Chief Complaints Case Study

Patient is a 50-year-old-year-old left-handed white male who presents with his wife for evaluation of multiple symptoms that have been present since an MVA in 02/2013. At that time, he was T. boned and his car was totaled. He has amnesia for the event and is unaware whether or not he hit his head. The airbag did deploy. Afterwards, he was confused and noted significant pain in his neck and upper back. Since then, he has had multiple symptoms. He does have involuntary twitching on the right, more than left, both hands, legs, and sometimes feet. He demonstrates one of these twitches and it looks like a focal myoclonic jerk of a limb. These occur on a daily basis. He also has problems with his left thumb and index finger locking up. When he is fatigued, especially when his neck gets tight, he has some problems with word finding, paraphasic errors, and syntax errors. He did see Anthony P. Knox,

In your grievance filed at Central Unit, you claim COIII Forman refused to provide you staff assistance to help you gather evidence for your pending disciplinary hearing. You are requesting that COIII Forman receive sanctions and retraining on being a Disciplinary Coordinator.

Complainant, who has a Housing Choice Voucher administered by the Chicago Housing Authority (CHA), alleges that Respondents refused to rent an available one-bedroom apartment to her based on her source of income.

In your grievance filed at Central Unit, you claim ADC is denying you access to the courts by refusing to provide you with case law. Your resolution is to be provided with case law.

On 04/10/2018 I received an informal complaint from you, dated 04/10/2018. The topic of your informal complaint was a missing hobby craft that you claim to have dropped off at the Santa Cruz Unit programs office to COIII Keaton. In your complaint you stated that on March 1st you gave COIII Keaton a painting that you wanted to be included in a Tedx logo contest that was being held on March 2nd. You stated the painting needed to be turned into COIV Contreras, who was not in the programs office when you dropped the painting. You stated that COIII Keaton took possession of your painting, and told you that he would take it to COIV Contreras. You stated that on April 6th, Inmate Mounla #140057 informed you that your painting was lost, and that she confirmed this by asking COIV Contreras, COIV Flores, COIII Keaton, and Deputy Warden Theodore. You stated that inmate Mounla informed you that COIII Keaton stated that he did receive your painting, and that he immediately put it on COIV Contreras desk. Your proposed resolution was for your painting to be located.

Per medical report dated 10/26/15 by Dr. Parsioon, the patient was initially seen on 9/14/15 for evaluation and treatment of cervical pain. At that time, he had neck pain without radiculopathy and bilateral hand tingling. IW stated that physical therapy made his neck pain increase and he wanted to make sure that it is okay to continue this. His chief complaint is pain in his neck radiating to the right shoulder and arm. He states the only time he gets the tingling sensation in the hand is

The client should look for the early signs of localized Lyme disease known as erythema migrans, a skin lesion that slowly expands to form a large round lesion with a bright red border and

After careful review of Scott D. Dooley’s request, the author votes a no decision. The author agrees with Jennifer Seymour decision to deny Scott D. Dooley the exception to walk in December because M. Dooley’s final class will not complete until January 11th; his course completion is after the December 30th deadline. The rationale for the decision to vote came after careful review of Baker’s degree completion, Participation Commencement, and Conferral and diploma policy. In total, the rules cannot waiver because Mr. Dooley desires to graduate with cohorts. Although the moment is memorable, what counts is that Mr. Dooley has met the requirements to graduate. Given Mr. Dooley elected

In today’s world, police brutality has become a type of misconduct that American police officers are getting accustomed to utilizing against American citizens. On July 17, 2014, Eric Garner died in Staten Island, New York after ununiformed police officer Daniel Pantaleo placed Garner into a chokehold after Pantaleo had attempted to arrest Garner for selling untaxed cigarettes. After being put into a chokehold for fifteen seconds, Garner became unconscious and suffered a cardiac arrest while being transported to the hospital (Goldstein and Schweber). According to the National Police Misconduct Reporting Project in Figure 1, 23.8% of 6,613 officers were accused of using excessive force among people. In recent years, cases of police brutality

Usually this disease resistant to treatment because of the damage is irreparable in the tissues (2). Late disease also features bouts of inflammation of the large joints, especially in the knees and continue these bouts weeks to months (2). In the United States, arthritis in one or a few joints is the most common feature of patients with late Lyme disease, but neurologic manifestations, such as a subtle encephalopathy or polyneuropathy can also occur (2). In Europe, patients may develop a chronic skin condition called acrodermatitis chronical atrophicans, but this manifestation has not been identified conclusively in the United States (2). However, these features are less common now since the majority of patients are diagnosed and treated during the early phase of Lyme

A 64-year-old man was admitted to a community hospital with progressive motor weakness in both of upper and lower extremities. He felt numbness first in his left upper extremity without any previous neurological symptom or trauma. By the time of transfer to out hospital, in only one night after the initial symptom, physical findings had been progressing to spastic quadriplegia with requiring respiratory support. His past medical history was significant for diabetes millets, cerebral infarction, arteriosclerosis obliterans and obesity with body mass index of 27.1 kg/m2. He had undergone anterior cervical discectomy and fusion for cervical disc herniation at the level of C6/7. Neurological examination revealed hypoesthesia below C4 dermatome but intact deep sensation, hyperreflexia in

Lyme disease, also known as Lyme borreliosis, is an infectious disease caused by bacteria of the Borrelia type.[1] The most common sign of infection is an expanding area of redness, known as erythema migrans, that begins at the site of a tick bite about a week after it has occurred. The rash is typically neither itchy nor painful. About 25% of people do not develop a rash. Other early symptoms may include fever, headache, and feeling tired. If untreated, symptoms may include loss of the ability to move one or both sides of the face, joint pains, severe headaches with neck stiffness, or heart palpitations, among others. Months to years later, repeated episodes of joint pain and swelling may occur. Occasionally, people develop shooting pains or tingling in their arms and legs. Despite appropriate treatment, about 10 to 20% of people also develop joint pains, have memory problems, and feel tired much of the time.[2]

Due to the absence of systemic manifestations (i.e. fever, arthralgia, lymphadenopathy) and considering the possible life-threatening consequences of its disease-process, the secondary diagnosis for John is early onset Lyme disease. Given that it is also the most common vector-borne disease in the United States, with over 300,000 new cases reported to the Centers for Disease Control and Prevention (CDC) each year, this diagnosis was taken into consideration (Crowder et al., 2014, p. 784). Additionally, the rash can appear on any area of the body and occurs in approximately 70% to 80% of infected individuals (CDC, 2016). Moreover, an early sign of Lyme disease seen in John is an erythematous rash (erythema migrans), which may feel warm to touch but is rarely itchy and painful (CDC, 2016).

To office testing, she is oriented to person, place, and time. Her short-term memory seems intact to office testing, as well as her intermediate, and long-term memory. Normal attention, concentration, language, and fund of knowledge.

Gloria, I can tell you that you are right about the Lyme's disease. I was diagnosed with it 3 years ago and because I went so long without being treated, I also ended up with Viral Meningitis. I was not only experiencing The Most Severe Headaches I had ever had, but fevers, I could not walk or talk, I did not eat because I felt like my throut would not let anything down it. It was as if the muscles stopped working, the doctor said that I was right, my brain had so much fluid on it that it was pressing against my skull. I lay in bed for 6 weeks thinking I was going insane. I was treated with high doses of Doxycycline and then IV drip treatments. This past month has been hard due to this darn disease peaking whenever I am very stressed.