Common Case Studies

Question 1

Osteoarthritis

Answer 1

• Degeneration of the joints

- Most affects >65

Question 2

Osteoarthritis Tx

Answer 2

• Take paracetamol regularly
• Panadol OSTEO has sustained release and is suggested
• Topical NSAID 4 times daily can also be used if necessary

Question 3

Acute Soft Tissue Injury Tx

Answer 3

In first 48-72 hours
- Rest
- Ice 10-20min every 1-2hrs
- Compression
- Elavate above heart level
- Refer if pain persists
Paracetamol is first line with option of oral NSAID aswell

Question 4

Toothache

Answer 4

• Usually has inflammatory cause
• NSAIDs drug of choice
• Paracetamol +/- codeine if severe
• Should refer to dentist

Question 5

Period Pain (Dysmenorrhea)

Answer 5

• Destruction of endometrial cells - Release prostaglandins
• Vasoconstriction and muscle contraction
• Pain/Cramps

Question 6

Period Pain Tx

Answer 6

• NSAIDs drug of choice (reduce prostaglandin production in menstrual fluid)
• Start at onset of pain or 2 days prior and continue for first 2-3 of period

Question 7

Sunburn Tx

Answer 7

Local anaesthetics

• Available in topical sprays
• Avoids need to rub in which can be painful

Question 8

Fever with Vomiting Tx

Answer 8

Paracetamol suppositories

Question 9

Steps to Pain Relief

Answer 9

1. Non-pharm and/or paracetamol
2. +NSAID
3. +Opioid (eg. codeine)
4. Refer (S4)