What are the health risks associated with taking ibuprofen for an extended period
What are the health risks associated with taking ibuprofen for an extended period.
Case Scenario
G.W., a 34-year-old African American man, presents with increasing right knee swelling. He states that the swelling has gotten worse over the past two weeks and on presentation is now having difficulty ambulating. He reports taking over-the-counter ibuprofen 200 mg tablets at least 4 to 8 tablets per day for nearly 1 year for persistent back and knee pain. He has not seen his primary care physician (PCP) in nearly 2 years. G.W. also complains of weakness, fatigue, decreased urine output, and joint pain and stiffness. He also tells you that when he does urinate, it looks “rusty.” His vital signs are as follows: BP 210/100, P 86, R 24, T 98.7° F (37.1° C).
- What are the health risks associated with taking ibuprofen for an extended period?
- What specific questions would you ask G.W. based on his reported symptoms?
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