All fragments less than 4 mm were considered clinically insignificant residual fragments (CIRF). The patient’s demographic data, stone characteristics, stone fragmentation method, intraoperative assessment of stone fragmentation, complications (Clavien-Dindo), operating time, hemoglobin drop and length of hospital stay were prospectively studied. A complete stone-free status or CIRF at 1 month was accepted as the criterion for final clinical success.
DOI: 4/25/2014. The patient is a 37-year-old male laborer who sustained a work-related injury to his wrist, left elbow, ribs, and head when the ladder he was on collapsed. MRI of the right knee obtained on 01/26/16 revealed the following: medial meniscus: Grade 2 mucinous change, posterior horn; discoid lateral meniscus; anterior cruciate ligament (ACL) partial tear; medial cruciate ligament (MCL) thickening due to sprain or stress change; 1.5 cm osteochondral lesion at the medial femoral condyle with differential diagnosis that includes osteochondritis dissecans versus old osteochondral impaction fracture; medial femorotibial joint space narrowing; and Patella chondromalacia grade 1/2.
Phil Bury is a 64-year-old man with a history of chronic cough, moderate sputum production and breathlessness on exertion. He has had several hospital admissions with exacerbations and chest infections in the past three years. He was employed as an electrical engineer until three years ago when he was forced to retire due to ill health.
Gait pattern: I. Due to conditions like spasticity and contractures the hip range of movement decreases and causes the hip to slightly excessively flex during the gait cycle.\ II. Due to hip abductor weakness, the patient acquires trendelenburg gait. Imagery diagnosis 1. X-ray: it done to check if theres a decrease in height of the disc, sclerosis, hypertrophy, etc 2.
Neck pain is a common occurrence affecting 10% of general population at least once during their lifetime(1). The occurrence rate of neck pain is 50-70% among individuals and 5 years after the onset of symptoms approximately 60% of patients experience chronic pain which lead to severe disability(2,3).Mechanical neck pain is a common classification of neck pain also called non- specific neck pain without specific underlying cause(4).Mechanical neck pain is defined as generalized pain in cervical spine or shoulder area with musculoskeletal and functional symptoms( e.g. decreased ROM, decreased work tolerance, impaired muscle coordination, stiff joint , pain and tenderness in neck region) exacerbated by neck postures, neck movement, or palpation of cervical muscles(5)(6).Mechanical neck pain affects 30-50% of both male and female at any given times leading to muscular, joint and neural impairments(7)(8).
This particular patient could probably have been benefitted with the placement of an epidural catheter. However 48 hours down the line the dynamic and static VAS were reduced and patient could be managed with NSAIDS. Conclusion SAM block can be utilized as a good alternative to provide analgesia to the lateral part of thorax. It can be used in perioperative, intensive care, emergency settings with good efficacy and helps in reducing pain as well morbidity of the patients in term of early weaning and early
The 155 assessment items of FMA is designed to evaluate the improvement of physical function in stroke patients, whereas the recommended test to measure mobility function is the Timed Up and Go Test (TUG), which has been widely used in stroke patients. Timed Up and Go Test (TUG) activity measured simultaneously and in execution time is calculated, a score refers to the limited mobility function (Sanford et al, 1993; Hershkovitz and Brill, 2006; Faria et al, 2012). Therefore, it is hypothesized that physical performance (based on Fugl Meyer Assessment) has inverse correlation with mobility function (based on Timed Up and Go Test) in ischemic stroke outpatient, and conducted the present study to know if there is a relationship between physical performance (based on Fugl Meyer Assessment) and mobility function (based on Timed Up and Go Test) in ischemic stroke outpatients.
The literature states the most common complication to be pneumothorax. In our study the incidence of pneumothorax is16% (11 cases) none of which required placement of chest drainage tubes. The incidence of pneumothorax in studies performed by Lee and Sagel13 is 23-43%, Dennie et al 14 is 22.9%, Simpson RW et al15 is 32%, Poe RH et al16 is 27%, Allison DJ6 is 24%, Swischuk JL et al10 is 26.9%, Miller JA et al12 is 7% and Counes DJ 17 is 18%. The incidence of hemoptysis is 3% in our study which also correlates with Lee and Sagel13 and Simpson RW et al 15 studies where the incidence was < 5%.
DOI: 12/18/2014. The patient is a 56-year old male route sales representative who sustained a work-related injury to his lower back due to slip/fall on black ice while walking from his truck. As per OMNI entry, he was initially diagnosed with lumbosacral sprain. MRI of the Lumbar Spine without Contrast dated 01/23/2015 showed lumbar spondylosis at L1-2 though L5-S1 discs. At L4-5, there is a 4-mm posterior osteophyte-disc complex more prominent laterally and on the left side.
Some signs that a patient may have right sided heart failure are: shortness of breath, swelling of feet and ankles, JVD. This is often diagnosed by a EKG, or a chest xray. There are a few ways to determine if a patient has carpal tunnel. The Phalen 's sign is a common test used to do this the provider will have the patient hold your elbows at shoulder level and place the backs of your hands together with your wrists bent at 90 degrees. Hold this position for 60 seconds.
Review # 258421 william Rose DOI: 4/24/1991. DOI: 4/24/1991. The patient is a 72-year old male truck driver who sustained injury to his back as a result of driving the truck over a rut on the road. The patient was subsequently diagnosed with lumbar spondylosis, lumbar degenerative disc disease, other specified postprocedural states, and lumbago.
DOI: 5/23/2016. Patient is a 48-year-old male sales employee who sustained injury due to a car accident. Per OMNI, he was initially diagnosed with cervical and left shoulder sprain/strain. Based on the latest medical report dated 07/15/16, the patient notes his neck pain radiating to his left upper extremity is now described as 5/10 in intensity and notes the associated tingling on his left arm is now worse.
DOI: 4/16/2012. Patient is a 29-year-old male technician who sustained injury when he was 25-feet up on a ladder when the ladder slid and he fell onto the pavement. He had an open reduction internal fixation (ORIF x 2) for a compound tibia fibula fracture and had hardware removal in 4/25/2013. MRI of the lumbar spine performed on 3/24/2016 revealed L5-S1 small right paracentral disc protrusion without significant spinal canal stenosis or neuroforaminal narrowing.