Pathophysiology Musculoskeletal Disorders Essay

Case Study:
A 58-year-old obese white male presents to ED with 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 positive for hypertension and Type Il Pathophysiology Musculoskeletal Disorders Essay

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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. Pathophysiology Musculoskeletal Disorders Essay