Carl, a 56-year-old male, was hanging lights around his house today on a ladder when he turned sharply to catch a bulb and felt a sharp pull in his lower back.
Primary Care Adult and Geriatric Patient Theory
Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, #1 45-year-old woman, intermittent fevers.
Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals, and other team members needed to complete patient care.
In your peer replies, please reply to at least one peer who chose a different case study.
Case Studies
1. Carl, a 56-year-old male, was hanging lights around his house today on a ladder when he turned sharply to catch a bulb and felt a sharp pull in his lower back. He presents to the clinic with a compensated gait, and is unable to sit due to discomfort. His vital signs are stable, and he has no medical history other than occasional allergies.
2. David, a 36-year-old male, presents to the clinic after an altercation last night in which he was in a fight after an evening of drinking heavily. He reports to you that he remembers punching another person in the mouth and cutting his hand, and also hitting a wall with the same hand. You notice that he also has several cuts on his lip and an abrasion over his eye. He is accompanied by his girlfriend who agrees with David’s account of the story, and denies any loss of consciousness or head injury. The patient returns from X-ray, with a report of a fracture to 2nd and 3rd MCP, or “boxer’s fractures,” to the right hand. He also has several lacerations over his knuckles that are jagged, and are most likely from teeth.
3. Anna is a 72-year-old diabetic patient on Metformin 1000mg twice daily who was bitten several times on her hands and legs by a neighborhood cat that she was feeding last night. She also received several scratches to her face and mouth, and she has several puncture marks to her hands.
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