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Bi 231 Case Study #1 Musculoskeletal System A A 30 year old male goes immediatel

ID: 3510829 • Letter: B

Question

Bi 231 Case Study #1 Musculoskeletal System A A 30 year old male goes immediately to the emergency clinic from his softball game. After sliding into 2d base, the man was unable to move his right arm and his right shoulder was painful. The doctor diagnosed the man with a luxation of the shoulder and ordered immediate reduction and immobilization. What has happened to the man's shoulder? How does luxation differ from subluxation? What is reduction? Why does this condition require immediate reduction and immobilization? Musculoskeletal System-B A 54 year old male see his doctor because he is experiencing severe pain in his joints particularly in the region of his hallux. The doctor inquires about the patient's diet and finds that it includes primarily deli sandwiches and 1-2 alcoholic beverages a night. The doctor orders a blood test. The results of the blood test are normal except that the patient's serum uric acid is 10.5mg/dL and uric acid crystals are found in the synovial fluid analysis. What part of the man's body is the hallux? What is the normal level of serum uric acid for males? What is the normal level of serum uric acid for females? What specifically is causing the pain in his joints and hallux? What is the doctor's diagnosis? What are possible treatments that the doctor could prescribe?

Explanation / Answer

Musculoskeletal system A

this man has encountered luxation or dislocation of the shoulder joint. It usually occurs due to fall on the outstretched hand.

Luxation is the complete dislocation or misalignment of the joint whereas subluxation is the partial dislocation but the bones remains in contact minimally.

Reduction is the process of bringing the bones back to its normal position thereby fixing the issue.

after the injury there are chances of vascular damage which un turn reduces the blood supply to the bones and the other soft tissues. In order to prevent further complications it is immediately reduced and to promote healing it is immobilised.

Musculoskeletal system B

hallux is the big toe

Serum uric acid for males is 3.4 - 7.0 mg/dL

serum uric acid levels for females is 2.4 - 6.0mg/dL

uric acid levels in the synovial fluid in the hallux joint may cause pain and tenderness over the region.

doctor diagnosed it as gouty arthritis which is confirmed with higher uric acid levels

during the initial levels, NSAIDs are prescribed to reduce pain, diet modification includes decreasing the alcohol intake, patient is put on medications to decrease the uric acid levels.