How to Answer Patient Presents Your Questions (Complete Guide)

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How to Approach This Question

Start by identifying the main issue, then apply relevant academic frameworks.

Key Explanation

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Original Question

patient presents at your clinic today with a chief complaint of bilateral knee pain. He is unemployed and has state-funded health insurance. • 63-year-old Native American male, BMI 32, BP: 144/88, Pulse 80, O2 99% RA • Physical Exam: Negative except for tenderness over bilateral knee pain with mild swelling, and pain on ROM. No evidence of instability in the joint. • Review of Systems: pos for bilateral knee pain • Imaging: X-ray done 1 month ago indicates “severe bilateral knee joint space narrowing in all compartments” noted with osteophytes • Past Medical Hx: seasonal allergies • Past Surgical Hx: none • Depression Screen: negative • Medications: naproxen, Excedrin prn • Social: married, lives in two-story home with bathroom and bedroom on the second floor; denies smoking, occasional alcohol use, denies current drug use (hx unknown) Upon being interviewed, the patient reports a long history of chronic pain mostly in his knees. Both knees seem to have recently worsened and now is 4/10 on the pain scale consistently. His pain seems to be worse with any activity. It does not seem to radiate. He tried icing it and taking Tylenol with little relief and admits taking Ibuprofen occasionally when he “can’t take it anymore”. He reports morning stiffness, but this improves quickly once he gets moving. His worst symptom is pain. Overall Health and Pathophysiology 1. From a pathophysiological perspective, explain osteoarthritis (OA) versus rheumatoid arthritis (RA) in detail. Use 3 evidence-based resources to support your answer. 2. Is the diagnosis OA or RA? Explain your answer. 3. Based on your diagnosis, and taking into consideration 1) cultural, 2) language, 3) health literacy, 4) and socioeconomic factors, how would you educate your patient on his diagnosis? 4. What are possible preventions and interventions relating to the diagnosis?

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