Gluteal Compartment Syndrome Case Study

HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis, presents to the emergency room after having had three days of abdominal pain. It initially started three days ago and was a generalized vague abdominal complaint. Earlier this morning, the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o. earlier around

Background: The forearm is the most common site for compartment syndrome in the upper extremity. The compartments of the forearm include the volar (anterior or flexor), and the dorsal (posterior or exterior). Both bone forearm fractures and distal radius fractures are common initial injuries that lead to acute forearm compartment syndrome. The flexor digitorum profundus and flexor pollicis longus are among the most severely affected muscles because of their deep location, closest to the bone.

The patient had a sudden onset of lower left quadrant pain and was diagnosed with

HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially started 3 days ago and was a generalized vague abdominal complaint. Earlier this morning the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o earlier around 6am, but he now

T.B. is a 65-year-old retiree who is admitted to your unit from the emergency department (ED). On arrival you note that he is trembling and nearly doubled over with severe abdominal pain. T.B. indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid-back as a deep, sharp boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to having had several similar bouts of abdominal pain in the last month, but “none as bad as this.” He feels nauseated but has not vomited, although he did vomit a week ago with a similar episode. T.B. experienced an acute onset of pain after eating fish and chips

Complex Regional Pain Syndrome (CRPS), previously known as Reflex Sympathetic Dystrophy Syndrome (RSD), is a chronic neuro-inflammatory disorder (Sebastian, 2011). This disorder is characterized by persistent, on-going pain and disability. According to the Reflex Sympathetic Dystrophy Syndrome Association (RSDA), up to two hundred thousand people in the United States are affected with the disorder every year (“Telltale Signs and Symptoms of CRPS/RSD,” n.d.). Although anyone can be diagnosed with this syndrome, it is most commonly seen in women versus men (3.5:1), and in individuals around age forty (“Complex Regional Pain Syndrome Fact Sheet,” 2013; Goebel, 2011). Unlike most syndromes, diseases, or other illnesses, there is no statistical data available for the mortality rates of CRPS since people do not die from the syndrome. However, those with CRPS may die due to the complications associated with CRPS on the various bodily organ systems including: the cardiac system, respiratory system, musculoskeletal system, endocrine system, urological system, and gastrointestinal system (Schwartzman, 2012).

The patient complained of right lower quadrant pain and of feeling faint. Dr. O'Donnel documented a chief complaint, a brief history of present illness, and a systemic review of the gastrointestinal system and respiratory system. Dr. O'Donnel also documented a complete examination of all body systems, which included all required elements. Medical decision making was of moderate complexity.

A woman is brought to an emergency room complaining of severe pain in her left iliac region. She claims previous episodes and says that the condition is worse when she is constipated, and is

Injured veterans in the mid-1800s would become hooked because they were treated with morphine to help dull the pain of early medical procedures. The Bayer Co., manufacturers of the household brand Bayer aspirin, started producing heroin in 1898, and the effects were so immediate that it was considered a cure-all medicine. It was rushed to shelves. Heroin use spread greatly in popularity during the following decades. Back in the days of early pharmaceuticals, there wasn’t much of an option regarding effective pain management. The drug’s effects seemed too good to be true. It was used to treat everything from headaches to muscle spasms to heavy

The hand is a very important extremity attached to the human body and is used in everyday life. Humans use it doing almost everything. The major systems the body uses to be able to move the hands are the skeletal, muscular and nerves systems. The skeletal system of the hand involves the bones, such as, eight carpal bones, five metacarpal and fourteen finger bones (Istitute for Quality & Efficiency in Health Care, 2013). All connected by joints and ligaments. The muscles include two parts, the thenar eminence and the hypothenar eminence (Istitute for Quality & Efficiency in Health Care, 2013). The thenar eminence moves the base of the thumb, also lets the thumb touch the four fingers; the hypothenar eminence allows the little finger to bend

This patient presented to the emergency department (ED) with pain in his upper right quadrant and flank. He reported experiencing abdominal distention

Per the medical report dated 03/29/2016 by Dr. Waghmarae, the patient believes that her left buttock pain has increased over the last month. She describes her pain as aching, throbbing and stabbing. She rates her pain symptoms as 8/10. Pain is relieved by medication, heat, ice and use of a Transcutaneous Electrical Nerve Stimulator (TENS) unit, and is increased by movement and standing for long periods of time. She states that her bilateral legs have also increased in pain severity over the last month. She believes because she is doing a lot of standing and trying to clean up her house. She states that pain is increasing in her left buttock. She is not involved in physical therapy, chiropractic, massage therapy or acupuncture. Palpation of the lumbosacral spine reveals abnormalities along the bilateral facet joints. There is pain in her axial lower back in all planes of lumbar motion that is

On 2-10-15, Neurologist, Dr. Johnson documented Mr. Durland complained of hemorrhoids, difficulty with bowel movements, a change in bowel habits, urgency, and rectal pain. Dr. Johnson documented that Mr. Durland’s PCP examined him, as well as a proctologist, urologist, neurosurgeon, GI physician, and a pain management physician. Dr. Johnson documented that Mr. Durland had various test and procedures, rectal exams, and no one had ever found anything. Dr. Johnson documented that Mr. Durland’s pain was perirectal/perineum and burning, occasionally he had pains down the medial aspect of both legs, right greater than left, and along the medial right thigh region. Mr. Durland complained that when it had "flared up" it was hard for him to sit and he had to lay or sit on his side because his perineum region was so tender. Mr. Durland denied numbness, was able to get erections, could ejaculate, and described the pain as being internal. Dr. Johnson documented that Mr. Durland did not have any radicular components to his pain. Mr. Durland stated that for the most part the pain was stable but did fluctuate and it was worse when he sat. Mr. Durland stated that his lumbar spinal injection had helped his pain to some degree. Dr. Johnson documented that Mr. Durland stated he had no previous lumbar spine problems. Dr. Johnson documented that Mr. Durland admitted to having a history of neck pain and migraine headaches which his primary care physician was treating with medication.

DOI: 9/30/2014. Patient is a 28-year-old female research assistant who alleges pain and weakness in her hands/wrist as a result of repetitive scooping dirt from soil barrels. As per OMNI entry, the patient was diagnosed with cervicobrachial syndrome (diffuse), right carpal tunnel syndrome and insomnia. She is status post endoscopic carpal tunnel release (CTR) on 09/24/2015 for the right and on 06/02/2015 for the left side.

Compartment syndrome occurs when there is a build-up of pressure within a restricted space it may occur when someone has a sprain or fracture, or has surgery and there is a complication. Some of the symptoms include pain not relived by analgesia, tingling or burning as nerves are very sensitive to