Patrick,72 yo malepresenting to your office today stating he has back pain. Sometimes the painshoots down his leg, other times it is burning pain. This has been occurringfor several months. See the followinginfo. below:
Ht.: 56
Wt. 260lbs.
BMI: 30
BP: 136/78
HR: 96
Smokes 1pack per day for 50 years
H/O backsurgery to repair herniated disc 4 years ago. MI with CABG 5 years ago
Patrick tells you for the last several months he stumbles because he cannot lift hisfoot high when walking. Sometimes when standing flat, he feels like he isstanding on a rock. His foot feels also feels like it has needles sticking intoit on the bottom.
Developthis case study identifying at least 3 differential diagnoses and onedefinitive diagnosis and a follow-up/further investigation plan. Use 7thedition APA format and limit this paper to no more than 6 pages. This is aformal paper and will include a title and reference page. Resources shouldinclude your assigned textbook. Please include the following information inthis assignment:
Whatadditional questions would you want to ask this patient regarding his signs andsymptoms prior to your diagnosis?
What doyou suspect the patients diagnosis is? List at least three differentialdiagnoses and one definitive diagnosis. Discuss how you derived thesediagnoses.
What arethe associated risk factors for this disease? Specifically, what risk factorsdoes this patient exhibit?
What isthe underlying pathophysiology of this disease process (your definitivediagnosis)?
Discusspotential complications of this disease and why it is so important to treat.
What canyou teach this patient about lifestyle changes (discuss at least five) thatcould help reduce the frequency or severity of symptoms? Elaborate on why eachof your lifestyle recommendations could be helpful.
List anddiscuss 3 over the counter (OTC) medications patients may use to alleviate thesetype of symptoms.
