Reference no: EM133483142
Assignment:
Med-Surg Cellulitis Gout Case Study
History of Chief Complaint
Patient is a 91-year-old resident of a long-term care facility who tells the nurse, "I have an ache in my right foot." He offers an explanation, suggesting, "I must have stepped on something or twisted my ankle. Maybe lgot bit by a bug when l was outside yesterday." The nurse notes the medial aspect of the patient's right ankle is reddened, slightly swollen, and warm. HIS temperature is within normal limits. He has a strong pedal pulse bilaterally.
Case information
Patient's ankle is x-rayed and there is no fracture noted. He has full range-of-motion of his right ankle and lower extremity, although the pain in his ankle increases with movement. A doppler ultrasound rules out a deep vein thrombosis.
Questions
1. Prior to the doppler ultrasound, how could the nurse explain this diagnostic procedure to prepare the patient?
2. Define cellulitis and discuss its common manifestations.
3. Briefly explain what gout is and describe the causes of primary and secondary gout.
4. What are the common characteristics of each of the four stages of gout?
5. Explain what will facilitate a definitive diagnosis (cellulitis or gout) in the patient's case.