Description
A 41-year-old male patient presents at the community walk-in clinic
with complaints of severe elbow pain radiating into the forearm. His
13-year-old daughter is serving as a translator because her father is
unable to speak English and understands only a few words in English. The
daughter explains that he has been taking Tylenol to manage pain, but
the pain is getting worse and is keeping him from working. You ask the
daughter to describe the type of work her father does, and you notice
she is hesitant to respond, first checking with her father. He responds,
and she translates that he works in construction. Based on the response
and the apparent concern, you suspect that the patient may be an
undocumented worker. Further conversation reveals that several members
of the family are working with the same local construction company.You suspect the pain reported as coming from the elbow and radiating
down the forearm is caused by repetitive motions, perhaps indicating
lateral epicondylitis. What can you do to confirm this diagnosis?While performing the physical examination, you ask the patient,
through his daughter, if he has reported this injury to his employer,
because the injury is most likely work-related. The daughter responded
without consulting her father that this is an old injury that happened
before he started working at his current place of employment. You could
tell that she was becoming more distressed. What is the most likely
explanation for her concern?Visual inspection reveals erythema around the affected area with no
evidence of overlying skin lesions, scars, or deformities. What other
assessments should you perform?How is lateral epicondylitis treated?When discussing possible treatment approaches, you notice that the
patient is very worried and seems to suggest to his daughter that they
should leave. The daughter begins trying to explain why they have to
leave right away. What would you tell the patient and his daughter to
help them feel comfortable staying for treatment?Submission Instructions:Your post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.No AI Submissions
