NR 508 Week 6 TD, Quiz and Summary

Jonathon Iis Ia I56 Iyear-old Iretired Iautomobile Imechanic Iwho Ihas Inot Ibeen Ito Ithe Idoctor Iin Iapproximately I6-7 Iyears. IHe Ipresents Ito Iyour Ioffice Icomplaining Ithat Ithree Iweeks Iago Ihe Iwas Iawoken Iwith Isevere Ipain Iand Iinflammation Iin Ihis Iknee, Iwhich Ihas Ibeen Iconsistent Isince Ithat Iinitial Inight. IUpon Iphysical Iexamination Iof Ihis Iknee, Iit Iappears Iswollen Iand Ierythematous Iwith Iperiarticular Iinvolvement. IUpon Iphysical Iexamination Iand Ilaboratory Iresults Iyou Inotice Ithe Ifollowing: Physical Iexamination: GEN: Iwell Inourished, Iobese Imale I(310 Ipounds) VS: IBP I191/112 IHR I75 IRR I15 IT I98.6, IHT I5’8” EXT: IKnee Ijoint Iinflammation Laboratory I(fasting): Na I139 ImEq/L K I3.8 ImEq/L Ca I9.1 Img/dL I(9-10) ILow INormal CL I102 Immol/L I(98-106) HCO3 I22 ImEq/L BUN I10 Img/dL SCr I0.9 Img/dL Serum IUric IAcid I6.5 Img/dL I(4-8.5) I(6.5 Ihyperuricemia) Alb I4.1 Ig/dL I(3.5-5) Cholesterol I300 Img/dL I(200) IH UA: IpH I6.8 I(4.6-8) I, Iuric Iacid I250 Img/24h I(250-750) What Iproblems Ican Ibe Iidentified Iin Ithis Ipatient? IPlease Iprovide Ia Ilist Iof Idifferential Idiagnoses, Ias Iwell Ias Iindication Iof Iyour Iprimary Idiagnosis. IWhat Iis Iyour Ipharmacological Iplan Ifor Iyour Iprimary Idiagnosis Iincluding Ithe Imedication, Idose, Iand Imechanism Iof Iaction? Probs I= IHTN, IObesity, IHigh ICholesterol Poss IDx I= IPseudogout I(calcium Ipyrophosphate Idz), Imonoarthritis, Iseptic Ijoint