1. Provide the diagnosis * 2. Provide the pathophysiology for this diagnosis * 3. What is the Incidence and prevalence in United States for this diagnosis * 4. What are the risk factors for this diagnosis * 5. Provide treatment * 6. Provide the prognosis for the diagnosis at hand *
History of present illness:
Patient is a 32 year old male presents to an outpatient clinic with localized stiffness and as mentioned in his chief complaint, “achy pain” of his right elbow for the last 2 months. Patient indicated the tenderness intensifies while playing tennis (he plays tennis regularly with friends 2-3 times a week) and when he does gardening around the house.
Past medical history
GERD
Family history:
Father has high blood pressure and mother has Lupus.
Social History
Drinks alcohol socially, mostly beer with friends (no more than 2 beers per occasion).
No tobacco or recreational drug history.
Allergies
Peanut butter
Medications
Multivitamins
Ibuprofen 400 mg when needed.
Key Labs, images, or procedures performed in relation to current diagnosis.
Elbow X-Ray: Normal. No calcium deposits in tendons.
MRI: Normal. No tears or injury to soft tissue.
EMG: Normal. No nerve compression.
Elbow Ultrasound: Showed swelling of the bursae.
Key Physical Examination findings:
Direct pressure on the affected area causes pain as well as gripping an object, shaking hands with the doctor, an even opening the office door.
Extending patients wrist and fingers caused pain.
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