DOI: 6/10/2014. Patient is a 63-year-old female assistant store manager who sustained injury when she twisted her right ankle while coming out of the back room. As per OMNI notes, she was initially diagnosed with right ankle sprain. MRI of the right ankle done on 1/19/16 showed chronic Achilles tendinitis without evidence of tear and without evidence of posterior tibial tendon tear. Per IME report dated 4/15/2016 by Dr. Shankman, the patient has not reached maximum medical improvement.
On examination of the lumbar spine, it appears straightened with a 30% decrease in range of motion. There is tenderness to palpation bilaterally at L3 through S1 paraspinal muscles facet joint. Extension, lateral bending and rotation causes more pain. Straight leg raise testing is positive bilaterally, more on the right side, at 50 degrees. Sensation is decreased to light touch and pinprick at L5
One group received reflexology treatment while the other only received non-specific massage. Participants were then interviewed to complete a questionnaire. The intensity of their pain was also measured using a Numerical Analogue Scale to compare the levels before and after the interventions. The study found that reflexology is extremely effective at reducing the severity of chronic back pain and the reductions were significantly higher than those of the participants in the non-specific massage group
Omnicell system ensures the patient safety by reducing the mistake of medication and it improves patients care by reducing nursing administration time. A clinical study showed that Omnicell system can increase the efficiency of nursing workflow. As part of the study, 122 nurses were surveyed about their attitudes and experiences with Omnicell solutions compared to the previous system deployed at HUMC. nurse satisfaction regarding on many workflow factors, including Efficiency of medication administration, Effectiveness in reducing medication errors, Ease of use for checking medication orders before administration, and Availability of
CAT Assignment: Citation: Guler-Uysal F, Kozanoglu E. Comparison of the early response to two methods of rehabilitation in adhesive capsulitis. Swiss Med Wkly. 2004 Jun. 134: 353-358 Brief Description of patient: Patient is a 50 year-old female who was just diagnosed with adhesive capsulitis. Patient has noticeable restricted range of motion and has ranked her pain a 7/10 on the visual analog scale.
Type 1 polio or sub-clinical does not affect the nervous system. Symptoms include headache, sore throat, mild fever, vomiting, genaralized aches and discomfort similar to the flu. This form makes up approximately 95% of all polio infections. It is the most mild form of the disease and a patient usually recovers in 72 hours. Type 2 polio or non-paralytic polio is more severe and also includes fever, sore throat, headache, vomiting and fatigue, but also involves abnormal reflexes, difficulty swallowing/breathing, back and neck pain with stiffness, arm and leg pain or stiffness, and muscle tenderness and spasms.
Though biofeedback has been described as a useful therapeutic intervention in patients with pelvic floor disorders like incontinence or constipation, it will not be inappropriate to discuss it in this chapter as few functional anal pains like the levator ani syndrome have been found to be relieved with biofeedback therapy. The concept of biofeedback is that patients with disordered defecation are unable to respond appropriately to the stimulus of rectal distension. With incontinence, contraction of the external anal sphincter (EAS) is impaired, and with obstructive defecation, relaxation of the EAS is impaired. To defecate properly, patients must relearn the sensation of rectal distension and how to respond appropriately. During
Positive Spurling and Foramina Compression tests are demonstrated. There is tightness and spasm at the trapezius, sternocleidomastoid and strap muscles, bilaterally. On examination of the lumbar spine, palpation reveals hypertonic muscle spasm in the paraspinal musculature noted bilaterally. Palpation reveals tenderness of the left and right sacral iliac joint with active trigger points on the left and right gluteus muscles. Straight leg raise is positive bilaterally at 65 degrees with L4-5 and LS-S1 dermatome distribution.
Clinically, Oxymetholone was made to correct muscular wasting ailments and also bone weakening conditions. It is generally approved for anaemia, osteoporosis and AIDS. The first time I tried using Nap 50, I felt the positive results of steroid cycles. I lose weight, and from 211 lbs. to 196 lbs.
Saloojee, and this patient was to be discussed. Stephanie gave an update on the patient and gave me a lot of credit for ordering new tests to confirm our suspicion of factitious diarrhea. I really felt welcomed and appreciated for the week to come. Other concerning things on the differential were motility issues, even though she had gastric motility testing come back normal, and colonoscopy with biopsy, despite being previously negative. Now, it could have been an issue with dysmotility in the small bowel, but there are no good tests for that, so the team ordered a capsule-endoscopy to check the entire length of her alimentary canal and measure the time it took from mouth-to-anus, which would clue us in on motility issues.
DOI: 1/23/2016. Patient is a 21-year-old female housekeeper who sustained injuries to her head, neck and back when the elevator from the third floor dropped to the first floor. Per OMNI, she was initially diagnosed with neck and back sprain and headache. Based on the progress report dated 03/29/16, the patient presents for follow-up of her cervical and lumbar strain. She feels slightly better.
The doctors also examined plaintiff’s cervical spine, which revealed a normal alignment. Although, there was some straightening of the curvature suggesting a muscle spasm. In September of 1985, the plaintiff was rear ended. She suffered a sore neck and soreness in the right shoulder. In April of 1992, the plaintiff was in a motor vehicle accident suffering right leg and groin pain.