Mrs. Connie Jeans is a 31-year-old married woman with a 12 year old son and a th

Question

Mrs. Connie Jeans is a 31-year-old married woman with a 12 year old son and a thriving career. Connie began having troubles with simple daily life tasks, such as running errands and driving the car. She is experiencing pain in her joints (mostly her feet and hands) and is tiring easily. Her joints are swollen and she reports they are stiff in the mornings. She has also had some recent sinus infections, dry eyes and dry mouth. Today, Connie presents to the clinic where you are working for help.

1.         What questions do you want to ask?

2.         What are possible pathophysiologies that could be happening to Mrs. Jeans? That is—brainstorm as many pathophysiologies as possible for her—and list them here

3.         After developing a list of pathophysiologies, sort them and rank them numerically. Explain your rationales for your choices to be ranked as you chose them.

4.         Test your hypothesis: List the diagnostic tests you would order to confirm or rule out the number one ranked choice.

5.         List at least two assumptions that you are making or testing. (This is hard—what are you taking for granted?) Remember an assumption is something you take for granted. Testing your assumptions can improve your thinking skills.

Explanation / Answer

1. according to her symptoms i would like to ask her daily life routine and specially her calcium and phosphorus element in her diet.

2. all symptoms majorly indicating her arthritis Profile test which also include thyroid test (T3 T4 TSH )also rheumatoid arthritis test secondly her sinus infection CRP test should be there other tests which must be followed are calcium, vitamin D3, alkaline phosphotase, phosphorus element, uric acid level,blood sugar level, these are major pathophysiology test.

3. 1. arthritis profile 2. thyroid profile ( T3 T4 TSH ) 3. Blood sugar 4. uric acid 5. CRP ( C- reactive protein ) 6. calcium 7. phosphorus 8. alkaline phosphotase

4. according to me the first three pathophysiology test are 1.Arthritis profile, 2. CRP, 3. Calcium

5. she must have low calcium level or uric acid increase level can indicate her rheumatoid arthritis

CRP level indicate her infection level

hope it will help you...

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