Lasegue Case Studies
DOI: 6/10/2014. The patient is a 38-year-old male assistant lead who sustained a work-related injury to his low back after lifting a 50-pound bag of soy crisp. Based on the progress report dated 03/03/16, the patient complains of pain from the lumbar spine radiating into the left leg and foot. Pain level is 7/10. The pain is constant and the symptoms have increased with the colder temperatures. The patient complains of tingling sensation on the outside of left leg. The pain increases with prolonged standing, sitting, and walking. He also complains of pain and inflammation on the right lower quadrant of his abdomen. He is following up with his primary care physician (PCP) for further diagnostics. Patient states he continues to experience symptoms …show more content…
Lordosis is decreased. Lasegue’s is equivocal, bilaterally. There is positive straight leg raise at 70 degrees, bilaterally, eliciting pain in L5-S1 dermatome distribution. Physical exam reveals tightness and spasm of the paraspinal musculature, bilaterally. There is hypoesthesia at the anterolateral aspect of foot and ankle of an incomplete nature noted at L5, and S1 dermatome level, bilaterally. There is weakness in the big toe dorsiflexor and big toe plantar flexor noted, bilaterally. There is facet joint tenderness at L3, L4, and L5 levels, bilaterally. There is muscle weakness and deficit over anterior abdominal wall. There is tenderness over left inguinal area with positive cough impulse. Diagnoses include lumbar spine strain/sprain rule out radiculitis/radiculopathy, secondary to herniated lumbar disc L3-4 and L4-5, status post prior laminectomy discectomy, 1998, with full recovery, left inguinal lymph nodes, symptoms of gastritis nonsteroidal anti-inflammatory medication (NSAIDS) related, left ankle strain/sprain rule out internal derangement and anxiety and depression. As of this report, the patient has reached MMI with 20% whole person impairment per AME report by Dr. Brourman, dated 1/18/16. Future medical care is indicated up to 20 sessions of physical therapy, medications, epidural steroid injections and possible lumbar spine
Post-Concussive Syndrome: Case Study
732 Words | 3 PagesGait Markedly antalgic. Equivocal Romberg. DTRs 2+ in the upper extremities and knees, trace at the ankles. Labs/Studies CAT scan and C-spine are as noted
Hypnotherapy Case Studies
222 Words | 1 PagesAs per medical report dated 4/26/16, patient’s presenting problem started 14 days ago. Pain is still present in her right knee. Movement worsens symptoms.
Medical Assistant Interview Report
892 Words | 4 PagesThe report notes a prior shoulder surgery in 2002, on the right shoulder. An X-ray was done of the left shoulder, which did reveal degenerative changes in the acromioclavicular joint, as well as post-surgical changes, and degenerative changes on the right side in the acromioclavicular joint. The applicant was subsequently referred to an orthopedic surgeon, Dr. Peter Simonian. An MRI of the right shoulder was conducted on April 10, 2015, which noted tendinopathy of the supraspinatus and infraspinatus tendons. No tear of the rotator cuff, but a superior labrum anterior to posterior tear extending to the posterior labrum, as well as post-surgical changes.
Postconcussive Syndrome: Case Study
448 Words | 2 PagesShe did complain of some left face problem, left neck pain, headache, left shoulder and arm pain. She was seen in the emergency room for this. Her neck CAT scan revealed decreased disk space height at C5-6, C6-7, but no fractures. Head CAT scan was normal. She presented to her PCP couple of days later complaining of uncoordinated gait, headache, nausea, and her left arm being "on fire".
Corticotoid Attack Case Study Nursing
410 Words | 2 PagesBased on the progress report dated 08/22/16, the patient continues with on and off, achy and sharp stabbing right elbow pain and stabbing pain in the right wrist. His pain varies in degree of frequency and intensity depending upon activities and prolonged repetitive use. Extension of the right arm aggravates his elbow and repetitive flexion/extension movement aggravates his pain. Twisting and turning jar
Pain Management Case Summary
511 Words | 3 PagesHe notes ongoing weakness of both upper extremities. He complains of increased middle-back pain and low back pain which is now a 7/10 in intensity. He last attended physical therapy on 10/20/15. He was last seen on 11/10/15, at which time MD felt he had plateaued and reached maximal medical benefit and therefore formal physical therapy was discontinued.
Pain Management Case Study: A 55-Year-Old Patient
493 Words | 2 PagesHe describes it as aching, annoying, constant, intense, sore and tight. Recent hospitalizations notes that the patient had left knee surgery on 4/12/16. Physical examination revealed that he is shifting position in the chair frequently die to pain. He is tender over the upper thoracic spine. Impression notes that his left knee is healing well; he is scheduled to have physical therapy; and back pain is worsening.
Diagnostic Hypothesis
2354 Words | 10 PagesIntroduction Diagnostics is one of the cornerstones of physiotherapy, in fact of medical and paramedical practice in general, and it constitutes the starting point for any possible treatment strategy. A diagnosis rarely provides complete certainty, and especially in primary care, making a diagnosis and determining variables that can be treated is difficult. During the course of the first consultation the physiotherapist will develop one hypothesis, or several, about possible diagnoses. Subsequently, this hypothesis (or hypotheses) will be tested. During such a first consultation, a patient will usually provide a history, indicating the symptoms they are experiencing and a request for help.
Personality Disorders: The Schoemabbs's Case
889 Words | 4 PagesPrimary Diagnosis: Affective (mood) disorder. Secondary Diagnosis: Personality disorders. 22-year-old male alleged “Schoemabbs’s kyphosis,” binocular vision disorder, psychosis. Reporting health issues: Reported stiffness with sitting and pain after standing for a prolonged time.
Mr Borg Case Study
310 Words | 2 PagesEqual weakness noted bilaterally; hands and feet are cool to touch; no clubbing noted. Patient has +1 pitting edema that extends to the mid-calf. Geriatric Depression scale score > 10, indicating mild depression Patient’s current medications include metformin (Glucophage), insulin human regular (HumuLIN R), warfarin (Coumadin), furosemide (Lasix), carvedilol (Coreg), captopril (Capoten), potassium (KDur), thiamine (Thiamilate), multi-vitamin (One-A-Day), trazadone (Desyrel), moxifloxicin (Avelox), amiodarone (Cardarone), and a nitroglycerin patch (Nitro-Dur). ECG revealed that the distal two thirds of the left ventricle was akinetic. Cardiac Catheterization revealed 80% occlusion of the left coronary artery and severe diffuse disease of the left anterior descending
Achilles Tendinitis Case Studies
457 Words | 2 PagesPer IME report dated 4/15/2016 by Dr. Shankman, the patient has not reached maximum medical improvement. The examiner notes that the patient has a torn Achilles tendon, which has not united and operative intervention is indicated to prevent further injury. Recommendations include repair of the Achilles tendon, cast for a few weeks after the surgery and then two
Mackintosh Lumbar Spine: A Case Study
254 Words | 2 PagesThank you for organising the MRI of Ms Mackintosh lumbar spine. I understand that she was recently refused assessment by the MSK team at Chelsea and Westminster Hospital. I appreciate that her symptoms are complex. However, they have worsened recently resulting in her reporting that sitting is painful so too is walking for extended periods, which have impacts on both her ability to work and participant in her hobbies. I am concerned as she requires multifactorial investigation and management she may get bounced around from one apartment to another.
Medical Ethics: My Personal Code Of Ethics
894 Words | 4 PagesHe opts for the chiropractic care and seeing the massage therapist. We agree that if he is not better in several visits he will see his primary care doctor. We discuss that imaging is not indicated at this point as the pain is reproduced with palpation of the area and the exam is essentially normal. Clinically it is reasonable to assume that subjectively and objectively the area is a strain and would likely resolve in a 5-7 days. The patient consents, he is treated in our office and receives chiropractic care and massage therapy and leaves the office “feeling better” and the pain now being “+4/10”.
St. Joe's Case Summary
279 Words | 2 PagesThe 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.
Dermatomyositis Case Study
1054 Words | 5 PagesShe complained of gradual development of painful swelling and erythematous skin rashes over her face, neck, hands, chest and upper back. She also complained of gradual difficulty rising from sitting, climbing stairs and combing her hair. Symptoms progressively increased over time and she was unable to carry out her daily chores. She described symptoms of progressive dysphagia for solids. There was no history of weight loss, fever, and shortness of breath, oral ulcers, arthralgia, and
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