If you are having problem with stability of the knee that indicates a grade two or three sprain. There is special test that are performed to indicate injury to the MCL. For example, the valgus stress test allows the examination for joint laxity. For this test the patient should be placed in the supine position and the test should be performed at a thirty-degree flexion of the
The nurse coming on shift on the medical unit is taking a report on four patients. What patient does the nurse know is at the greatest risk of developing ESKD? A) A patient with a history of polycystic kidney disease B) A patient with diabetes mellitus and poorly controlled hypertension C)
A rare cause of Acute Respiratory Distress Syndrome (ARDS) - Mycoplasma pneumonia in a middle aged women Case History A 66-year-old female presented to the Emergency Department of Sri Jayewardenepura General hospital with generalized weakness, faintness, and progressive worsening of difficulty in breathing over a week prior to admission. She also had dry non-productive cough, general malaise with myalgia and a low grade fever. She had consulted a GP and treated with salbutamol and steroid inhalers on outpatient basis. However, since her symptoms became more and more troublesome, she was admitted to the hospital.
Shoulder impingements can arise as a result of the repetitive use of the shoulders or when you fall. Like the name suggests, a rotator cuff tear arises when a tendon or a rotator cuff muscle actually tears. These tears can either be a minor one or very sever, depending on the affected tissue and the thickness and depth of the tear. Just like shoulder impingements, tears are caused by the wearing down of the muscles of rotator cuffs overtime, or by acute traumas.
Mary Harvey, a 42-year-old African American female, postop day 2 from abdominal surgery. Has an NGT still. She is also Muslim. • Ms. White, a 60-year-old female, admitted 3 days ago with a diagnosis of bacterial pneumonia. She still is dyspneic with exertion and on 2L of oxygen via nasal cannula.
The trapezius is a large muscle in the upper back that helps to control the shoulder blade (scapula) and stabilize the spine. Trapezius palsy happens when a nerve (spinal accessory nerve) that connects the spinal cord to the trapezius muscle becomes damaged. This causes pain and weakness in the back of the shoulder and the upper back. This also limits the range of motion of the shoulder joint. Damage to the spinal accessory nerve usually happens because of an injury to the back or shoulder.
Introduction: Piriformis syndrome (PS) is a neuromuscular condition with a special combination of several characteristic manifestations mainly highlighted by gluteal pain(1). Others may involve pain in the lower back area down to buttocks, paraesthesia, numbness and limitations to some weight-bearing activities like walking for long periods, standing and sitting to some degrees(1-5). Other symptoms may also include: the sciatic notch tenderness, swelling, sexual dysfunctions and splayfoot with a dominant external rotation in supine lying indicating tightness of the muscle(6). In general, four primary manifestations had the highest tendency to be found as was reported by a recent systematic review. These include: posterior buttock pain, increased sciatica symptoms with sitting, tenderness over the greater sciatic notch and positive results of Piriformis muscle tension tests
Clinical Scenario P.T. is a 25-year-old women who has been diagnosed with breast cancer with metastasis to her brain. She was recently readmitted to the hospital for pain management. She has two young daughters, who are 3 and 5. P.T. cannot care for herself, but is very aware that she will die. The nurse assists her in her daily needs: bedpan, flushing of implanted central venous access device (port), bathing, emotional support, vital signs, and pain management.
Case: Susie X Susie had back surgery two years ago to fix a birth defect in her lower back that was causing some numbness in her foot. The numbness was making it difficult to stably walk, stand on her feet for her job, and drive. This surgery was going to improve her daily functioning and life in general. She had this surgery a year ago. Surgery was followed by another immediate surgery to back out a screw that had gone too far and into a nerve, followed by a stay at a rehabilitation facility, followed by a stay at a family members home and finally back home.