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 …show more content…
Family History also is positive for rheumatoid arthritis (Inflammatory changes in the joints causing pain), so we had serology (scientific study of blood or other bodily fluids) run for the erythrocyte sedimentation rate (the rate at which red blood cells settle in one hour used to detect inflammation associated with conditions such as infections, cancers, and autoimmune diseases), and looking for presence of Anti-Nuclear-Antibodies (found in patients whose immune system may be predisposed to cause inflammation against their own body …show more content…
She was unable to abduct (move her arms away from the middle of her body) her arms so we were concerned there was a dislocation in the shoulder joints since they have a shallow articulation (movement). She could pronate (turn her palms up) and supinate (turn her palms down) her palms, but her grip strength is
An MRI was performed of the lumbar spine. The examination found no significant extra
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.
At 11:35 on August 27, 2016 (8/27/2016) RA Eric Lovett was walking down the 3rd floor of Davisson doing his 11:00 round when Davidson room 319 was noticeably loud therefore prompting him to knock on the door. Resident Gillian (ID....) opened the door. Resident Nate billings (ID...) then projectile vomited prompting RA Lovett to enter Davidson room 319.
Room 362 was prescribed 200 gm of Lactulose (Constulose) every six hours. This medication is a synthetic sugar that is used to treat constipation and improve ammonia levels by reducing them in patients with hepatic disease. In Room 362’s case, he was prescribed this medication in order to reduce the amount of ammonia within his blood. Lactulose withdraws the ammonia from the blood into the colon where it is removed from the body in feces ().
On the indicated date and time I Deputy Garcia #618055 was assigned to staff station 620 at North County Correctional Facility (NCCF) when I heard a loud thud which is consistent with that of fighting. I saw Inmate Lopes, Juan #3456712 (later identified as suspect/victim 1 (S/V)) and Inmate Henry, Chuck #2345678 (late identified as suspect/victim 2 (S/V)) on the ground by the day room punching each other on their face and torso. I put a radio broadcast of a minor 415 inmates in dorm 623 with my county issued radio (minor 415 is a common radio code in our facility which indicates a fight is in progress or just occurred). I also requested additional personnel, Sergeant and Senior to my location. I ordered S/V1 Lopes and S/V2 Henry to stop fighting and they complied.
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).
Medical Records Information: Swollen lower extremities, tender to palpation lower back, right knee and left shoulder. Limited range of motion neck and lower back. Unable to squat, unable to walk on heels and toes. Asthma, sleep apnea, obesity (11/21/2014 weighed 304.4 pounds), diagnosed with rheumatoid arthritis. Was receiving mental health treatment for major depression and chronic pain in the lower back and legs, pain was “becoming intolerable.”
On the above date and time Field Training Officer Lloyd McCray and I were stationed in Control Tower 2. While conducting a walkthrough/watch tour in G-housing Inmate Javen Brockington approaches saying he is having issues with his roommate William Liles. He states they were arguing and if they were not separated it would result into a physical altercation, when question further he gives no details. Inmate Liles and myself exit the housing unit to the Multi-Purpose Room 2. According to him Inmate Brockington was making racial comments; referring to him as white boy, bulling him, by saying “I ‘am in here for murder” and he wanted to be move out the housing unit.
high cholesterol, triglyceride and BP levels. These levels are caused by Room 3’s diet that is high in saturated fat and grease which dramatically increases the amount of lipids within the blood contributing to the formation of an atherosclerotic plaque leading to the impairment of blood flow (National Institute of Health, 2015b). After six weeks of treatment at the cardiac rehabilitation center and lifestyle changes, Room 3 admits that he is still under a lot of stress. During the administration of an exercise stress test, he complains of chest pain, discomfort and pressure.
This represents that spinal stenosis accounts to be a major health issue in the United States. About 1 in 1000 of the population in the age group older to 65 years suffers from this condition. It is more prevalent in the older age group. Of these, there are about 35% patients who are asymptomatic. Lower lumbar spine is more prone to forminal stenosis as the diameter of the dorsal root ganglion is larger than that of the foramen.
She completed all activities that were assigned to her WNL. (A) Assessment Pt is doing extremely well for the number of visits that she has received. This is because of her hard work at home which has contributed to her fast recovery. Her ulnar/radial deviation lacks because of the muscle tightness which could be loosened
He looked me up and down, and told me that one shoulder was higher than the other, and there was a slight curve in my back. I was shocked because usually when I go along to the chiropractor I just sit quietly on the side. He said he wanted to take an x-ray to make sure. Next we walked over to the x-ray room to get my back scanned. The following week, we came back to look at the results.
The most notable ghost has to be the ghost of Room 311, Annalisa Netherly. There are three different stories explaining the cause of her death. The first one states that she was a prostitute who was murdered by a Confederate soldier and left in the room.
The family members of the patient Patricia N. Lee 75/F located in room 524 are in a dispute over who can see the patient. Both parties have restraining orders against each other. The daughter Lynda Lee has a restraining order against the boyfriend Robert Rolon who is the significant other of her sister Christa Lee Allender. Both parties are saying they have the Power Of Attorney for the patient. The Charge Nurse Colleen Gibbon separated the parties into two different areas.
Approximately 6:00 am on 9/26/2017, while in my bathroom, I noticed someone stomp into a room overhead. I left the room and returned. The person seemed to be mimicking my actions again, as I prepared for work. Today's instance was just one of a continues series of events, in fact, this is something I have become to expect. I think these individuals choose times of the day when I am the least mobile.