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A 47-year-old man presents with “extreme” pain in his right large toe. The man is overweight and has consumed 12 to 16 beers daily for at least 15 years. His medical history includes hyperlipidemia and a history of gallbladder disease but is otherwise unremarkable. Today’s vital signs include blood pressure 180/96, heart rate 89, respiratory rate 24, temperature 98.8°F, and pain reported as 8 on 1-to-10 scale. The patient has taken acetaminophen and ibuprofen for pain management with little effect. The patient says this is the first time he has experienced such pain. He has not been diagnosed with gout, arthritis, or other conditions in the past. This pain has prevented him from sleeping for 3 nights, and he appears tired. He also reports difficulty walking and completing his daily responsibilities as a farmer. The patient reports recent trauma to the toe, as he dropped a heavy object on it 1 week prior; however, no obvious displacement of the joint or bruising is noted. The practitioner suspects gout is the cause of the man’s condition.

SCIENCE
HEALTH SCIENCE
NURSING
NURS 1015P

 
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