Hypertension and Type II diabetes mellitus
Hypertension and Type II diabetes mellitus
A 58-year-old overweight white male presents to ED with chief grievance of fever, chills, ache, and swelling in the fitting nice toe. He states the signs got here on very immediately and he can’t put any weight on his foot. Bodily examination reveals beautiful ache on any try and assess the fitting first metatarsophalangeal (MTP) joint. Previous medical historical past optimistic for hypertension and Type II diabetes mellitus. Present drugs embrace hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC regular aside from elevated sedimentation charge (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel regular. Uric acid stage 6.7 mg/dl.
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Type II diabetes mellitus and hypertension
Type II diabetes mellitus and hypertension
A 58-year-old overweight white male arrives on the emergency division with the most important grievance of fever, chills, ache, and edema in the fitting nice toe. He claims that the signs struck him rapidly and that he’s unable to place any weight on his foot. Any try to look at the fitting first metatarsophalangeal (MTP) joint leads to excruciating discomfort. Previous medical historical past optimistic for hypertension and Type II diabetes mellitus. Present drugs embrace hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC regular aside from elevated sedimentation charge (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel regular. Uric acid stage 6.7 mg/dl.
