You are working at the Urgent Care center when a mother brings her overweight 17

Question

You are working at the Urgent Care center when a mother brings her overweight 17-year old son in because of sever pain in his lower extremities. She tells you that his doctor has just had him start exercising to help reduce his weight. He has been exercising (hiking, cycling, jogging) for the last two weeks and has recently begun to complain of pain along the anterior surface of tibia of both legs, his right being worse than his left. You notice that his shoes have an uneven wearing pattern (greater wear to the lateral side) and that they are quite old. During the physical examine there are noticeable painful expressions when you compress the leg and he attempts to pull the leg away and pinpoint pain through the interosseous membranes of both legs with nodules being felt as you palpate the anterior surface of the tibia. You x-ray both tibia and while waiting for the tech to get the x-rays images processed you begin to examine the legs. The tech returns with the x-rays that so no fractures of the tibia or fibula on either the right or left leg. To confirm something that you hypothesize is the issue, you attempt a passive range of motion test of the triceps surea and note that you can passively Dorsiflex only to 17-degrees in an extend knee position and 12-degrees in a flexed position and weakness of the dorsiflexors (3-/5).
Case Report: Based on your current understanding of Human Anatomy and Physiology, and with the use of correct medical/scientific terminology, generate a 2-3 paragraph response with a diagramed feedback loop describing the physiology of the case, that indicates the systems of the body that are impacted and the physiology of that system which was impacted, include in your response: What is abnormal in the findings and what is the most likely issue affecting the 17-year old? What is the most likely etiology (cause) for the issue to develop? What other tests would you want to perform? What is the most likely treatment for the issues? Does he need to worry about reoccurrence of the issue? What could happen if the issue were to progress without treatment?
You are working at the Urgent Care center when a mother brings her overweight 17-year old son in because of sever pain in his lower extremities. She tells you that his doctor has just had him start exercising to help reduce his weight. He has been exercising (hiking, cycling, jogging) for the last two weeks and has recently begun to complain of pain along the anterior surface of tibia of both legs, his right being worse than his left. You notice that his shoes have an uneven wearing pattern (greater wear to the lateral side) and that they are quite old. During the physical examine there are noticeable painful expressions when you compress the leg and he attempts to pull the leg away and pinpoint pain through the interosseous membranes of both legs with nodules being felt as you palpate the anterior surface of the tibia. You x-ray both tibia and while waiting for the tech to get the x-rays images processed you begin to examine the legs. The tech returns with the x-rays that so no fractures of the tibia or fibula on either the right or left leg. To confirm something that you hypothesize is the issue, you attempt a passive range of motion test of the triceps surea and note that you can passively Dorsiflex only to 17-degrees in an extend knee position and 12-degrees in a flexed position and weakness of the dorsiflexors (3-/5).
Case Report: Based on your current understanding of Human Anatomy and Physiology, and with the use of correct medical/scientific terminology, generate a 2-3 paragraph response with a diagramed feedback loop describing the physiology of the case, that indicates the systems of the body that are impacted and the physiology of that system which was impacted, include in your response: What is abnormal in the findings and what is the most likely issue affecting the 17-year old? What is the most likely etiology (cause) for the issue to develop? What other tests would you want to perform? What is the most likely treatment for the issues? Does he need to worry about reoccurrence of the issue? What could happen if the issue were to progress without treatment?
You are working at the Urgent Care center when a mother brings her overweight 17-year old son in because of sever pain in his lower extremities. She tells you that his doctor has just had him start exercising to help reduce his weight. He has been exercising (hiking, cycling, jogging) for the last two weeks and has recently begun to complain of pain along the anterior surface of tibia of both legs, his right being worse than his left. You notice that his shoes have an uneven wearing pattern (greater wear to the lateral side) and that they are quite old. During the physical examine there are noticeable painful expressions when you compress the leg and he attempts to pull the leg away and pinpoint pain through the interosseous membranes of both legs with nodules being felt as you palpate the anterior surface of the tibia. You x-ray both tibia and while waiting for the tech to get the x-rays images processed you begin to examine the legs. The tech returns with the x-rays that so no fractures of the tibia or fibula on either the right or left leg. To confirm something that you hypothesize is the issue, you attempt a passive range of motion test of the triceps surea and note that you can passively Dorsiflex only to 17-degrees in an extend knee position and 12-degrees in a flexed position and weakness of the dorsiflexors (3-/5).
Case Report: Based on your current understanding of Human Anatomy and Physiology, and with the use of correct medical/scientific terminology, generate a 2-3 paragraph response with a diagramed feedback loop describing the physiology of the case, that indicates the systems of the body that are impacted and the physiology of that system which was impacted, include in your response: What is abnormal in the findings and what is the most likely issue affecting the 17-year old? What is the most likely etiology (cause) for the issue to develop? What other tests would you want to perform? What is the most likely treatment for the issues? Does he need to worry about reoccurrence of the issue? What could happen if the issue were to progress without treatment?

Explanation / Answer

In this case the boy is overweight , due to overweight and improper postionning of the foot the stress factors are developed which resulted in the small tear in the area where the lower leg muscles attaches to the tibia,muscles involvred are also strained so other tests performed are mri scan, and advised rest and applying ice packs and adminsterNSAIDS and advised physiotherapy.

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