Room 3b Case Study

The patient is described as being forgetful and confused and she has tenderness over the right hip. The hip x-ray done at St. Joe 's reveals a possible dislocation. CT of the right hip shows

An MRI was performed of the lumbar spine. The examination found no significant extra

On examination of the back, there is tenderness upon palpation midline of the lower lumbar and sacral region. Posture shift is to the left.

All health providers describe neck strain radiating down his shoulder. He had physical therapy three times a week for 6 months but still experienced pain at the end of 2012 to the beginning of 2013 when his physical therapy ended. DHD referred him to Dr. Katzman who discussed the need of surgery to his left shoulder which he didn’t have because no fault cut him off. He also had an MRI of his cervical spine and

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

The patient has completed physical therapy, time, rest, medications, chiropractic care, and acupuncture with no alleviation of the pain. Significant pathology on the MRI is noted with degenerative disk disease, neural foraminal stenosis and a nerve root impingement in the cervical spine. Treatment plan includes epidural at the bilateral C5-C6 level, continuation with home exercise program and medications and follow up in 2 weeks.

A needle is inserted through the right pedicle of the T7 and T8 vertebral body defects and methyl methacrylate is injected. The procedure was done under fluoroscopic guidance. What codes are reported for the facility? a.) 22305, 76013-TC b.) 22325, 76012-TC c.) 22305, 76012-TC d.) 22520, 22522,

Discussion Post Week Eleven NURS6551, N-6 As an advanced practice nurse (APN), one will evaluate many patients with musculoskeletal and endocrine conditions. Therefore, the clinician must be aware of subtle differences that occur in various diseases to ensure proper diagnosis and treatment. For the purpose of this week’s discussion, I will choose a case study and explain the likely diagnosis along with the differentials.

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).

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. Charge Nurse Gibbon could not get in touch with social work so she advised both parties to leave for tonight and come back tomorrow after staff has spoken to social

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. Therefore I kept Inmate Liles in MP2, while his property is packed in cell G13.

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 ().

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. Upon entering RA Lovett observed resident James Murphy (ID.....)  smoking an unknown substance out of a bong (later identified as a Mentos log). Upon further inspection RA Lovett discovered that resident Christina Dykas (ID...) was hiding of which she did not initially comply and come out of hiding. She did come out of hiding after and second additional request. Resident Dykas claimed to not

She did complain of some left face problem, left neck pain, headache, left shoulder and arm pain. She was seen in the emergency room for this. Her neck CAT scan revealed decreased disk space height at C5-6, C6-7, but no fractures. Head CAT scan was normal. She presented to her PCP couple of days later complaining of uncoordinated gait, headache, nausea, and her left arm being "on fire".

When these actions are not done properly, back pain can be experienced frequently by the nurses. Joey C. Bergeron et al. (2006) state that much literature indicates bad posture is the predominate cause of low back pain in otherwise healthy individuals. Proper alignment of the spine is crucial while walking, sitting, and sleeping to support ligaments, tehndon, and disks in the lumbar area. Any deviation in proper posture relating to these daily activities put the spine in a vulnerable position for