You are now tuning in to the MPTE clinical files to mock MPTE-based questions told and solved

by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, the MPT prep coach,

the founder of the PT Hustle and the creator of the MPT Prep Success coaching program.

And if you would like a free cheat sheet that goes along with this specific

question, tune in to the end of this episode. And I'm going to give you more information on how to

get that. All right. So for our next MPT clinical file, we have our patient Barry. And Barry is a

construction worker with mild back pain and acute onset of gout affecting his first

metatarsal pharyngeal joints.

The patient complains of significant back pain during lifting activities at work.

Which are the following recommendations will the patient find the most problematic? So we have A, squat lift maneuver

with a wide basis support. B, lunge lift maneuver with the box held close to the body.

C, golfers lift maneuver with single arm supported and d is standing pivot technique all right so let's go up

to the top as we normally do and check out our patient we got barry and he's this construction worker

makes sense all that's pretty straightforward now he has mild back pain all right

and that's nothing that we're we're too crazy about right we know that our patients tend to get back

pain there's nothing crazy but the one thing i want to make known is that we don't know what type of

back pain he has like we don't need to assume anything we don't need to assume that this is spinal nose we don't need to do that right now we don't have to assume anything. We don't need to assume that this is spinal snows. We don't need to do that right now. We don't have that information. Now as it continues down, it says, and an acute onset of gout affecting his first metatarsal philangeal joints. All right. Now, if you're not too familiar with gout, you need to be for the MPTE. It's really important. It's one of those conditions that comes up in patients who tend to be male. There tend to be over 30. They have possibly excessive use of alcohol, but there's other reasons why they can get it. It could be hereditary or it could be, you know,

just this excessive increase of uric acid in the bloodstream. All right? And that could be

because of the food that they eat. Again, it could be because their kidneys aren't filtering

out the uric acid very well. All right. And so it can create this hyper uric acid situation where there's a lot of uric acid in the bloodstream

now why is that important what's important because the uric acid it can settle in specific joints of the body

all right and it turns into these crystals that actually it's kind of like you have an ice picks

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