In this case study report, the format should be as follows: Include all answers to the questions in your report. Include word counts for each question Each answer should follow sequentially by question. Files should be submitted as portable document formats (.pdf). A submission in any other format will not be accepted, please ensure that you have the correct format before submitting your assignment. References should be formatted using APA. Note: in-text citations are required and should be formatted accordingly but DO NOT count towards your word limits. Case study desсrіption: “Steve is a 68-year-old male (he/him) retired computer engineer who is experiencing right shoulder pain after falling off a ladder 3 days ago while cleaning out the eavestrough gutters of his home. Steve was brought to the hospital by his wife and presents with localized swelling, weakness, decreased range of motion, and has pain on palpation of the anterior right shoulder. His pain is increased when he tries to move his arm by initiating external rotation and abduction. Steve’s major complaint is that he is unable to comb his hair and brush his teeth without pain as he cannot hold his arm in an elevated position for more than a few seconds. When he tries to lift his arm up, he must use his opposite hand to help him lower it down to avoid severe pain. At the hospital, the doctor ordered an x-ray and gave him an injection of local anesthetic. The x-ray did not show any significant findings and the anesthetic relieved his pain but did not help with the weakness.” Case Study Questions: 1. Explain the possible anatomical structures that were affected by the injury and how each relates to Steve′s presenting symptoms and test results. Be specific with what structures are at fault (250 word maximum). 2. Identify and explain three differential diagnoses (diseases or conditions that present similar signs and symptoms that could possibly account for the patient′s symptoms) with appropriate justifications. After describing your three differential diagnoses, indicate the most likely diagnosis based on your analysis and provide rationale and support for your selection. (250 word maximum). 3. From an anatomy point of view: a) Propose a management plan for the most likely diagnosis. This should include the treatment options you would implement given your patient′s presenting symptoms. You should provide short- and long-term goals for the patient and a timeline on when you would implement each treatment. There may be several possible treatments you could prescribe your patient. Include support, justification, and evidence for your prescribed treatment(s) and management plan. b) Explain the effects of your management plan for your patient′s condition. From the management plan you′ve proposed, what effects will each treatment have on the patient′s anatomy? Include any positive and negative effects this plan may have on the patient.
