Upper Lateral Thoracic Pain Dx: Pneumothorax (Pulmonary System) Clinical Presentation: Signs and symptoms vary depending on the size and the location of the pneumothorax.1 Patients may present with severe upper lateral thoracic back pain, ipsilateral shoulder pain, and sudden sharp chest pain or pain over the abdomen.1 Movement and coughing may provoke or aggravate the patients pain.1 The most comfortable position for the patient may be sitting upright and they might also present with dyspnea, a dry hacking cough, change in respiratory movements on affected side, increased neck vein distension, weak and rapid pulse, and/or fall in blood pressure.1 Other common signs and symptoms of a pneumothorax include a decrease or absence in breath sounds, …show more content…
This article presents a case report about a 31 year old male patient, a teacher at a university, who started experiencing mid back pain after weightlifting one day.3 About 3 hours after weightlifting, the patient began to feel sharp back pain, at levels T4-T8. His pain began to worsen that night causing muscle spasms of his paraspinal muscles, with intermittent radiating pain to his lateral thorax and chest.3 This patient had been diagnosed with thoracic facet injuries in the past, and just assumed it was that.3 However, after the pain did not subside the patient went to his physician who claimed the patient was just having muscle spasms and needed myofascial release.3 However, a radiograph was also done that revealed end plate degenerative changes at T7-T8.3 The patients clinical evaluation revealed muscle spasms of the paraspinal muscles between T3-T12, tenderness to palpate between T6-T8, full shoulder ROM, 5/5 shoulder muscle strength, and normal distal pulses and sensations.3 The patient was diagnosed with thoracic pain and muscle spasms and was give muscle relaxants and exercises for myofascial release.3 Three days after the physician visit, the patient decided to do some walking, to work on his cardio, and experienced mild shortness of
QEP Scripts for Two Recordings – Audio for Musculoskeletal System; “OK, Team! We have a new patient in Room 3B who is being admitted with a progressive (gradual, advancing) decrease in mobility (movement) of his back and legs, and increase in pain located in the lumbosacral (lower back above the tailbone of the spine) area. The patient’s Primary Care Provider has sent along Computed Tomography scans (CT, a rotating x-ray emitter, detailed internal scanner) showing spinal stenosis (narrowing of the spine causing pressure on the nerves and spinal cord causing lower back pain.) and decrease of the normal lordosis (abnormal curvature lower spine, excessive inward curvature of the spine) in the thoracic vertebrae (upper and middle back). Lumbosacral
Page’s patient, P, suffers from back pain and he is determined to find the cause of the pain. To rule of the most lethal causes of back pain, some of the questions Page asks include “Did the pain wake him up at night? Was it worse when he was lying down? Had he recently lost weight?” (Page).
CC: Dyspnea. History of Present Illness: Mr. Hebert is a very pleasant 60-year-old gentleman who was referred from the Naval Shipyard clinic for the evaluation of dyspnea. At the present time, Mr. Hebert feels well, however throughout most of the summer, he stated he had been complaining of a persistent cold that manifested primarily with nonproductive cough, plus and minus wheezing but was most disturbed by his conversational dyspnea. He was prescribed Advair and found near immediate relief within three to four days.
Per the progress report dated 09/06/16, patient complained of low back pain. Her medications are Norco 5/325mg, Motrin 800mg, and Flexeril 7.5mg. Based on the progress report dated 10/04/16, the patient states that "today the pain is somewhere 4-5 with the help of medication, but patient states that I cannot sleep on my stomach because of the pain." On examination of the cervical spine, there is slight tenderness at the trapezius on deep
The pleural space begins to fill causing the-the mediastinum to maneuver around, which can lead to disruption of the airflow and pulmonary circulation. Once the air circulation is disrupted the patient begins to compensate. Tension pneumothorax can be misleading if not realizing to symptoms. A patient with tension pneumothorax is going to have chest pain caused by the lung collapsing. The patient will experience respiratory distress causing the patient to breath faster because they are not getting the proper amount of oxygen, respiratory distress can lead to altered mental status and diminished breath
DOI: 1/24/2008. Patient is a 57-year old male medical assistant who sustained injury to her neck and right shoulder due to performing normal work duties. Per OMNI, he was initially diagnosed with cervical radiculopathy and stenosis. He was declared P & S by primary treating physician Dr. Chan on 07/23/09 with 9 % permanent disability (PD). Future medical care includes MD visits, ESIs, acupuncture and medications.
Pneumothorax is the presence of air in the pleural space. This happens because of the wound in surface area of the lung and the air move from the lung to pleural cavity and causing collapsed. The collapsed due to the VQ mismatch which is called shunt. Pneumothorax is divided into tension pneumothorax and non-tension pneumothorax. Tension pneumothorax is a very serious condition that can develop with any pneumothorax.
There is tenderness to palpation of the cervical paravertebral muscles. There is muscle spasm of the cervical paravertebral muscles. Diagnoses are cervical myospasm, cervical sprain/strain, and depression/stress. Treatment plan includes a trial of acupuncture 1 x per week for 6 weeks, trial of chiropractic treatment 1 x per week for 6 weeks, functional capacity evaluation (FCE) to further evaluate patient’s functional capacity and limitations, transcutaneous electrical nerve stimulation (TENS) unit in the form of interferential (IF)/Electrical Muscle Stimulation (EMS) unit and supplies, referral to psychologist in order to assist with patient’s stress, anxiety and depression, and X-ray studies of the cervical
Introduction 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.
Skeletal muscle makes up roughly half of the human body’s weight, and musculoskeletal pain occurs commonly since muscles can be damaged from the wear and tear of daily activities. Muscles can become hypertonic causing postural abnormalities that can lead to muscular imbalances. These imbalances can cause myofascial trigger points that develop from muscle overload. A trigger point is defined as a hyperirritable spot in skeletal muscle that is associated with a hypersensitive palpable nodule in a taut band. This spot is painful on compression and can give rise to characteristic referred pain, referred tenderness, motor dysfunction, and autonomic phenomena (Simons, Travell, & Simons).
For that reason, it must take into account that multifactorial factors interact one another, and respiratory pain has an impact on a variety of aspects on patient's inner life. It stands to reason that not only respiratory pain in itself but also multifactorial influences is hardship for patients. Therefore, we need to have a common view that a feeling of dyspnea is a concept that includes a variety of impacts. It is also very important to visualize the necessity of support that covers them. Future tasks are to organize relevant components which affect a feeling of dyspnea and to develop an assessment tool which visualize latent pain due to dyspnea and a comprehensive support program on a feeling of