Patient Demographics Case Study Essay

Gout is an inflammation disease in which urate crystals deposit into joints resulting in high levels of uric acid in the blood (hyperuricaemia). Urate crystals are deposited in the connective tissues of the body causing gout disorder. Gout affects the first metatarsal joint of the foot where the base of the big toes and this condition makes the person wake up at night feeling like their big toes are on fire and pain is most severe in hours immediately following the attack. Urate crystals are deposited in various other connective tissues causing more inflammation as it progresses. gout can occur due to primary or secondary hyperuricemia and is treatable. Gout occurs must often in men usually after 30 years of age where as women are expected to get after menopause. (Flynn &Johnson, 2005, pp 1447-1448)

How would Ed’s blood help protect him from a foreign invader such as the one now in his system?

Osteoarthritis, or degenerative joint disease, is a form of arthritis characterized by the breakdown of cartilage within joints. Cartilage serves to provide cushion at the ends of bones, and when the cushion is not sufficient, as in osteoarthritis, the bones rub together. As a result, osteoarthritis sufferers are constantly plagued by stiff, swollen, and inflamed joints (http://www.arthritis.org/answers/diseasecenter/oa.asp). It is a relatively common condition, with an estimated 20 million American sufferers, most of whom are elderly (http://webmd.lycos.com/content/article/1668.50297). Traditional treatments include Tylenol, aspirin, or other non-steroidal anti-inflammatory drugs

Train the physician, the physician assistant, and the billers to recognize key elements: ICD 10 codes, CPT codes, and verify correct patient’s demographics: name, address, and provider’s and insurance Group #/member ID #, address, phone numbers etc.

Data was collected in the health center, after the permission to conduct the study with the patient population of interest was secured from the administrator of the health center. Data was collected from January 5th, 2017 to March 5th, 2017. Patients in the waiting room were handed flyer invitation to participate by the researcher, who goes over the contents individually with prospective participants to determine eligibility for the study based on the criteria. The flyer explains the purpose of the study, the population of interest, including how to participate, and once a patient is eligible he or she is given a cover letter written in both English and Spanish that explains that participation is voluntary, and that submitting the survey amounts to giving a consent to participate in the study. The cover letter also explains that there are no benefits to the study, but the results will be posted in the health center where the patients were recruited. After reading the cover letter and agreeing to participant in the study, the patient is handed paper versions of both bilingual surveys along with writing instruments. When a participant is done and has submitted their completed surveys, he or she will be given a copy of correct responses to the DKQ-24 in both English and Spanish.

Gout is one of the most common inflammatory arthritis in Australia. As a type of hyperuricaemia, gout is a metabolic disorder form of inflammation when blood contains excess uric acid, causing deposits of uric acid crystals in joints. Gout is non-fatal disease with common symptoms are pain and swelling. Risk factor includes dietary factors, genetic factors, alcohol consumption, obesity, hypertension, renal disease and diuretic use. (Chandratre P, Roddy E, 2010)

Patient is a nineteen-year-old college student working as a CNA. Patient’s has multiple chronic conditions such as Celiac Disease, Spina Bifida, Sjogren, Malabsorptive Disorder, Gluten Intolerant, Anemia, MTHFR Gene Mutation, deafness on right side, and Protein S deficient. Patient also has PTSD which contributed to depression, anxiety, and binge eating. Patient also complained of tiredness and being lethargic for 4-5 years and was put on Zoloft for depression. Patient is allergic to nickel and aloe vera. Patient is also at risk for breast cancer due to family history. Patient’s medications are Sertraline, Oxybutynin, Magnesium, Vitamin D, Vitamin E, Iron, and Vitamin B.

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

1. Prepare a brief situational analysis of LMF for Dr. Townsend, identifying at least 3 internal issues and 3 external issue/competitive issues that are affecting LMF.

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

Because gout and hyperuricemia have now been found to be elements of metabolic syndrome and cardiovascular disease, it is also necessary to stress the importance of weight loss and regular exercise where applicable (INSPIRE, 2012)” (p.385). Patient recognizes to prevent further joint damage change is needed. Patient voiced interest in working with professional trainer and provider positively encouraged

From January 2001 to December 2014, a single surgeon (TPG) performed 3777 consecutive metal-on-metal HRA procedures, of which, 27% were women. Choosing December 2014 as our date range cut-off point ensured a minimum of 2 years of follow-up results for both study groups. Group 1 consisted of 357 cases in 309 females performed before 2008, prior to the establishment of the newly developed surgical interventions. Group 2 comprises 654 resurfacings in 556 females. Group 2 females were significantly older, at a mean of 54 years compared to 50 years (p30% uncovered, and in all patients who have had an acetabular complication on the opposite hip, or who have a DEXA scan T-score 30. We have also demonstrated that a slowed weight bearing protocol and alendronate can prevent EFF [26]. Over time we evolved to develop a comprehensive protocol which establishes three groups based on proven risk factors: Group A, femoral neck T-score >0 and BMI 30; and Group C, Femoral neck T-score< -1.5.

Seventy three patients (81%) were males and the remaining 17 (19%) were females. Sex distribution among the studied groups is shown in (Table 1). Road traffic accidents were by far the most common cause of trauma 63%, followed by localized head trauma 20% and fall from a height 10%. APOE ϵ4 allele was expressed in 18 patients (20%) and the remaining 72 patients (80%) were negative for this allele.

Mrs. J. arrives at the emergency department with her 6 year old son, PJ, who has a history of Cystic Fibrosis (CF). He is febrile (101.7° F orally), BP 98/66, HR 122, RR 32 with the use of accessory muscles. Mother states PJ has, for the last five days, exhibited signs and symptoms of upper respiratory infection, runny nose, low grade fever, cough, and fatigue. He has lost 2 pounds over the past 5 days due to anorexia though he has not had vomiting. He weighs 36 pounds and height is 3’2”. Today, PJ became more lethargic and his fever was difficult to control with pyretics.