In same studies it showed that among the subjects between 25 and 74 years of age, the prevalence of knee symptoms such as pain, swelling and morning stiffness increased with age and knee pain was slightly higher among women compared to men (Hannan et al, 2000). Knee pain is very likely a health problem with tremendous health care costs, despite the lack of direct cost estimates. In 1996–1997, more than 6 million Americans sought medical care for knee problems (Peat et al
Effective communication is essential in the accurate assessment of pain. Health professionals should take the time to speak and to the patients, listen to them as individuals to answer and duly take into account the limitations in communication. That people may have, for example, numbness or other language barriers. While patients report pain or do not wait until it has reached a serious level because they believe that the employee is "too busy"(Gray, 2005 Mackintosh 2005) The evaluation of effective pain must identify if the patient has other conditions that can be responsible for causing pain, for example, some patient conditions may have such arthritis or rheumatoid arthritis, chronic or acute pain, which leads to more caused by surgical
Alkaptonuria is a metabolic disorder of tyrosine and phenylalanine metabolism in which there is absence of homogentisic acid oxidase whose deficiency leads to excessive accumulation of homogentisic acid in urine resulting in black color of urine on standing. The disease is usually diagnosed in adults but a few cases in childhood have been noted because of black discolouration of diapers. Homogentisic acid thus accumulates in cells and body fluids and its oxidized polymers bind to collagen leading to progressive deposition of grey to bliuish black pigment which leads to degenerative changes in cartilage,
Osteoarthritis is the most common arthritis. It is an incurable condition which affects your joints. The surface within the joints become joints become damaged which stops the joints moving smoothly.  The symptoms of this are:
When it comes to working in the medical field it is important to understand all the terminology that comes to the procedures and tests. Some of them are easy to remember with simple abbreviations, then there are others that require that the full name be used do describe what has taken place. When it comes to the musculoskeletal, eyes, ears, skin, lymphatic, and endocrine systems they all have very unique names and abbreviations so that the chart tells a story of what has happened to the patient. As we read further I will explain different things that can take place while each of the systems listed so that we can better understand some of the procedures and test that take place.
This scenario is of a 64 year old female who has retired from working in a factory. At one time she smoked and as an adult reports being overweight most of the time. She is experiencing hand stiffness and pain. She reports using tobacco as part of her history. There are five differential diagnosis that can be operating with these circumstances. The first differential diagnosis is osteoarthritis (OA). This health condition is known to have symptoms that include pain and stiffness. According to Watt (2015), women have special consideration for hand osteoarthritis due to menopause. This is a 64 female who has these considerations. The second differential diagnosis is cardiovascular disease which is appropriate for a 64 year female. According to Shirato and Swan (2010), women are at risk for cardiovascular disease as their symptoms are subtle compared
Rheumatoid arthritis (RA) materializes when the immune system has an overreaction making rheumatoid arthritis an immune-mediated disease. Although rheumatoid arthritis can happen in many species, even humans, this report will focus on the impacts in canine. To understanding rheumatoid arthritis one needs to know the cause of the disease, the disease process, the anatomy of the canine it affects, signs you might see in the animal, the ways to test for rheumatoid arthritis, the treatment for rheumatoid arthritis, and finally the long and short term expectations for the canine.
Osteoarthritis (OA) is the most common chronic condition of the joints. It can affect any joint but occurs most often in knees, hips, lower back and neck, small joints of the fingers and the bases of the thumb and big toe. Osteoarthritis is a chronic
This condition is diagnosed based on your symptoms, a physical examination, and your medical history. Your health care provider may do some range of motion exercises with you. You move your leg in specific ways, sometimes with your health care provider pushing against your leg. You may also have tests, such as an MRI or X-rays.
MRI of the right knee obtained on 05/23/14 revealed a complex tear of the posterior horn at the medial meniscus, cleavage tear of the anterior horn and myxoid change of the body. On the lateral meniscus, cleavage tears of the anterior and posterior horns and myxoid change of the body are noted. Semimembranosus tendinosis is seen. There is Pes anserine “bursis.”Grade 1 chondromalacia patella is demonstrated, primarily at the medial facet. There are medial femorofibial osteoarthritis and enthesophyte, superior aspect of the patella.
Clinical Decision Rules are a set of guidelines for clinicians to evaluate the need for radiographs avoiding unnecessary radiation exposure and ruling out the possibility of fracture. It is important to mention that before Clinical Decision Rules were established most patients were exposed to radiographs many of them getting negative reports and costing unneeded time and money. In addition of those three important Clinical Decision Rules ‘benefits, we cannot forget the opportunity provided by them for consistency in care. I intend to discuss the Clinical Decision Rules for the knee/ankle/foot applicable to the pediatric population.
US has shown valuable results in the evaluation of the normal and pathologic anatomic structures of the ankle and provides an imaging
This week I have seen a very interesting case at the Vine Clinic. A 17-year-old female who came in with her mother had a chief complain of joint pain and a severe headache uncontrolled by Ibuprofen. She has recently seen in the ER for joint pain. I observed my preceptor conducted a thorough history and physical exam. She started joint pain on the right side of her knee and then the pain migrated to the left side of her body and affecting all the major joints. Her other symptom is vomiting and the mother also stated that her daughter’s body felt warm to touch. From her past medical history, we learned that this patient has had generalized hives 4-5 times per year, and the etiology has not been identified. She also had a bundle branch block 10 years ago. Her ER report
Different type of arthritis can also lead to this condition such as osteoarthritis and rheumatoid
However, with osteoarthritis, it also causes a breakdown of cartilage in joints. It commonly occurs in the hips, knees, and spine. It normally affects joints with previous injury, excessive stress, or an underlying disorder. The symptoms of osteoarthritis include joints aching or sore, pain after overuse, stiffness, bony enlargements, and joint swelling. Doctors will normally confirm you have it by taking an X-ray of the joint an individual has been complaining about. It is normally treated by exercise, weight loss, medications, and physical