Posted: May 1st, 2025

Week 7 Discussion Discussion Topic

Discussion 1

Tom,  a 26-year-old runner, came in to the office today complaining of  constant pain in the right ankle. While running his usual route, he  accidentally stepped on a branch lying in his path, twisting his ankle  inward. He denies hearing a “pop.” He was able to walk, or limp, the  remaining ¼ mile back to his home, where he immediately elevated and  iced the ankle for 30 minutes. He took two acetaminophen 325 mg,  showered and dressed for work, and drove to his place of employment. He  continued to experience significant pain in the ankle, worse when  walking. His foot became swollen. Since his job in a sporting goods  store requires that he be on his feet most of the day, he was unable to  continue his normal workday, and made a same-day appointment to be seen.  He has no chronic diseases, takes no medication, and denies recent use  of NSAIDs, as aspirin and ibuprofen cause him to have gastritis. He  sprained the ankle last year, but was able to manage that injury at  home.

Assessment

A  26-year-old, otherwise healthy male presents limping into the  examination room, holding his right shoe in his hand. He grimaces with  partial weight-bearing of the affected foot. He has local ecchymosis and  1+ edema over the anterolateral ligaments of the right ankle. Capillary  refill, pulses, and sensation of the foot and toes are intact. There is  no lateral or anterior instability of the joint or tendons. X-ray of  the ankle and foot are negative for fracture or dislocation. He has a  grade I lateral ankle sprain.

What pain relieving medications would you prescribe? Defend your choice.

How would your prescribe them?

1. What side effects should you educate the patient about?
2. Does the age of the patient influence what your choice?
3. Discussion Question 2
4. What organs are damaged mostly by taking NSAIDS? What patient  education would you provide to someone taking NSAIDS? What organ is  damaged by taking too much aspirin? What patient education should you  provide to a patient taking Aspirin? List 3 diagnosis for which you  would administer NSAIDS. List 3 diagnosis for which you would administer  Aspirin. What labs or diagnostic tests would you perform for a patient  who has consumed too much Aspirin and NSAIDS.