He was in the hospital for 98 das, and suffered many other major problems related to his brain injury. He had softening of certain affected areas in the brain, low blood pressure, kidney failure, pneumonia, the dangerous infection sepsis, temporary cardiac arrest and an inability to walk and talk. Years later, he has regained most of his speech but still has some cognitive problems and uses a wheelchair to get
The radiograph depicts Legg-Calvé-Perthes disease (LCPD) of the left hip. The right hip is not affected. This childhood hip disorder is a result of idiopathic avascular necrosis of the growing bony epiphysis of the femoral head, with boys affected four times more that girls (Texas Scottish Rite Hospital for Children, n.d.). This interruption in blood supply to the bone results in necrosis, and the femoral head become flattened due to weight and pressure placed on the bone during normal physical activity (Texas Scottish Rite Hospital for Children, n.d.). View: This is an Anterioposterior view demonstrating the entire pelvis, sacrum, the lumbosacral articulation, both proximal femurs and hip joints.
2.1 Literature Review War trauma. Soldiers that are sent for missions are exposed to physical and psychological wounds, particularly to war trauma. (Boserelle,& Cupa, 2011). Land mines, exploding shells and direct bullet injury are just some causes of war–related amputations on foot and ankle among respondents in a study by Ebrahimzadeh & Rajabi in 2007. As more and more U.S. veterans come from Iraq and Afghanistan with a missing limb, much attention is given to a bewildering phenomenon that young soldiers feel an agonizing pain in a body part that no longer exists.
His symptoms began three weeks ago ensuing a skating accident. One week post trauma, the patient visited the emergency room. At the time of the trauma, loss of consciousness, unsteadiness and transient amnesia were reported. His Glasgow coma scale was 15 and his pupils were equal and reactive to light. Furthermore, the patient reported a decreased hearing on his right ear.
Doctors diagnose heartburn. A few days later, because of severe pain in the stomach, established a new diagnosis - an inflammation of the gallbladder, common in diabetics. He was sent to surgery to remove the organ that has stopped working. In the meantime, the pain in his face from baking moved to sense a series of electric shocks, which continued to be a stable symptom. Having nothing concrete has been found as the cause, it is easier to be patient declared insane.
She started joint pain on the right side of her knee and then the pain migrated to the left side of her body and affecting all the major joints. Her other symptom is vomiting and the mother also stated that her daughter’s body felt warm to touch. From her past medical history, we learned that this patient has had generalized hives 4-5 times per year, and the etiology has not been identified. She also had a bundle branch block 10 years ago. Her ER report
Module 9 Case Study Acute Renal Injury and Chronic Kidney Disease Will is a 68-year-old male with a history of hypertension. Eight months ago, he started regular dialysis therapy for ESRD. Before that, his physician was closely monitoring his condition because he had polyuria and nocturia. Soon it became difficult to manage his hypertension. He also lost his appetite, became weak, easily fatigued, and had edema around his ankles.
Yet another approach was taken in Hotson v East Bershire Health Authority (1987). Here the plaintiff, a young boy, had gone to hospital after falling from a rope and injuring his knee. An X-ray showed no apparent injury, so he was sent home. Five days later, the boy was still in pain and when he was taken back to the hospital, a hip injury was diagnosed and treated. He went on to develop a condition known as a avascular necrosis, which is caused when blood supply to the site of an injury is restricted and eventually results in pain and deformity.
Introduction: Neck pain is a common disorder. Poor posture might result in muscular imbalance that causes a faulty relationship among various body parts. Forward head posture is one of the most common cervical abnormalities that pre¬disposes individuals toward pathological conditions, such as headache, neck pain, temporomandibular disorders. Aim: The aim of the study was to find the relationship between CV angle and neck pain. Method: 50 patients were evaluated and included in the study.
Clinical examination, X-rays, and CT scan revealed a posterior hip dislocation with an ipsilateral femoral head and mid-shaft fractures. The patient was treated by closed reduction of hip dislocation using a temporarily applied external fixator followed by intramedullary nailing of the femoral shaft. DISCUSSION: Achieving a closed reduction is a challenge with ipsilateral fractures, but it should be favored over open reduction due to a lower risk of complications. The type of femoral head fracture, in this case, may have aided in an easier reduction. CONCLUSION: Hip dislocation is an orthopedic emergency, its treatment is challenging if associated with ipsilateral fractures.
The focus of this paper is to evaluate the effectiveness of task specific gait training compared to standard prosthetic gait training in reducing falls in individuals with a lower extremity amputation. The fall risk for individuals with a lower extremity amputation is comparable to that of individuals with balance impairments. Reported incidences of falls are 20% to 32% during rehabilitation and 52% within the community (). There can be many causes for a lower extremity amputation, the most common being poor circulation due to the damaging or narrowing of the arteries also known as peripheral artery disease. Other causes include trauma, tumors in the muscle or bone, infection and neuroma.
Primary Diagnosis: Disorder of bone/cartilage. Secondary Diagnosis: Obesity. This was a Reconsideration- Disability Hearing Unit (DHU) case, stated his medical condition was worse than ever before. 41-year-old male alleged sarcoidosis of skin and lungs, severe depression, lumbar facet syndrome, degenerative joint/disc disease (neck, lower back, bilateral knees). Limited range of motion left shoulder, morbid obesity (6’2” and 291 pounds), chronic lower back pain, lumbar spondylosis, osteoporosis (knee).
DOI: 12/18/2014. The patient is a 56-year old male route sales representative who sustained a work-related injury to his lower back due to slip/fall on black ice while walking from his truck. As per OMNI entry, he was initially diagnosed with lumbosacral sprain. MRI of the Lumbar Spine without Contrast dated 01/23/2015 showed lumbar spondylosis at L1-2 though L5-S1 discs. At L4-5, there is a 4-mm posterior osteophyte-disc complex more prominent laterally and on the left side.
DOI: 05/21/2015. Patient is a 52-year-old male control operator who sustained an injury to his low back after lifting 42-pound rolls. Patient is diagnosed with lumbar isthmic spondylolisthesis, lumbar degenerative disc disease, lumbar foraminal stenosis, and lumbar radiculopathy. MRI of the lumbar spine dated 09/01/15 showed L5 to S1 pars defects with mild spondylolisthesis. There is a 4.5mm generalized disc bulging and redundancy of the disc annulus with impingement of existing L5 nerve roots at neural foraminal level, right greater than left.
The patient has been on Ultram, chronically. The patient had a primary total knee arthroplasty in 1993, a first revision in 1998, and a third revision in 2001. The patient stated that his pain has been gradually worsening for a year to the point that he can no longer do his job. He cannot sit, stand, jog or jump. He not only has knee complaints but also problems in his lower back, bilateral feet and his lefts shoulder.