Mr Marchand Case Summary

A progress note from Dr. Chweyah, dated 06/26/2017, indicated that the claimant presented for follow-up of gout, muscle weakness, and weight loss. He had ongoing weakness of the legs with knee pain. He stated that her weight drop had stopped. His current weight was 210 pounds. Objective findings showed a pulse rate of 105 with a blood pressure of 92/60. His BMI was 28.56. He was diagnosed with an acute pain in both knees, muscle weakness in the legs, chronic gout, and weight loss. A referral to neurology and medications were recommended.

On Tuesday, November 08, 2016, I, Officer B. McMillon, #135, of the Mansfield ISD Police Department was on assignment at Legacy High School located at 1263 N. Main in Mansfield, Texas 76063. At approximately 12:00 pm I was informed by AP Cousins, Leonard B/M, dob 03/06/1962 in regards to a physical altercation that occurred in the third floor boy’s rest room.

12/24/15 Progress Report describes that the patient has right knee pain. The pain is frequent. It is aching and burning in quality. The current pain level is 0/10 and worst pain is 4/10. Bending, squatting, walking, weight bearing, changing clothes and ROM aggravate the pain. Rest, ice,

David Lamont is delivery man for Domino’s Pizza in Brooklyn. On July 7, 2015 in Brooklyn, Mr. Lamont alleges that he had left his car outside of a Dominio’s Pizza and entered the restaurant. Mr. Lamont states that when he came outside, MOS informed him that MOS was going to give him a ticket for unattended running vehicle. P states that when MOS conducted a warrants check on Mr. Lamont an active warrant appeared. Mr. Lamont claims he was arrested. P states that when he saw the judge next day and the court stated that it was not an active warrant. P states that he had accepted an ACD in another case and there was an $88 surcharge that he needs to pay by 8/13/2015. Per the court transcript provided by Mr. Lamont’s attorney the Court found that

Proceed with case close per Mr. McKnight’s verbal request from 4/10/17. The agency has decided to place Mr. McKnight on the No Do Not Open List program. In order to apply for future VR services, Mr. McKnight will have to provide documentation that he is receiving ongoing mental health services at least for six months from the date of application. Mr. McKnight will need to also provide proof that he has successfully completed anger management training prior to reapplying for future VR services. Mr. McKnight will have to be serviced out the local PPP office and not permitted to enter the local area office; therefore, Mr. McKnight will have to contact you directly in order to submit his documentation for review and to schedule his appointment

Based on the medical report dated 03/29/16 by Dr. Riley, the patient complains of increased pain to both heels, left greater than the right. She states that the pain is most severe with the 1st step in the morning or after periods of rest. She is requesting new custom orthotics, as her existing pair have become very worn. They are more than 2 years old. Additionally, she sustained a trip and fall Injury on 2/2 with her knee "giving out." Two days prior to this visit, patient is with pain and swelling to the left great toe joint. She is unclear if the injury occurred with the fall, or in the process of

Gout is classified as the “buildup of uric acid crystals in the joints… [that occur as a result to] many [of the] foods we eat” (WebMD). These needle-like crystals are what contribute to the sudden pain and swelling of a gout attack. My father’s doctors reported that not only did he have gout, but that if he stayed

The treatment of gout is usually conducted over two separate phases: in cases of acute gout, rapid relief is offered from joint pain and inflammation, while in chronic cases, long-term management is provided to reduce serum urate, thus decreasing further acute attacks and irreversible joint damage (Moi et al., 2014). The European League Against Rheumatism (EULAR) management recommendations include lowering serum urate below 360 μmol/l (6 mg/dl). This has been

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Gouty arthritis, hypertension, hyperlipidemia and left ventricular hypertrophy are the main diagnosis. American College of Rheumatology diagnostic criteria for gout is the presence of urate crystals in the joint fluid (Hainer et al., 2014). Monosodium urate crystals are seen under a polarizing light microscope which confirms the diagnosis of gout. Furthermore, the most commonly affected area is the first metatarsophalangeal joint. Other common sites are mid-tarsal joints, ankles, knees, fingers, wrists and elbows. Also, gout appears to be red and swellon in the affected joint (Saccamano, 2015). Similarly, patient had left knee pain with redness and swelling. Hypertension is diagnosed by the systolic blood pressure ≥ 140mmg Hg or the diastolic

Gout is a kind of athritis that most common in middle aged men, but is know to effect women usaully after menopause. Gout is caused when your body produces or intakes too much uric acid. High levels of uric acid do not cuase Gout immediately, it’s the crystalzation of the acid that causes the diesse. Gouts symptons are very similar to inflamatory arthritis, causing pain in joints around your body but primarly below the waist. In almost all cases of Gout the effected person feels pain at the base of their big toe. The symptons are described as recurrent attacks of athritis cuasing red, hot, tender and swollen joints. Pain is quick to appear typically taking less than 12 hours to reach its peak, and

Mr. Markham is seen this afternoon at MCCRC on 03/02/2018. Mr. Markham is seen this afternoon after dialysis, which has exhausted him and he says his blood pressure dropped and he felt terrible as if he might pass out. He does not know why they were so aggressive. Other times, he has come back from dialysis with diastolics in the range of 110. His discharge is tentative for next Wednesday. He has had no chest pain. He has had some pain in his left knee but it has neither been warm, hot, or with atypical prednisone effusion that he has with gouty attacks. Mr. Jones has started him on allopurinol 100 mg daily.

The skeletal system disorder that I chose is Gout. Gout is one of the most painful forms of arthritis. The way someone can get is because they may have too much uric acid building up in their body. The buildup of uric acid can lead up to: sharp uric acid crystal deposits in the joints. A sign of gout that is most common in people is getting a nighttime attack of. The symptoms that it can cause swelling, tenderness, redness, and a sharp pain. People can also get gout in their big toe, foot, ankles, knees and other joints. The person that has gout can last a few days with pain or even a few weeks before their pain even goes away.

Archibald Edward Garrod was welcomed in the city of London on November 25, 1857 to Alfred Baring Garrod and Elizabeth Ann Colchester. Archibald’s father was a prominent physician. He found the presence of uric acid in the blood of patients with gout at only the prime age of twenty-nine. His brilliance was further expanded by the revelation of ascertaining between gout and rheumatic arthritis. Alfred Garrod acquired myriads of honors; he was elected a Fellow of the Royal Society and received knighthood in 1887 (Bearn, 1993). Just as driven and talented as his father, Archibald Garrod followed in his father’s footsteps in becoming a physician and pursuing his father’s interest of rheumatoid arthritis.

Gout, a disease commonly referred to as “The Disease of Kings or as “Rich Man’s Disease is considered a chronic and progressive disease. Chronic gout can also lead to crystal deposits (sodium orate) of uric acid (a normal byproduct of purines) in the tissues, particularly in and around the joints. Gout can cause sudden severe arthritis and may cause joint destruction, decreased kidney function, and kidney (nephrolithiasis). Gout has the unique distinction of being one of the most frequently recorded medical illnesses throughout history