DOI: 5/22/2000. Patient is a 52-year-old female stitcher operator who sustained injury while she was pushing load onto a stitcher when she strained her right shoulder, wrist elbow, and neck. She underwent exploration of cervical fusion at C5-T7 with anterior cervical discectomy with fusion at C3-C5 on 12/13/11 and implantation of new implantable pulse generator (IPG) and spinal cord stimulator unit on 09/17/14. Based on the latest medical report dated 01/29/16, the IW presents for follow up of neck and shoulder pain. IW complains of increased pain and swelling in her neck, supraclavicular, clavicular and trapezius areas bilaterally, worse on the right.
A 50-year-old female patient undergoes an Esophagogastroduodenoscopy with dilation of the esophagus over a guide wire at same operative episode. a.) 43453, 43235-59 b.) 43226, 43235-59 c.) 43248 d.) 43456, 43235 17. A 31-year-old male patient developed an inclusion cyst on the left side of his next that required excision.
DOI: 1/16/2014. Patient is a 48-year-old female price checker who sustained injury while she was locking cabinet when the fixture and monitor fell off and hit her in the head. Patient had a head contusion. Per PT notes dated 03/13/14, the IW has attended 5 sessions for the neck. Based on progress report dated 05/23/14, the patient reports of continued dull aching pain and burning sensation into the cervical spine.
Plaintiff, Orleda Lee Harris previously worked as a secretary for the Klamath County School District. On January 27, 1981 the plaintiff had a post-partum tubal legation. February of 1982, plaintiff injured her right figure during an assault. She had been squeezed around her neck. The doctors also examined plaintiff’s cervical spine, which revealed a normal alignment.
DOI: 07/17/2013. This is a 25-year-old female cashier who incurred injury to her low back when she missed a step and fell off a ladder while stocking sleeping bags. MRI of the lumbar spine dated 10/03/2013 revealed broad based central disc protrusion at L4-L5; moderate discogenic edema along endplates at L4-5; and broad bulge with a central annual tear at L5-S1. CT scan of the lumbar spine dated 01/08/2014 revealed that at L3, bilateral pars interarticularis defects are seen with sclerotic margins. The vertebrae at L3-4 are normal in present on the prior MRI.
Review # 259374 Lucila Fernandez DOI: 03/28/2016. This is a 52-year-old female housekeeper who sustained an injury when she lost footing and twisted her right knee before completely falling 2 flights of stairs. The patient was subsequently diagnosed with meniscal tear. MRI of right knee without gadolinium dated 4/23/16 revealed there is a high-grade sprain of the ACL; there is a low-grade sprain of the MCL; there is a vertical oblique tear through the body of the medial meniscus with underlying chondromalacic change and subchondral edema; and mild to moderate chondromalacia of the patella. As per medical report dated 4/26/16, patient’s presenting problem started 14 days ago.
CC Mrs. Newcomb is a 51-year-old female here today complaining of abdominal pain. HPI The patient tells me that she has trouble with abdominal pain on and off for several years. She, a little more than a year ago, went through an extensive evaluation with William E. Maher, MD in gastroenterology for abdominal pain and ultimately was told that this was likely IBS. She says at that time, she underwent evaluation with an ultrasound, HIDA scan, laboratory studies. She previously had a colonoscopy prior to that in 2009.
This is a 42-year-old female with a 2/7/2015 date of injury. A specific mechanism of injury has not been described. DIAGNOSIS: low back pain; Lumbago with sciatica right side; Myalgia 12/01/15 follow-up visit identified lower back pain. Patient rates the pain as 7/10. The pain is characterized as burning.
This disease is especially concerning for the elderly population. Among those killed was 68 year old mother and grandmother, Bertie Marble. On her second trip to the Flint Medical Center, Marble weakly told her daughter that she “didn 't know what was wrong.” She stayed in the hospital for weeks and died there after her heart had stopped twice. Although her death certificate read “cardiac arrest brought on by septic shock due to pneumonia”, deeper in her medical records legionella is mentioned multiple times. The legionella bacteria made its way into the hospital’s water system and had been infecting patients and others living in Flint.
Genu Recurvatum, otherwise known as back knee, is hyperextension of the knee. Hyperextension of the knee occurs when the knee joint passes more than 180 degrees. When this happens, the knee can usually pass about 10 to 15 degrees more than the standard degree (Anonymous, 2015). Here, the femur bone leans on the anterior part of the tibia instead of being balanced out (Loudon, Goist, Loudon, 1998). This could cause damage to the soft tissue around it, and increased stress on the knees.
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.
The patient is an 84-year-old female who had a history of a fall approximately 2 weeks ago. She was seen in the ED at St. Joseph 's in Wayne at which time she had right hip and pelvic x-rays and also a CT of the of the hip. There was some question as to whether she had developed a fracture or dislocation of a previous hip prosthesis. The patient was in excruciating pain and was having difficulty ambulating. Her medical history is significant for diabetes mellitus, hypertension, Alzheimer 's disease, right hip fracture surgery back in January 2014.
Current meds included morphine, amlodipine, maxzide, ecotrin, halfprin, testosterone injection, Suboxone, Norco, dyazide and alprazolam. The exam revealed normal gait. There were scars noted on both knees. He can flex knees to about 120 degrees. Treatment plan: Suboxone and UDS/CURES.
IW was diagnosed with left posterior tibial tendon dysfunction/tendinosis with valgus deformity of the left heel as a result of the posterior tibial dysfunction, status post left foot reconstruction, posterior tibial tendon using flexor digitorum longus tendon transfer and left calcaneal osteotomy 05/24/11 and status post surgery on the left foot 10/15/13. Treatment plan includes x-rays of the left ankle and referral back to Dr. Ghalambor for consultation regarding his increased left ankle pain. Current request is for 1 X-ray of the Left Ankle between 3/23/2016 and