Pharmacology Pain And Fibromyalgia, assignment help

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Can you helt to response the following questions:

Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format. References well cited no more than 5 years old.Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication please use at least 3 references per question. Thank you.

Question 1

MP is a sixty-five-year-old male who has recently retired. He is coming in today for a complaint about pain in his back, knees, and hips. He reports that he has been experiencing this pain for the past six months, and he has been able to control the symptoms with OTC Advil. He describes the pain as stiffness and occasional shooting and aching pains radiating all over. He denies any swelling of his joints. However, the OTC medications are not working well, and he is here to see whether there are any other options he might try. On physical exam, he has tenderness on palpation on the right and left hips and both knees are positive for crepitus. All blood work is within normal limits. Answer the following questions:

  • What additional information would you like to have? Does MP need any additional testing?
  • What possible issues could contribute to his symptoms?
  • He asks about injections to both knees to increase his comfort. How would you respond to that?
  • What would your treatment plan be?

For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations.

Question 2

EP is a twenty-five-year-old African American female who has just moved to town and comes to the clinic for her first visit. She has been diagnosed with fibromyalgia. She reports that her previous primary care physician (PCP) was treating her with opiates only. She has been taking hydrocodone/ibuprofen 7.5 mg/200 mg four times daily but notes that this is not helping her. She is asking you for a refill of this medication and any additional treatment you can advise. On physical exam, she is in moderate distress and reports pain when being touched. Answer the following questions:

  • How would you validate the diagnosis of fibromyalgia?
  • How would you handle EP’s request for ongoing hydrocodone? Locate any evidence of the efficacy of this treatment for fibromyalgia.
  • Assuming that the diagnosis is correct, what would your treatment plan be?
  • Would you recommend any nontraditional therapies?

For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication

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Explanation & Answer

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Question 1

The name of the patient is MP. Apart from the information presented in the case, I will
inquire for more information before making a diagnosis. I will look at the positions of femoral
and tibia condyles. The next thing is looking for evidence of knees effusion status which is
essential in ruling out some differential diagnosis. Past surgical history is important before
making a conclusion. Lastly, other important information is looking for range of motion of both
knees of the patient.

Additional testing is required to help in ruling out other conditions which presents with
similar manifestations. There are other inflammatory diseases which coexist with this condition.
Therefore, imaging is important in identifying different inflammatory conditions. The list of
additional tests includes full blood count, magnetic resonance imaging, plain radiography,
ultrasonography, and athrocentesis and bone scanning (Birtwhistle, R et al, 2015).

There are several conditions which can contribute to the symptoms presented by MP. The
conditions include: chronic fatigue syndrome, fibromyalgia, sick building syndrome,
osteoarthritis, multiple chemical sensitivity, posttraumatic stress disorder, hypochondriasis,
polymyalgia rheumatic, and hyperparathyroidism and hepatitis C. The condition could be caused
by osteoarthritis because of the advanced and loss of bone density. The risk of breaking bone
might lead to the pain presented by the patient. It is necessary to carry out tests and physical
examination before making a diagnosis.

Instead of injection requested by the patient, I would make a reco...


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