Acute Injury Case Study

A review of her medical record indicates a history of polyarthritis with associated pain to hips, knees and back that is affecting her functional ability and causing decreased mobility. She also suffers from co-morbidities of anemia-chronic, COPD-chronic, oxygen dependent, HTN-stable, sleep apnea-chronic, NIDDM-stable, and unsteady gait.

The patient is a fifty-six-year-old male who was admitted on 10/3/16. His reason for admission was his involvement in a motor vehicle accident where his car was t-boned by another vehicle. Upon arrival to the emergency department, his chief complaint was his inability to detect sensation from the nipple line down, and his inability to move his extremities. He was otherwise alert, oriented and able to breathe on his own. After an assessment confirmed his inability to feel anything from the chest down, a portable x-ray of his chest was ordered, but this did not show any acute findings. Multiple computed tomography scans were then ordered for his head, cervical spine, abdomen and pelvis, chest and thoracic spine; but all of these scans resulted in no acute findings. However, a computed tomography scan of the lumbar spine did show spinal stenosis secondary to disc protrusion, and magnetic resonance imaging scans were then ordered for the cervical, thoracic, and lumbar spine. The magnetic resonance scans showed multiple compression fractures from the C3 to C5 vertebrae, with ligament injuries from C5 to C7, bruising of the spinous process of C6, mass bone bruising and soft tissue injuries at C3 and C4 with edema, severe spinal stenosis with cord compression at C3 and C4, and cord contusion at T2. The patient was then

During his team’s January 10 win over the Edmonton Oilers, San Jose Sharks' defenseman Dylan DeMelo suffered a broken wrist. DeMelo underwent surgery to repair his broken wrist and is expected to be unable to return to play for eight weeks.

Based on the latest medical report dated 06/29/16, the patient continues to complain of low back pain, increased with prolonged standing and sitting. He had been receiving PT for his back prior to the injury, due to a herniated disc and has been progressing. He has been taking naproxen with some relief.

DOI: 3/10/2016. Patient is a 51-year-old female accounts payable representative who sustained injury to her neck, back, left shoulder, bilateral knee/foot and lower extremity while she was coming out of the elevator when she slipped and fell forward. Per OMNI, she was initially diagnosed with upper/lower neck, bilateral shoulders/hands, and bilateral ankle and foot sprain/strain.

I talked to his wife on the phone and asked her if she knows what happened to Juan because when his Foreman found him Juan was unconscious and told me that when she spoke to Juan told her that he was going up the stairs and began to feel dizzy he lost his balance and hit the head with block wall. My question is that the specific injury qualifies as work

Vison allows the eyes and brain to get the information needed to make appropriate decision about manipulating objects and hand movements.

The area above the level of injury should have very limited loss of function, with any minor impairment being directed solely towards the right side. On the left side, a light touch and vibrations should both still be detectable, although depending on the severity of pain from the injury, it may be difficult to discern. Similarly, other cutaneous sensory nerves, such as sensations of pain, hot and cold temperatures should also be detectable, and may result in a response by the somatic nervous system. Joint positions above the injury should also still be discernible.

Musculoskeletal System (joint pain; stiffness; swelling, heat, redness in joints; limitation of movement; muscle pain or cramping; deformity of bone or joint; accidents or trauma to bones; back pain; difficulty with activity of daily living, medications):Denies pain or stiffness in joints. Denies swelling, heat, or redness in her joints. Denies deformity of bones or joints. States no self or family history of arthritis. Complains of “achy fatigue” in lower legs at the end of the day. Uses a walker for increased stability. States she is “afraid of falling” so uses a walker at all times. States she fell in her kitchen late one night and bumped her head on the laundry room door. States she did not feel dizzy, just tripped over a kitchen chair with her walker. Called 911 for assistance but refused to go to the hospital for evaluation. Denies fractures or traumas to bones. States she has mild back pain when standing for prolonged periods of time. States she uses a shower chair to avoid fatigue in shower. States she bathes, grooms and dresses herself without assistance. Grandson assists with

Ms. Huttunen works washing cars. While washing the top of a car she twisted wrong, when she stepped back she felt pain in her right leg. The pain is to her low back with radiation down the right leg to the ankle. After she finished her shift she went to the McLaren hospital. They gave her a steroid injection and kept her off work for 5 days. After resting taking medications as directed she returned to the emergency room at McLaren hospital on 4/8/16. She was told to see her primary care doctor. She then went to Sparrow hospital about 4/12/16. She reported she could not

The most vivid injury in my mind is one that still shows today on my right ankle.

According to the article, patients with both surgery treatment and functional treatment had recovered their pre-injury activity level and reported that they could walk and run normally. The prevalence of re-injury was one of fifteen in the surgical group and seven of eighteen in the functional treatment group. The mean ankle score did not differ significantly between the groups (mean difference: 8.3 points). Stress radiographs revealed no difference between groups with regard to the mean anterior drawer or mean tilt angle. At the time of the primary injury, none of the patients in either group had signs of osteoarthritis visible on radiographs. However, at the final follow up examinations, grade-II osteoarthritis was observed on magnetic resonance

For this essay the author will outline a management plan for a 100m sprinter with a grade ll strain. To do this the content will include;

Rationale: This patient is having acute pain from her recent fall. Although the patient had a positive right left, her diagnostic studies were within normal limits. I would diagnose the patient with lumber strain and a contusion. When evaluating the patient’s pain level, she rates her pain as a 9/10 when resting and 10/10 with movement. The patient’s level of functioning and daily activities are being affected by the pain from her injury. The patient is well known in my clinic and is a good historian. I do not have feel that she is seeking medications in an addictive nature nor am I concerned about her abusing narcotics if ordered. After reviewing the overall patient scenario, I decided to prescribe hydrocodone 5mg/acetaminophen 325mg every six hours as needed for pain.

S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%