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January 2021

Activities

ADRENOCORTICOSTEROIDS Brief History. E.M. is a 58-year-old woman with a history of rheumatoid arthritis. She has involvement of many joints in her body, but her knees are especially affected by this disease. Her symptoms of pain, swelling, and infl ammation are fairly well controlled by NSAIDs, but she does experience periods of exacerbation and remission.

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Private physical therapy

GASTROINTESTINAL DRUGS Brief History. M.B. is a 48-year-old insurance sales representative with a long history of back pain. He has had recurrent episodes of sciatica because of a herniated disk at the L5-S1 interspace. He frequently takes a nonprescription form of ibuprofen at 400 mg/dose to help alleviate his back pain. M.B. has a rather

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Physical interventions

RESPIRATORY DRUGS Brief History. V.C., a 63-year-old man, has a long history of COPD and hypertension. Twelve years ago, he was diagnosed with emphysema. During the past 5 years, his symptoms of shortness of breath, wheezing, and bronchospasm have become progressively worse. He is also a chronic cigarette smoker and has had a cough for

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Pulmonary infarction

CLOTTING DISORDERS Brief History. C.W. is an obese 47-year-old woman who sustained a compression fracture of the L-1 and L-2 vertebrae during a fall from a secondstory window. (There was some suggestion that she may have been pushed during an argument with her husband, but the details remain unclear.) She was admitted to the hospital,

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Dramatic decrease

Brief History. D.S. is a 67-year-old woman with a long history of congestive heart failure caused by myocarditis. She has been treated successfully with digitalis glycosides (digoxin [Lanoxin], 0.5 mg/d) for several years. Despite some swelling in her ankles and feet and a tendency to become winded, she has maintained a fairly active lifestyle and

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Stretching activities

ANTIARRHYTHMIC DRUGS Brief History. M.R. is a 48-year-old man with a history of coronary artery disease and cardiac rhythm disturbances. Specifi cally, he has experienced episodes of paroxysmal supraventricular tachycardia, with his heart rate often exceeding 180 beats per minute. He has been treated for several years with the beta blocker propranolol (Inderal). Taking this

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Computer programmer

ANTIBACTERIAL DRUGS Brief History. P.M. is a 40-year-old computer programmer/analyst and recreational runner. She typically runs 15 to 20 miles each week and occasionally competes in local 5- and 10-kilometer road races. Recently, she began to experience increased urinary frequency and a burning sensation while urinating and suspected she may have a urinary tract infection

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Physical therapist

DIABETES MELLITUS Brief History. W.S. is an 18-year-old woman who began experiencing problems with glucose metabolism following a viral infection when she was 12. She was subsequently diagnosed as having type 1 DM. Since then, her condition has been successfully managed by insulin administration combined with dietary control. Once-daily administration of intermediate-acting insulin combined with

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