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.
His doctor recommended the applicant to have acupuncture and physical therapy. He said that there has not been any discussion of surgeries or injections. He takes Naprosyn three times a week. He claims that he began having radiating pain into his knee since he started treating at Southland Spine. He claims this pain occurs three times per month.
He has no Romberg 's sign. IMPRESSION: History of chronic inflammatory demyelinating polyradiculoneuritis. The strength and sensation of his extremities continues to improve after this, with no recurrence of symptoms from this with weaning off of Imuran. PLAN: Continue off of Imuran. Continue observation from a neurological standpoint.
Activities at home and work worsen the pain. Numbness, tingling, and burning sensation are reported with increased pain throughout the week. The patient is requesting medication refills and reports limitations with gripping, grasping, pushing, pulling, and lifting 10 pounds. Activities of daily living are limited due to pain, as
DOI: 12/13/2012. This is a case of a 63-year-old male security officer who sustained a work-related injury to the right knee when he missed a step and fell down the stairs. As per Omni, the patient had a right knee meniscus tear. The patient had right knee replacement on 11/19/14.
DOI: 7/28/2014. Patient is a 33-year old male laborer who sustained injury when his left wrist twisted and snapped while using a drill. Per OMNI, he was initially diagnosed with dislocation of the left wrist. He underwent a tendon graft reconstruction on 08/07/14 and hardware removal on 09/11/14.
On 2/9/17 I was able to meet with Mr. Liwak at Hurley Hospital. He had surgery to remove the external fixators on 1/31/17. His hemoglobin also dropped and he was held in the hospital for some blood infusions. His legs are in cast to below the knee. He is non weight bearing.
Solution Name of the professional Dr. Paul N. Abeyta, M.D Profession Engaged in the professions of Sports medicine and orthopedic surgery How did he decided on this occupation Dr. Abeyta has a faith that tremendous outputs can be attained with unambiguous treatment and conversation schemes that are customized to the individual necessities of patient. He put emphasis on wound deterrence and makes the most of a multidisciplinary group which comprises superiorly taught licensed athletic trainers and corporeal therapists. He believes that cautious diagnostic assessment, sympathetic care, and appliances of existing surgical technique and medical information are all vital for returning the patients to their pre-injury point of movement.
Per pulmonary function tests, his condition was stable. Degenerative disc disease lower back and neck, lower back pain. Degenerative joint disease right knee. Right and left knee scope in 2008, right knee scope in 07/2010, decreased range of motion bilateral knees. Independent with activities of daily living.
Patient has had progressive pain, numbness, and weakness in both lower extremities. He has had an epidural, physical therapy, and medications. It was reiterated that the patient has lost over 30 pounds. He has clear-cut instability as documented by the pars fracture and the spondylolisthesis, which is mobile on flexion/extension films.
Question 1 - The Pathophysiology Explain the pathophysiology of Mr Jensen’s post-operative hypovolemia and how some of his post-operative assessment data might have contributed to this. In addition explain how the body might compensate for this physiologically (approximately 800 words). (997 Words) Mr George Jensen is a 65-year old male who was brought into Emergency Department with an open fracture of his right tibia and fibula after falling from his roof. Taken to theatre as an emergency case, Mr Jensen had an open reduction and external fixation of his fractures.
He had a pituitary tumor removed, an operation on his knee and metal pins placed in his hips. And his jaw was split into fine pieces in order to be expanded because of the acromegaly. Doctors Notes • Swelling of right knee. • Ulcerated sores on lower left leg. • Abnormal hormone levels.