Case Study 1 – The Endocrine System Christina D’Amico University of Saint Joseph Abstract A fifteen-year-old boy with many hormonal abnormalities starting at the age of eleven suffered from joint pain and swelling along with poor bone growth and development. He broke his left hip and had low levels of testosterone and high levels of growth hormone resulting in gigantism and later acromegaly.
DOI: 06/05/12. Patient is a 50-year-old male construction laborer who sustained a work related injury to his back due to lifting heavy objects off a conveyor. Based on medical report dated 5/0115, the patient complains of severe, and on and off middle and lower back pain with difficulty with all activities. Pain is described as constant, burning, aching, dull, sharp, throbbing and tingling.
Presentation and Examination: Palpation and engaging the rotator cuff muscles helps isolate and identify which muscles are injured. The patient presents increased pain with lateral rotation of the shoulder. Both the infraspinatus and teres minor both are suspect to be the cause of pain since they both laterally rotate and adduct the shoulder and insert at the greater head of the tubercle. With the
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.
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
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
Introduction: A patient was bought into the emergency room for emergent care following a motor vehicle accident. The parents or guardian of the 16-year-old male were not present because he had recently escaped from a nearby detention center. The doctor administered what he considered life saving measures without adult consent. Patient was administered 40 mg of methadone because he reported that he was in a methadone treatment program and suffering from withdrawals. Patient was alert and oriented at the time of questioning.
He was airlifted to a neurosurgical trauma center at Indiana University Health Methodist Hospital in Indianapolis. There was pressure on the skull and presents of brain swelling and a subdural hematoma, this is a collection of blood build up in the brain. 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
#10. J.R. Richard Suffers Stroke On Field Houston Astros pitching ace J. R. Richard collapsed during a rehab stint, at the Astrodome, on July 30, 1980. Thje Astros put Richard on the DL when he felt numbness and his arm “go dead” during a July 14 game against the Braves. For two weeks he felt lingering pain and tightness. He complained to the training staff and sought medical advice, but Richard said that his concerns fell on deaf ears.
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.
Review # 258421 william Rose DOI: 4/24/1991. DOI: 4/24/1991. The patient is a 72-year old male truck driver who sustained injury to his back as a result of driving the truck over a rut on the road. The patient was subsequently diagnosed with lumbar spondylosis, lumbar degenerative disc disease, other specified postprocedural states, and lumbago.
DOI: 8/12/2015. Patient is a 38-year old male journeyman carpenter who sustained injuries to his right cheek/lips/jaws and shoulders/upper back when he was struck by a hook that broke from come-along pin. Based on the initial evaluation report dated 03/09/16, the patient complains of jaw pain aggravated by chewing, mouth pain aggravated by biting, face pain worse with chewing and right shoulder pain increased with lifting and overhead work.
Identify the best radiological evaluation method for any of the following: Impingement syndrome, rotator cuff tear, and biceps tendon tear. Each diagnostic modality has a particular feature in diagnosing the shoulder lesions such as impingement syndrome, rotator cuff tear, and tear of the biceps tendon of a human musculoskeletal system and its surrounding structures. Ultrasound (US) US is the most efficient imaging method for detecting the shoulder impingement caused by calcified bony deposits, irregularities or abnormalities of the bursa and surrounding structures (Ostlere, 2003). Based on the eighty-two eligible meta-analysis articles conducted by Roy et al.