Mr. Jones is a 67 year old male that is accompanied by his wife to your clinic
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Get it written →Mr. Jones is a 67 year old male that is accompanied by his wife to your clinic. He is following up after an ER visit for a fall at home that resulted in 6 stitches to his forehead. His CT of the brain was negative during his emergency department visit and his sutures were removed 5 days following the visit. He has no other complaints other than was told by the ER to follow up with his primary care, and admits it has been a little while, several years, since he has been in to see his primary care provider. He admits that he had a few drinks that night before tripping over his dog. His wife adds that he has “a few drinks” every night.
How will you proceed with Mr. Jones? What diagnostics and screening will you perform? What will potentially be part of your treatment plan? What specific resources in your own community (city or region) will you refer him to? Utilize high-level scholarly resources and links to specific regional resources to support your discussion. Avoid point-of-care references.
In addition to answering the questions above, remember it has been a few years since his last visit to see a primary care provider, so also mention a complete physical including labs and screenings that the provider should recommend for him at this time.
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