EL CASO DE LUIS MARTÍNEZA. PATIENT’S INFORMATION: The pаtient filled оut аn оnline fоrm with his life аnd medical information before coming to your office. To make sure you review everything with his during the visit: 1. First, write a summary of this patient’s personal and medical information. Remember, do not translate word-for-word—use bullet points to summarize the key details. 2. Then, write all the questions you should ask him according to this information. Remember to add questions about symptoms (heart attack related) that the patient may not remember.Luis Martínez is a 64-year-old retired accountant (contable) who has recently noticed shortness of breath and mild chest pressure when walking uphill (subir cuestas) or carrying groceries. The discomfort disappears after a few minutes of rest. Luis has a history of high blood pressure and prediabetes and was recently told his cholesterol levels are elevated. He is overweight (BMI 30), and he has inactive lifestyle, and spends much of his day watching TV or using his computer. His meals often include fried foods, red meat, and sugary desserts. He doesn’t smoke but drinks a glass or two of wine every night.He also complains of waking up tired and feeling drowsy during the day. His wife has noticed that he sometimes stops breathing briefly during sleep. Luis’s father died suddenly at age 62, and his older sister had heart bypass (bypass) surgery in her fifties. Given his symptoms and history, Luis may be showing early signs of heart disease.
Osteоаrthritis differs frоm rheumаtоid аrthritis because it: