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Nurs-6512 Case Week 8; A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. $12.09   Add to cart

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Nurs-6512 Case Week 8; A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle.

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Nurs-6512 Discussion Wk8 Discussion: Assessing Musculoskeletal Pain In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. To prepare: Your Discussion post should be in the Episodic/Focused SOAP Note format rather th...

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  • April 22, 2022
  • 4
  • 2022/2023
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Case # 1


Patient Information:

Initials B.S., Age 42, Sex M, Race W

S.

CC Back pain radiating down left leg

HPI: B.S., a 42-year-old White Male

Location: low back, left leg

Onset: intermittent one month

Character: aching back pain, sharp shooting pain down left leg

Associated signs and symptoms: shooting pain in leg intermittent, acute episodes
aggravated by standing and walking.

Timing: after sitting for extended period of time driving trucks.

Exacerbating/ relieving factors: Standing up walking after sitting aggravates pain, warm
baths and ice pack provided mild relief.

Severity: 7/10 pain scale

Current Medications: Sildenaphil 50 mg PO 60 minutes prior to sexual activity PRN ED

Allergies: NKDA

PMHx: Refuses flu vaccine. Appendectomy 2012, umbilical hernia repair 2015.

Soc Hx: Long distance truck driver. Smoke > 4 cigarettes daily, drinks one bear nightly, denies
illicit drug use, heterosexual, married 5 years. Denies history of sexually transmitted infection.
Wears seat belt, sits for long hours while driving, places wallet in back left pocket.

Fam Hx: Pt was adopted unknown family HX, two living children, no known health problems.

ROS:

GENERAL: Denies unintended weight loss or gain. Denies fever, malaise, swollen glands,
cough, N/D/V.




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