Essay Sample on Patient Examination

Assessment of quality or nature of pain and severity of pain, as well as the timing of pain, present a series of ideas to include in questions asking the patient, Tod a 57-year old male. Does pain come and go or it is there all the time troubling you? Would you describe soreness or pain - is it itching? These are some of the valuable content within the questions I would ask the patient diagnosed with hypertension. The rationale behind the question regarding soreness focuses on the severity of pain the patient experience and its relationship to arthritis. Question revolving around itching covers the basis of diagnosis, and it is more when the medical practitioner wants to determine the nature of pain (Mease et al. 2018). Tophus is useful in the diagnostic procedure because it unveils the symptoms of gout, kind of arthritis caused by the accumulation of uric acid. The essay here analyses a patient diagnosed with hypertension by focusing on signs and symptoms of the condition.

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Antinuclear antibody test and erythrocyte sedimentation rate, as well as uric acid, covers some of the lists of potential lab test I would consider ordering in diagnostic procedures. The antinuclear antibody focuses on type III hypersensitivity, which results from soluble antigen-antibody, this immune reaction in most cases occur in type III inflammatory; conditions usually seen in arthritis. Uric acid covers gout, type of arthritis the patient mind be experiencing.

The identification of the condition from diagnosis is gout, a type of arthritis. The diagnosis that led to this final identification of the condition immensely based on symptoms which include pain and inflammation that occur when uric acid crystallizes and deposit (Bortolotti, Faure, & Kipnis 2018). Inflammation results from the antibody-antigen immune reaction; this one causes type III inflammatory a condition readily identified in arthritis. Differential diagnosis is rheumatoid arthritis with symptoms including swollen joints and joint stiffness. Rheumatoid is more on joints, and gout is mostly on toes. The pharmacological treatment I would identify is Allopurinol, a medication that reduces uric acid production and indomethacin, a potent pain reliever. The patient should be educated upon signs and symptoms of gout as well as management. Staying at a healthy weight can help lower the risk of a gout attack.

References

Bortolotti, P., Faure, E., & Kipnis, E. (2018). Inflammasomes in tissue damages and immune disorders after trauma. Frontiers in immunology, 9. https://www.frontiersin.org/articles/10.3389/fimmu.2018.01900/full

Mease, P., van der Heijde, D., Landewe, R., Mpofu, S., Rahman, P., Tahir, H., & Readie, A. (2018). Secukinumab improves active psoriatic arthritis symptoms and inhibits radiographic progression: primary results from the randomised, double-blind, phase III FUTURE 5 study. Annals of the rheumatic diseases, 77(6), 890-897. https://www.ncbi.nlm.nih.gov/pubmed/29550766