A 40-year-old man has come into the clinic with complaints of ...

[NClaborn]

A 40-year-old man has come into the clinic with complaints of extreme pain in his toes. The nurse notices that his toes are slightly swollen, reddened, and warm to the touch. His complaints would suggest:
 
  a. Osteoporosis.
  b. Acute gout.
  c. Ankylosing spondylitis.
  d. Degenerative joint disease.

Question 2

A mother brings her newborn baby boy in for a checkup; she tells the nurse that he does not seem to be moving his right arm as much as his left and that he seems to have pain when she lifts him up under the arms.
 
  The nurse suspects a fractured clavicle and would observe for:
  a.
  Negative Allis test.
  b.
  Positive Ortolani sign.
  c.
  Limited range of motion during the Moro reflex.
  d.
  Limited range of motion during Lasgue test.

[tkempin]

Answer to Question 1

ANS: B
Clinical findings for acute gout consist of redness, swelling, heat, and extreme pain like a continuous throbbing. Gout is a metabolic disorder of disturbed purine metabolism, associated with elevated serum uric acid.

Answer to Question 2

ANS: C
For a fractured clavicle, the nurse should observe for limited arm range of motion and unilateral response to the Moro reflex. The other tests are not appropriate for this type of fracture.

[NClaborn]

Thank you

[tkempin]

No problemo