RT Book, Section
A1 Jobst, Erin E.
A1 Panus, Peter C.
A1 Kruidering-Hall, Marieke
SR Print(0)
ID 1192820103
T1 Drugs Used in Gastrointestinal Disorders
T2 Pharmacology for the Physical Therapist, 2e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781259862229
LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1192820103
RD 2024/04/24
AB CASE  STUDYR.J.  is  a  63-year-old  woman  with  a  20-year  history  of  type  2  diabetes  mellitus.  The  patient  has  hyperglycemia,  hypertension,  and  hyperlipidemia  for  which  she  is  taking  metformin,  amlodipine,  benazepril,  and  atorvastatin.  She  has  a  history  of  neuropathic  ulcers  at  the  first  metatarsal  head  on  the  plantar  surfaces  of  both  feet.  The  most  recent  ulcer  achieved  full  wound  closure  5  months  ago.  Two  weeks  ago,  R.J.  was  diagnosed  with  gastroparesis  and  prescribed  metoclopramide  as  a  prokinetic.  Last  week,  the  healed  neuropathic  ulcer  on  the  first  left  metatarsal  head  reulcerated.  R.J.  was  referred  to  physical  therapy  for  wound  evaluation  and  possible  foot  orthotics  to  prevent  further  breakdown.