Scenario 1: Gout
A 52-year-old obese Caucasian male presents to the clinic with a 2-day history of fever, chills, and right great toe pain that has gotten worse. Patient states this is the first time that this has happened, and nothing has made it better and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. Past medical history positive or hypertension treated with hydrochlorothiazide and kidney stones. Social history negative for tobacco use but admits to drinking “a fair amount of red wine” every week. General appearance: Ill appearing male who sits with his right foot elevated. Physical exam remarkable for a temp of 101.2, pulse 108, respirations 18 and BP 160/88. Right great toe (first metatarsal phalangeal [MTP]) noticeably swollen and red. Unable to palpate to assess range of motion due to extreme pain. CBC and Complete metabolic profile revealed WBC 14,000 mm³ and uric acid 8.9 mg/dl. The APRN diagnoses the patient with acute gout.
1 of 2 Questions:
Describe the pathophysiology of gout.
<Type your response here>
 
2 of 2 Questions:
Explain why a patient with gout is more likely to develop renal calculi. 
<Type your response here>

What impact will COVID 19 have on our community? Doesn’t have to be all negative impacts also- for example, at the end of this, will telehealth appointments become somewhat of the norm for primary care?

Topic: Women’s Health: Preeclampsia in Pregnancy

Final Paper:

The final paper should include an introduction of your public health topic, and its prevalence in society. It should also include information about the intervention that you chose as well as information on the success or failures surrounding that intervention and suggestions for improvements. The paper should be 10-15 pages double spaced, Times New Roman Font, 12pt. The reference page is not included in the page count and must include at least 5 peer-reviewed journal articles (These articles can be ones that were used during the course). Present on a public health issue and intervention of their choice. They will provide background information on the public health issue and explain why it is relevant and/or prevalent. They will also determine if some of the factors discussed throughout the course (i.e. urbanization, vulnerable populations, health disparities, social determinants of health, public health ethics, health literacy, etc.) were major factors in the development and implementation of the intervention that they choose to highlight. The groups or individuals will prepare a presentation of their information as well as a paper to depict their findings.