Please respond to discussion below using current APA edition and 2 scholarly references. Must be at least 150 words.
Everything went really well this week! Once more, I consider myself lucky to have an excellent preceptor. She does a great job going over pharmaceutical side effects and diagnosis explanations. This has shown to be very beneficial in determining the cause of a patient’s complaint, in my experience. The majority of the time, it’s because a new drug was added to their existing regimen.
This week at my clinical, we encountered a male patient who was 71 years old and had a history of excessive cholesterol. The patient reports that he is in excruciating pain and that his right big toe is swollen and red. He states that the pain was limited to his great toe and that it started a day ago. He now reports that the discomfort is also present in his ankle. After looking over his prescriptions, none of them seem to be the source of this problem right now.
Serum uric acid levels, complete blood count (CBC), and radiography are part of the patient’s care plan to confirm the diagnosis and rule out the existence of a competing diagnosis. The presence of hyperlipidemia prompted the drawing of a lipid panel as well. Gout, a metabolic disease characterized by a pathology involving uric acid levels over 7 mg/dL in men and 6 mg/dL in women, is the primary diagnosis. Urate deposits form in cartilage, soft tissues, and joints as a result of the high uric acid level. Reduced renal clearance, enzyme abnormalities, consuming too many purine-rich foods, obesity, dehydration, hunger, alcohol consumption, and diabetes are a few risk factors for gout (Dunphy, Winland-Brown, Porter