Pelvis is stable. The patient is ambulatory and show no restrictions in motion at the hip, knee, ankle, or foot. Examination of the left upper extremity shows a posterior splint. This is removed and shows some mild swelling and ecchymoses in and around the posterior aspect of the elbow and ulnar forearm. Axillary, radial, median, and ulnar nerves are intact to motor and sensory tone.…
TM denies tingling or numbness in his lower extremities, loose of movement, weakness, or loss of bowel and bladder control. TM reports chronic LBP, previous injury to the lower back, doesn’t recall when or how. O: On inspection of Lumbar Spine: No discoloration, no muscle atrophy, no edema noted at the Lumbar Spine area.…
His range of motion of his right hip is somewhat reduced with external and internal rotation being tender and internal rotation particularly being limited at about 5 degrees. There is no definite synovial thickening in either of his knees or in his ankles. He is somewhat tender over the left suprapatellar bursa on the left knee, but he cannot appreciate any definite synovial thickening or effusion in either knee. The exam of the MTP joints in his feet, again reveals some tenderness but no definite synovial thickening, I can appreciate.…
His shoulders, elbows, wrist, and hands move through a full range of motion without limitation or pain generation. He is nontender to the upper extremities, axillary, radial, median, and ulnar nerves are intact to motor and sensory tone bilaterally. There are not skin lesions or vascular compromise. Pelvis is stable. Left lower extremity shows full range of motion at the hip, knee ankle, and foot without tenderness to palpation, neurologic compromise, or gross vascular restriction.…
Crepitus is noted. There is tenderness of the patella tendon, distal half of the…
Reason for Visit: Bilateral Knee Contusion S: TM was walking in cafeteria when she slipped on a wet floor. There was a Wet Floor sign in place but she wasn’t pay attention to it because she was busy greeting other TMs. TM denies any issues, rates her pain at 0.5/10, some discomfort. O: Bilateral Knee: some rudeness noted on the knees, no edema, no effusion of the knees, denies tenderness with palpation.…
She also presented with soreness in her neck, upper trapezius, and mid back. According to the provider, the claimant had some thoracic mobility limitations. The claimant had great relief from the mobilizations. On 03/08/2017, the claimant complained of pain in the mid-thoracic and pain at the base of the neck rated at 6/10.…
Most of my deviations are moderate to severe. My lordosis and hyperextended knees are severe. Forward head, rounded shoulders, and abdominal ptosis are moderate. My posture rating is not good due to not practicing correct posture when sitting or standing. A variety of health problems can be blamed on poor posture (C. Corbin, G. Welk, W. Corbin, & K. Welk, 2013).…
Reason for Visit: Right Wrist Pain VS: S: TM is here complaining of writ wrist pain. He was working and he felt like wrist was getting tight then some popping like sound, when he took the gloves off, he had noticed the swelling of his right wrist. TM reports the pain is 4/10, and the pain is described as pulsating type. TM denies any tingling, numbness, or loose of movement of his right upper extremities. TM denies acute or previous injury to the wrists.…
My case study is about Robert who is a 65 years old male retired police officer and widow 5 years ago. He is right handed with a history of hypertension currently control and congestive heart failure and prior tobacco abuser. Robert lives along in a community gate house property. His has a friend that lives three blocks from Robert’s house and visit during weekend to play poker and have dinner. He also has a daughter that lives three hours from him.…
DOI: 5/10/2014. Patient is a 60-year old female custodian/housekeeper who felt pain in her right forearm from pushing broom to clean floors. . Per OMNI, he was initially diagnosed with lateral epicondylitis of the right elbow. Based on the progress report dated 04/05/16 by Dr. Elias, the patient underwent a right lateral epicondylectomy of the elbow on 01/22/16.…
He complains of on and off lower back pain, on and off right knee pain with some improvement and right ankle pain and occasional swelling upon prolonged standing and walking. Patient has difficulty with bending, prolonged standing and walking. On examination of the lumbar spine, flexion and extension is restricted by 10/10 degrees.…
Cases: 1. A 13-year-old male presents with a two-year history of progressive weaknesses in both upper and lower extremities. He finds it difficult to lift heavy objects off a shelf. When sitting on the floor he has to hold onto objects such as a chair to pull himself up. On examination, there is significant wasting of muscles in the shoulders, upper arms, and hips.…
A. Clinical Strengths & Needs: • Strengths: Today, was an extremely busy day caring for 3 residents; but I learned a great amount of information. Even though, I was busy, I feel fortunate I got this opportunity to work with three different residents. I learned who needs more assistance than others, which resident want to visit with me, and/or which resident wants their space.…
X-Ray Joints As we already know that knowledge of normal bone, joint and soft tissue appearances enables accurate description of abnormalities seen on X-ray. Systematically check the alignment of bone structures, joint spacing, integrity of bone cortex, medullary bone texture, and for abnormalities of any visible surrounding soft tissue structures.…