Patient 1 Medication History Patient Initials: M.K Reason for Physical Therapy: 62 years male Three weeks post right (Rt) CVA, Pain on leftshoulder, left shoulder subluxation, Lt side weakness inability to perform functional ADL. Diabetic, Unstablehighblood pressure,______________________ ___________________________ PT Treatment Plan (Specific Interventions, Frequency, and Duration): 1hour program 3 times weekly, Increase PROM-10mins Lt UE/LE strengthening muscles of (Lt) shoulder. Lt side muscles-30mins, relieve pain on the Lt shoulder, IRR to the Lt shoulder-10mins STM ( Lt) UE/LE, Balance training in all postures 10mins Sitting-standing reducation-10mins Trade Name Generic Name Prescribed for: Dosage Rehab Implications Prisolec Omeprazole
Diagnoses include lumbar spine strain/sprain rule out radiculitis/radiculopathy, secondary to herniated lumbar disc L3-4 and L4-5, status post prior laminectomy discectomy, 1998, with full recovery, left inguinal lymph nodes, symptoms of gastritis nonsteroidal anti-inflammatory medication (NSAIDS) related, left ankle strain/sprain rule out internal derangement and anxiety and depression. As of this report, the patient has reached MMI with 20% whole person impairment per AME report by Dr. Brourman, dated 1/18/16. Future medical care is indicated up to 20 sessions of physical therapy, medications, epidural steroid injections and possible lumbar spine
DOI: 3/24/2010. The patient is a 55-year-old male machine shop lead who sustained back, neck, right shoulder and internal injuries due to repetitive work. As per medical report dated 04/27/16, the patient has a history of a spinal cord injury secondary to cervical stenosis. He underwent emergent decompressive cervical laminectomy on 3/26/10. The patient has ongoing neurogenic bowel, ongoing neurogenic bladder, severe depression and pain.
(Sustanon): 3 capsules per day, 20 minutes before your breakfast Colonel: 3 capsules daily, 45 minutes prior to your workout 9. Anvarol (Anavar): 3 Capsules per day 15 minutes after your workout Devil Dog: 2 capsules daily, 20 minutes prior to your breakfast 10. Trenorol (Trenbolone): 3 capsules per day, 45 minutes before your workout 11. Clenbutrol (Clenbuterol): 3 capsules per day, 45 minutes before your workout
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.
The patient underwent 10 treatments with right unilateral electrode placement and a stimulus dose of 35%. Anaesthesia consisted of propofol, 80-90mg; succinylcholine 50-60mg was used as a paralytic. Upon awakening during the first 8 treatments, Miss T was extremely agitated, restless and confused. This lasted up to 60 minutes and required 7 staff to maintain the safety of herself and others. Richmond Agitation Sedation Scale (RASS) score was +3 or +4 every treatment.
DOI: 6/3/2016. Patient is a 50-year-old male forklift operator who sustained injury when he was hit by a forklift. Per OMNI entry, he was initially diagnosed with neck contusion and crushing bruises. MRI of the lumbar spine obtained on 08/18/16 showed mild retrolisthesis of L5 on S1. Disc desiccation is noted with decreased disc height at L2-L3, L4-L5, and L5-S1 levels.
DOI: 4/30/2013. The patient is a 41-year old male maintenance technician who sustained a work-related injury to his right shoulder/arm from lifting ladders all day. As per OMNI, the patient is permanent and Stationary as of 8/23/2013 with future medical care to include medications, creams, and possible need for injections. As per office notes dated 7/13/16, the patient co complained of bilateral leg and feet pain, back pain, neck pain and low back pain. The patient’s pain is rated as 7 to 10; average of 8.
Improvement in virtually all facets of liver functions and clinical symptoms occur within 2 weeks of treatment initiation, although psychiatric symptoms improve less consistently than neurological symptoms . Penicillamine is started with one fourth to half of the desired dose and is increased slowly over 1-2 weeks. The usual dosage of penicillamine for treatment is 20mg/kg/d (Max dose- 2 gm/day) in three divided doses, and is given one hour before meals. Although penicillamine is a pyridoxine antagonist, but presently there is no consensus on the need for supplemental pyridoxine
The criteria for a diagnosis of Major Depressive Disorder is to have five or more of the following symptoms, which have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest of pleasure. Five of the following must be present: Depressed mood most of the day, nearly every day, as indicated by either subjective report or observable by others; marked diminished interest of pleasure in all or almost all of activities; significant weight loss or gain not attributed to dieting or decreased or increased appetite; insomnia or hypersomnia nearly every day; psychomotor agitation or retardation nearly every day; fatigue or loss of energy nearly every day; feelings of worthlessness or excessive or inappropriate guilt; diminished ability to think or concentrate; and recurrent thoughts of death, suicidal ideation without specific plan. The symptoms cause clinical significant distress or impairment in social, occupational, or other important areas of functioning. The episode is not attributed to other physiological effects, substance, or other medical condition. The occurrence of MDD is not better-explained bay other disorders such as schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified