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Instructions: Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals, and other team members needed to complete patient care.
A 54-year-old male presents with pain to both feet, with swelling to his right big toe. He has a temperature of 100, and also complains of hand pain. The patient states that he has had pain in his feet before. His wife usually gives him ginger tea, and it goes away in a day or two, but it hasn’t helped this time. Your assessment demonstrates a tender and swollen right first MTP with redness and pain throughout the midfoot. There is also pain to the left midfoot. The patient also has a history of essential hypertension and takes HCTZ 25mg daily.
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