HIS IS 8 PAGES ASSIGNMENT EXCLUDING REFERENCES AND MUST BE ASSIGNED TO R AKHUSAMA

The final case analysis allows the student to demonstrate a thorough but directed clinical history, with initial hypothesis generation and subsequent testing through specific questioning, selection of a primary diagnosis and differential diagnoses in order of likelihood, physical examination directed at gathering further data necessary to confirm or refute the hypotheses, thoughtful and critical selection of investigations to gather additional data such as appropriate diagnostic studies and implementation of a targeted and rationalized management plan that considers the holistic patient and includes appropriate medication selection.

Case

John Smith is a 50 year old Native American Male who presents with chest discomfort described as burning under the sternum. He has a history of Hypertension, Hyperlipidemia, Hypothyroidism, Diabetes Mellitus Type II and a sore on the right lower extremity draining purulent exudate He was last seen in the clinic one year ago. He has no current medications available. He states he ran out a few months ago.

Complete the final assignment with a page limit of 8-10 pages (Excluding Title, Reference, and Appendices). Utilize APA format. It is expected that there will be at least five current evidence based sources in this scholarly paper.