CASE STUDY 01 - Sam Rider

Mr. Sam Rider, age 46 years, came to the clinic complaining of pain in the lower inside part of his right leg, below his knee. He says he “fell about an hour ago while stepping off a curb” and that he is “afraid he broke his leg.” He is unable to place any pressure on this leg without the pain becoming worse. His past medical history is negative for a previous injury. Mr. Rider has a history of high blood pressure (hypertension) and has taken medication for it until about 5 months ago, when he stopped taking his medication because he felt “well.” Mr. Rider works as an auto mechanic, has no regular exercise pattern, and follows no specific diet. He smokes a half pack of cigarettes per day and drinks three cups of coffee a day. His family history is significant in that his father died of a heart attack at the age of 64 years and his mother is alive at age 72 years, with type 2 diabetes. Physical examination reflects an obese gentleman measuring 5 foot 9 inches in height with a weight of 235 pounds. His current blood pressure is elevated at 180/90, his pulse rate is normal at 80, and respirations are normal at 20.

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