Rheumatoid Arthritis Case Study
Case Study: Rheumatoid Arthritis
INTERVIEW Mr. Skeeter Buck Medical record number: 123-45-678 Service date: September 8, 2011 DOB: August 8, 1975
Skeeter Buck is a 36 yr. old Caucasian male being seen for some testing before starting an exercise program to help improve exercise tolerance, muscle strength and range of motion in joints.
Medical History
Skeeter Buck has had 4 years of joint pain with some very severe occasions. He complains of stiffness in his wrists, hands, knees, and feet. The stiffness seems to last anywhere from 30 minutes to 2 hours in the morning. When his joints are sore he is very unstable and feels as though he has no balance. The joint pain does not occur on a regular basis but when it does, he tends to lose his appetite.
Medication: Cortisone shot (every 3 months), Aleve, Tylenol
Medical History: 4 years of joint pain. Recently symptoms worsened.
Family History: Grandmother and mother have rheumatoid arthritis and have had surgery. Grandma had a hip replacement and his mother had a knee replacement. Most of his family is overweight but there is no history of diabetes or heart disease.
Social Lifestyle: Married with 2 children and wife is pregnant with their third. Lives in North Bay where he is the manager at a bank. He walks with a cane when his ‘flare ups’ are bad.
Lifestyle History: Enjoys playing with the kids. He is as active as he can be without being in pain. He helps coach the hockey team his oldest son plays on. Wife is a dietician and so he eats healthy meals on a regular basis.
Risk Factors: He is a non-smoker, regular cholesterol levels, and normal blood glucose levels.
Physical Examination
General Appearance: Looks healthy, comfortable and has great colour in face.
Vital Signs: Blood Pressure = 123/82 mmHg in both arms, Pulse = 72 beats per minute, Respiration= 17 breaths per minute, Mass= 82 kg, Height = 70 in. (175 cm), BMI= 27, Waist Circumference = 34in.
Cardiovascular: No carotid bruits, no
INTERVIEW Mr. Skeeter Buck Medical record number: 123-45-678 Service date: September 8, 2011 DOB: August 8, 1975
Skeeter Buck is a 36 yr. old Caucasian male being seen for some testing before starting an exercise program to help improve exercise tolerance, muscle strength and range of motion in joints.
Medical History
Skeeter Buck has had 4 years of joint pain with some very severe occasions. He complains of stiffness in his wrists, hands, knees, and feet. The stiffness seems to last anywhere from 30 minutes to 2 hours in the morning. When his joints are sore he is very unstable and feels as though he has no balance. The joint pain does not occur on a regular basis but when it does, he tends to lose his appetite.
Medication: Cortisone shot (every 3 months), Aleve, Tylenol
Medical History: 4 years of joint pain. Recently symptoms worsened.
Family History: Grandmother and mother have rheumatoid arthritis and have had surgery. Grandma had a hip replacement and his mother had a knee replacement. Most of his family is overweight but there is no history of diabetes or heart disease.
Social Lifestyle: Married with 2 children and wife is pregnant with their third. Lives in North Bay where he is the manager at a bank. He walks with a cane when his ‘flare ups’ are bad.
Lifestyle History: Enjoys playing with the kids. He is as active as he can be without being in pain. He helps coach the hockey team his oldest son plays on. Wife is a dietician and so he eats healthy meals on a regular basis.
Risk Factors: He is a non-smoker, regular cholesterol levels, and normal blood glucose levels.
Physical Examination
General Appearance: Looks healthy, comfortable and has great colour in face.
Vital Signs: Blood Pressure = 123/82 mmHg in both arms, Pulse = 72 beats per minute, Respiration= 17 breaths per minute, Mass= 82 kg, Height = 70 in. (175 cm), BMI= 27, Waist Circumference = 34in.
Cardiovascular: No carotid bruits, no