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You are called to a home in a middle class neighborhood for a 62-year-old man who complains

of a ground level fall. It is 03:30 in the morning. You arrive to a home that is moderately well

maintained with no immediate threats to your safety present. You find your patient is sitting in a

chair in the front room and appears in no acute distress. He introduces himself as Ramon, a 62

year-old Cuban American with a chief complaint of an injury to his left shoulder after tripping in

the dark getting up to urinate in the middle of the night. He appears to be 5’ 7” tall and of large

stature. He speaks in clear sentences and follows commands easily. He does not appear to be

having difficulty breathing. His pulse is weak and regular at a normal rate. His skin is pale,

warm and dry. He denies any other complaint other than his shoulder.

On physical exam, your patient has decreased range of motion in his left shoulder due to

pain. There is no bruising or abrasion and appears symmetrical to his right shoulder. His pulse

is present and admits normal sensation in his fingers on the affected side. Your partner collects

vital signs as you discuss with Ramon his medical history. Ramon reports a 40 pack year history

of smoking in which he quit 8 years ago after his second heart attack. His first MI was two years

previous to that in which he received multiple stents. He also reports a history of hypertension

and high cholesterol. When you ask him about other risk factors for heart problems he reports a

sedentary life style. Ramon also admits having Benign Prostatic Hypertrophy and gets up in the

night 1-2 times to urinate. It is not currently being treated at this time. The "bother" of 1 to 2

episodes of nightly nocturia is insufficient to merit medication (by his choice). He specifically

denies diabetes stating his mother had type two diabetes; his father died from lung cancer. He

reports the following medications. Lisinopril 20 mg once a day, hydrochlorothiazide 25 mg

once a day, atorvastatin 40 mg once a day, metoprolol 50 mg twice a day, clopidogrel 75 mg

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You are called to a home in a middle class neighborhood for a 62-year-old man who complains of a ground level fall. It is 03:30 in the morning. You arrive to a home that is moderately well maintained with no immediate threats to your safety present. You find your patient is sitting in a chair in the front room and appears in no acute distress. He introduces himself as Ramon, a 62 year-old Cuban American with a chief complaint of an injury to his left shoulder after tripping in the dark getting up to urinate in the middle of the night. He appears to be 5’ 7” tall and of large stature. He sp ...
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You may have to research more than 1 company to complete the Key Assignment. Plan accordingly.The purpose of this Key Assi ...

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