Differential Diagnoses

Mr.’s Jones suffers from the following symptoms, painful joints particularly her knee, and hip, fingers and back, joint stiffness, limited joint movement and swollen feet and enlarged joints. These symptoms are due to significant problems with Rheumatoid Arthritis (RA) and Osteoarthritis (OA).

     Another type is Rheumatoid arthritis. It is what’s known as an inflammatory arthritis. It is the second most common form of arthritis, right behind osteoarthritis. It affects primarily the small joints in the hands and feet, causing crippling deformities. This is an arthritis that usually starts in middle-life or earlier. Estimates say one out of every hundred people, (females are two to three times as likely) suffer from it. It usually starts in the winter and after a common sickness, but it isn’t considered an infective arthritis. Nobody knows what causes rheumatoid arthritis. It could be some hereditary trait. Scientists think that rheumatoid arthritis may be an autoimmune disease (that means the body acts as though it were allergic to itself). The immune system gets mixed up and attacks normal joint tissue instead of the infection it is supposed to attack.

Mrs A has a condition called Rheumatoid arthritis this this is a chronic progressive inflammatory autoimmune disease that commonly affects the hands and feet but also in

Recognizing that help is need is the first step toward sobriety. Once addicts realize that they need help, the next challenge is finding a New Haven heroin rehab center that suits their personal needs. While there are many treatment centers available, addicts and alcoholics need to find the right one if they want to recover. From looking for family programs to dual diagnosis treatment, the right treatment center will offer individualized treatment options that can be modified for each patient.

What is Dual Diagnosis? Research has come close to answering what is dual diagnosis and how it pertains to individuals experiencing both substance abuse/dependence and severe and persistent mental illnesses (Drake, 2007). One significant aspect of dual diagnosis before examining it more closely is that on the information that we already know that pertains to dual diagnosis (Drake, 2007). After we can gather the general knowledge and the current information of dual diagnosis the next significant aspect is how we can approach dual diagnosis when it relates to individuals (Drake, 2007). Lastly as soon as we can develop an approach to helping individuals the next step is to create testing when research is done on dual diagnosis to

The second most likely diagnosis is dehydration. According to Arant and Canavan (2009), the diagnosis can be determined by if there has been vomiting, diarrhea, or decreased oral intake. The patient has had decreased tear production, a capillary refill time of more than two seconds, and decreased skin turgor (Arant & Canavan, 2009). All of this points to dehydration.

The symptoms she has given are most likely Rheumatoid Arthritis. Rheumatoid Arthritis symptoms are joint stiffness, joint pain, fatigue, warm swollen, reddish joints, long periods of joint stiffness in the morning is also common. If a joint on one side of the body is affected, the same one on the other side is usually affected too. (arthritis.org, 2013) With rheumatoid arthritis, joint stiffness and other symptoms such as pain or fatigue tend to develop and worsen over several weeks or months. (webmd, 2013) Three processes occur as Rheumatoid Arthritis progresses: first; the lining of the joint becomes inflamed, which causes stiffness, pain, warmth, redness, and swelling around the joint. Severe morning stiffness that can limit your ability to function is one of the first signs of the disease. Second; there is rapid division and growth of cells that cause the synovium to thicken. Third; the inflames cells release enzymes that may digest bone and cartilage which often causes more pain, loss of joint shape and alignment and loss of movement. (webmd, 2013) The severity of the disease

Rheumatoid arthritis is a chronic syndrome that is characterized by inflammation of the peripheral joints, but it may also involve the lungs, heart, blood vessels, and eyes. The prevalence of this autoimmune disease is between 0.3% to 1.5% of the population in the United States (Feinberg, pp 815). It affects women two to three times more often than men, and the onset of RA is usually between 25 and 50 years of age, but it can occur at any age (Reed, pp 584). RA can be diagnosed by establishing the presence of persistent joint pain, swelling in a symmetric distribution, and prolonged morning stiffness. RA usually affects multiple joints, such as the hands, wrists, knees, elbows, feet, shoulders, hips, and small

However the willingness of doctor can have an immense impact when they are working with dual diagnosis (Werner, 2012). Studies have shown that having preconceived attitudes can result in the unknowing to work with certain individuals (Werner, 2012). In addition studies have that the biggest factor of working with dual diagnosis is that of the willingness. In which the willingness plays a since the interest in working with/helping individuals can be a factor (Werner, 2012). Additionally, a study was conducted on 476 participants to determine if willingness and having a bias would be a contributing factor (Werner, 2012). What the researchers discovered was three specific results (Werner, 2012). The first result was that the study

Doctors misdiagnose between 10-15% of medical cases each year. These misdiagnosed patients have been linked to physicians being too overconfident. According to Psychology Today, in a study performed by a cognitive research psychologist, Ashley Meyer, Ph.D. and her colleagues, the researchers gave 118 physicians four cases to diagnose with two cases being easy to diagnose and the other two being difficult. The researchers asked the physicians how confident they were in their diagnosis. The results indicated that the physicians got 55% of the diagnoses correct for the two easy cases; 5% of the diagnoses were correct for the difficult cases. When asked to rate their confidence on a scale of 0-10, the physicians rated their confidence

This research began with a comprehensive interview with Cortina Peters who is the Clinical Director of Orlando Recovery Center in Orlando, Florida. The information shared during the interview allowed learning of her overwhelming conundrum of management and clinical responsibilities as well as the operations of the treatment center. In addition, theories in use at the center were explored to learn of new approaches for dual diagnoses patients. An exploration of four basically invalidated treatment modalities was conducted that may be beneficial treatment strategies to prevent relapse of dual diagnoses patients. The exploration of strength-based cognitive behavioral therapy revealed that by bringing hidden strengths into a client’s awareness

magine taking your child to a doctor for their physical, and they state that your child has risk factors for autism. This statement can be devastating but a parent, but it’s possible that it could be incorrect. Not only are some of the behaviors from mental disorders be identical, but there are government commissioned reports that state that many Americans will receive “at least one false diagnosis” during their lifetime (Mundell). While behavioral factors are currently considered when diagnosing someone with autism, a patient’s genetic information deserves a key role in the diagnosis. This will assist in reducing the risk of false diagnoses. It’s important for Doctors to analyze a patient’s risk for unintentional genome replication, the ratio

Mental diagnoses are necessary like any other diagnoses for an illness and similar to other illness the diagnoses can be miss labeled or wrong etc. . . The pros of a mental diagnoses are the understanding of particular set of people with particular symptoms which I prefer to compare to western medicine. Western medicine classifies the flu and strep throat have similar, yet particular systems simpler to PTSD and anxiety. Understanding the two different disorders effects the outcome of the patient and what type of treatment they need. The two cons of diagnosing a person with a mental illness is miss diagnosing and labeling. Miss diagnosing can cause people harm in many ways by the wrong therapy, the wrong medication and you can create more

In many cases a person may not even have arthritis, but

With this case study, it took careful consideration for the differential diagnosis. In the process of deciding which ones to select, the limited information made it a challenge. Dr. Burks’ comment made it apparent that FNP students must be careful of selecting differential diagnosis rather than secondary diagnosis. As a FNP, it is necessary to focus on the chief complaint to distinguish between the differential diagnosis and the secondary diagnosis. When considering the pain in JSs knees and hands, one can see how the secondary diagnosis emerges. By using critical thinking, FNPs are able meet the health care needs of patients. According to Rashid (2010), FNP are rated highly for the services they provide to patients. This course provides a