Walden University, NURS 6501, Week 8, Module 5

Required Resources for NURS 6501 Assignment:

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: the biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

Chapter 15: Structure and Function of the Neurologic System

Chapter 16: Pain, Temperature Regulation, Sleep, and Sensory Function (stop at Sleep); Summary Review

Chapter 17: Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function (start at Acute confusional states and delirium) (stop at Alterations in neuromotor functions); (Parkinson’s Disease); Summary Review

Chapter 18: Disorders of the Central and Peripheral Nervous Systems and the Neuromuscular Junction (stop at Degenerative disorders of the spine); (start at Cerebrovascular disorders) (stop at Tumors of the central nervous system); Summary Review

Chapter 44: Structure and Function of the Musculoskeletal System (stop at Components of muscle function); Summary Review

Chapter 45: Alterations of Musculoskeletal Function (stop at Bone tumors); (start at Disorders of joints); Summary Review

Chapter 47: Structure, Function, and Disorders of the Integument (section on Lyme Disease)

Chin, L. S. (2018). Spinal cord injuriesLinks to an external site.. Retrieved from https://emedicine.medscape.com/article/793582-overview#a4

Assignment (1 to 2-page case study analysis): Please use APA 7 format, above textbook resources for a minimum of 3 references cited within the assignment, and include a title page, intro, summary, and reference page.

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

*what are 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 affects the patient.

*Provide at least 3 primary citations/references in APA format to support points.

*Ideally, your textbook readings and 2 current journal articles would be used. This makes your points rigorous and defensible. Also shows your eventual preceptor your use of current research and advanced practice textbook to inform your patient management.

Scenario: NURS 6501

A 58-year-old obese white male presents to ED with a 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 exam reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history was positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC is normal except for an elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) of 24 mg/L. The metabolic panel is normal. Uric acid level 6.7 mg/dl.