a 58-year-old obese white male presents to ED with chief complaint of fever, chills, pain and swelling in the right great toe

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a 58-year-old obese white male presents to ED with chief complaint of fever, chills, pain and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical exam reveals exquisite pain on any attempt to assess the right first metatrasophalangeal joint. Past medical history positive for hypertension and type 2 diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metbolic panel normal. Uric acid level 6.7 mg/dl.

In your case study analysis related to the scenario provided, explain the following:Both neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms. Any racial/ethnic variable that may impact physiologic functioning. How these processes interact to affect the patient.