In your Case Study Analysis related to the scenario provided, explain the following (a paragraph or two for each point to have substantive point development): 1. Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms. 2. How these processes interact to affect the patient. 3. Any racial/ethnic variables that may impact physiological functioning. Reminder: The College of Nursing requires that all papers submitted in APA format include a title page, introduction, summary, citations (at least 3) and references. Scenario: A 58-year-old obese white male presents to ED with a chief complaint of fever, chills, pain, and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical exam reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history is positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr. and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl. Think of processes (in this case of gout; what effect does inflammation, uric acid crystals impact) as MS and neurological manifestations of gout and apply to the writeup. Think of pain as one neurological process associated with gout.
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