An understanding of the neurological and musculoskeletal systems is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other.

Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as, racial and ethnic variables can play a role.

An understanding of the symptoms of alterations in neurological and musculoskeletal systems is a critical step in diagnosis and treatment. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

Assignment (2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

· Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.

· Any racial/ethnic variables that may impact physiological functioning.

· How these processes interact to affect the patient.

 
 

Scenario: A 58-year-old obese white male presents to ED with chief complaint of fever, chills, pain, and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl.

In your Case Study Analysis related to the scenario provided, explain the following:

· Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.

· Any racial/ethnic variables that may impact physiological functioning.

· How these processes interact to affect the patient.

1/18/22, 9:54 AM Originality Report

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NURS-6501C-7/NURS-6501N-7/NURS-6501F-7-Advanced Pathophysi… • SafeAssign Drafts

%63Total Score: High riskJadiam Lopez
Submission UUID: b1357c30-bc7a-25d6-86f1-65041a4fa92f

Total Number of Reports

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M5Assgn-LopezJ2.docx

Average Match

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Submitted on

01/18/22
09:47 AM EST

Average Word Count

734
Highest: M5Assgn-LopezJ2.docx

%63Attachment 1

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Module 5 Assignment: Case Study Analysis

Jadiam Lopez

MSN, Walden University

NURS-6501

Dr. Katese Rutherford DNP, FNP-BC

01/18/2022

Both the neurological and musculoskeletal pathophysiologic processes would account for the patient presenting these symptoms. Gout takes place when uri-

nate crystals accumulate in the joints, thus causing inflammation as well as excessive pain of the gout attack. Urate crystals can form when one has high degrees of
uric acid in the blood. Majorly, uric acid dissolves in the blood and passes through the kidneys into the urine. However, at the time, either the body generates ex-

cessive uric acid, the kidneys produce minimal levels of uric acid, or the kidney produces minimal uric acid. When this takes place, uric acid tends to accumulate, thus
creating sharp, needle-based urate crystals in the joint as well as surrounding tissue which leads to inflammation as well as swelling (Roddy, & Choi, 2014). Gout
mainly impacts the large joint of the big toe, though it can as well occur in the joint. Other joints which can be impacted include the ankles, knees, elbows, wrists

as well as fingers. The pain is prevalent in the first 4-12 hours after it starts. Any racial/ethnic variables that may impact physiological functioning. Gout has

major impacts on physical function, productivity, health-based quality of life (HRQOL), and health care expenses. Uncontrolled gout is as well related to the major uti-
lization of emergent care services. Ladies are less likely to have gout in comparison to men; however, with postmenopausal years, the gender difference in disease in-
cidence reduces. Women

1/18/22, 9:54 AM Originality Report

https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport/ultra?attemptId=b543c745-b68a-4342-945f-258372bcd127&course_id=_1691… 1/5

%32

%31

SafeAssign Originality Report
NURS-6501C-7/NURS-6501N-7/NURS-6501F-7-Advanced Pathophysi… • SafeAssign Drafts

%63Total Score: High riskJadiam Lopez
Submission UUID: b1357c30-bc7a-25d6-86f1-65041a4fa92f

Total Number of Reports

1
Highest Match

63 %
M5Assgn-LopezJ2.docx

Average Match

63 %
Submitted on

01/18/22
09:47 AM EST

Average Word Count

734
Highest: M5Assgn-LopezJ2.docx

%63Attachment 1

Internet (6)

kidneyfund science biomedcentral

termpaperwarehouse aafp biomedcentral

Institutional database (7)

Student paper Student paper Student paper

My paper Student paper My paper

Student paper

Top sources (3)

Excluded sources (0)

View Originality Report – Old Design

Word Count: 734
M5Assgn-LopezJ2.docx

9 7 11

4 5 12

1 8 6

3 10 13

2

9 kidneyfund 7 science 1 Student paper

4

Module 5 Assignment: Case Study Analysis

Jadiam Lopez

MSN, Walden University

NURS-6501

Dr. Katese Rutherford DNP, FNP-BC

01/18/2022

Both the neurological and musculoskeletal pathophysiologic processes would account for the patient presenting these symptoms. Gout takes place when uri-

nate crystals accumulate in the joints, thus causing inflammation as well as excessive pain of the gout attack. Urate crystals can form when one has high degrees of
uric acid in the blood. Majorly, uric acid dissolves in the blood and passes through the kidneys into the urine. However, at the time, either the body generates ex-

cessive uric acid, the kidneys produce minimal levels of uric acid, or the kidney produces minimal uric acid. When this takes place, uric acid tends to accumulate, thus
creating sharp, needle-based urate crystals in the joint as well as surrounding tissue which leads to inflammation as well as swelling (Roddy, & Choi, 2014). Gout
mainly impacts the large joint of the big toe, though it can as well occur in the joint. Other joints which can be impacted include the ankles, knees, elbows, wrists

as well as fingers. The pain is prevalent in the first 4-12 hours after it starts. Any racial/ethnic variables that may impact physiological functioning. Gout has

major impacts on physical function, productivity, health-based quality of life (HRQOL), and health care expenses. Uncontrolled gout is as well related to the major uti-
lization of emergent care services. Ladies are less likely to have gout in comparison to men; however, with postmenopausal years, the gender difference in disease in-
cidence reduces. Women