in her hands (Courtney, 2014). Lupus- For many people, joint pain and stiffness are the first symptoms of lupus, or a sign that a flare is coming on. Joints in the hands, wrists and feet get stiff and painful to move. When lupus is active, there is inflammation throughout the body. As part of this inflammation, a thin lining in certain spaces around the joints grows and thickens. This change in size causes pain and swelling in the joints as well as tendons and special fluid-filled sacs that normally lessen rubbing between body parts (Rhodes, 2013). Rheumatoid arthritis- is an inflammatory arthritis that can happen at any age. Rheumatoid arthritis causes painful, stiff, and swollen joints. Usually it affects hands, feet, and knees, but it can also affect other parts of the body (Chamberlain, 2014). Gout- usually strikes suddenly, with severe joint pain, swelling, warmth, and redness. With gout, uric acid forms crystals that deposit in the joints, causing inflammation and pain. The crystals may also deposit in other areas to become nodules under the skin or stones in the kidney (Finney, 2014). References Chamberlain, V. (2014). Rheumatoid arthritis: making an early diagnosis. Practice Nursing, 25(2), 73-76. Courtney, P., & Doherty, M. (2014). Osteoarthritis. British Journal Of Hospital Medicine (London, England: 2005), 75(5), C66-C70. Finney, D. (2014). Recognising the symptoms: diagnosing and treating gout… first of a two-part series. Nursing & Residential Care, 16(6), 325-328. Rhodes, J., Caccetta, T. P., & Tait, C. (2013). Lupus vulgaris: difficulties in diagnosis. The Australasian Journal Of Dermatology, 54(2), e53-e55. doi:10.1111/j.1440-0960.2011.00874.x…………
I am a difficult grader, I expect “small research papers” each week.***In addition, you must post substantively and at a graduate student level to the threaded discussion questions, I grade for correct pharmacological information (included but not limited to mechanism of action, dose, drug interactions, etc.) posted in response to case study discussion prompt questions. I also specifically focus on whether or not you actually answered the prompt question When you discuss a drug, make absolutely sure you know the “nitty-gritty” details; otherwise, your grade will reflect that lack of knowledge and the evident lack of preparation: I will not give credit for “fluff” or “filler” information. Three pages of irrelevant information will achieve a higher point deduction than 1 page of concise, pharmacologically correct information that specifically answers my questions. When asking for differential or primary diagnoses, medication choices, etc, I expect a brief rationale for each – simply providing a list will not suffice. I expect that each diagnosis, drug, or treatment you employ to be supported by evidence from the scholarly literature that is utilized by the practitioner (MD, NP, PA, etc.), NOT the general public. Do not support a decision using information from patient-geared sources (i.e. mayoclinic.org, WebMD, etc.).This is a pharmacology course, and drugs discussed should have an inclusion/discussion of their known and/or theorized mechanism of action. We will heavily focus on mechanism in this course and how it directly relates to treatment and outcome of pathophysiological conditions……………………..references within 5 years
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