cially, 0ne to two beers with his

cially, 0ne to two beers with his friends, does not smoke or use recreational drugs. He takes no medications, has not had a physical since he enrolled in his first college program and that consisted of completing a form. He played football in high school but has had no time for sports since enrolling in his first college program. His parents are healthy, take no medications, both have careers, father an accountant and mother an elementary school teacher. They worry that he is not as active as he was in high schoool where he was very active in sports. They invite him over once weekly for “one good meal” his mother tells him. While the family enjoys traditional Mexican food, his mother attempts to serve healthy foods while he is dining with them. With little time to shop, he has most of his meals delivered from various sources, typically, already prepared. He sleeps well, feels “sluggish” sometimes, especially during his bus ride to and from work. He has managed to find time to go to a gym for exercise. He hopes to lose at least 30 pounds by working out at the gym. He goes to visit his personal trainer for the first session and is surprised to hear his trainer suggest that he go to his primary healthcare provider for a checkup first. You learn this during your introductory conversation with him and now you must determine where to begin with this “healthy” young man. B/P 124/70 H/R 70 R 18 WT 200 pounds HT 69 inches Based on the provided patient information, think about the health history you would need to collect from the patient. Consider what physical exams and diagnostic tests would be appropriate in order to gather more information about the patient’s condition. Reflect on how the results would be used for a diagnosis. Identify three to five possible conditions that may be considered in a differential diagnosis for the patient (note conditions, not necessarily disease states or injuries.). Think about clinical guidelines that might support each diagnosis. Develop a realistic preventive health treatment plan for the patient that includes health promotion and patient education strategies for special populations. Using social determinants of health, ethnic background, and other information that you gather during your assessment, to guide your realistic preventive health plan. Determine if you will refer Felipe back to his trainer for full approval of an exercise program or will you follow up with him first, or concurrently with the trainer, or tell him that he should not enter into an exercise program now (share your reasoning for your decision). Please do not cite tons of pathology; that is not the purpose of this assignment. You will be assessing for current health status, health risks, and an appropriate preventive health plan to improve his current health status for now and in the future. Finally, you will be determining if you want to follow this patient at your clinic, since he has no PCP Anything else relevant that you want to include?

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