Patient M

Patient M.K. is a 40 yg Asian female, who presents to her family care provider with generalized aches and pains and excessive fatigue that interrupts her daily routine. This has been going on for a few months. When asked about pain, she says it’s worse in her elbows, knees, and neck. She has tried applying both warm and cold therapies without relief. When the weather gets cold, she reports the pain worsens as well as when she’s immobile. Past Medical History: Migraines diagnosed 10 years ago History of sleep deprivation Traumatic left elbow dislocation, age 38 Pertinent Family History: Mother alive -95 years with a history of rheumatoid arthritis, diabetes, tuberculosis Brother alive and healthy at 64 years Father alive and bealthy at 88 years Sister alive – 60 years with a history of rheumatoid arthritis, fibromyalgia Sister alive – 56 years with a history of lupus Pertinent Social History: Kindengarten teacher for 15 years Hobbies include running, working out, and baking