Hodgkin's Pain

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

On Exam:  BP today was 140/86. Head and neck exam was all clear. She had no oral or nasal ulcers. She had no lymphadenopathy or bruits. Heart sounds were normal and the chest seemed clear, as did the abdominal exam. Musculoskeletal exam disclosed widespread Heberden's and Bouchard's nodes. She had no swelling or stress pain at the MCPs. She was not tender at the CMC joints. She had no swelling in the wrist, elbows or shoulders. She had no soft tissue tender points. She has bilateral knee crepitus but only slight instability and no effusions. She had actually good range of movement of both hips. She was tender in the lumber spine and has a scar at the lower lumbar spine from her previous operations. Her feet are somewhat flat with tenderness across the

Per progress report dated 03/04/16, the patient complains of pain of pain in the neck and lower back. Current medication is for Norco and Gabapentin.

As per office notes dated 5/4/16, the patient is seen for bilateral elbow pain and bilateral wrist pain. She rates the pain as 3/10 with medication and 7/10 without medication. She is active for at least six hours a day and has energy to make plans. Her activity level has

On examination, he has moderate pain to palpation to the lumbar spine and paravertebral muscles over the bilateral facet joints at L4-L5-S1. He has a positive straight leg raise test to the right.

On Primary Treating Physician’s Progress Report (PR-2) dated 08/11/2017, the patient presented with unchanged symptoms. His left-hand pain was rated at 8/10. and was described as constant and sharp. The pain was aggravated with certain movements and gripping. The

Patient is diagnosed with pain disorder with related psychological factors and complex regional pain syndrome I of the right upper limb, chronic pain syndrome. He will follow-up in 4 weeks.

The patient complains of some upper back pain and muscle spasm. He had been given a referral for physical therapy in the past. He did not find it to be that helpful, but feels that the physical therapist just was not doing a good enough job. He has not had any changes in the rest of his chronic back and neck pain

This is 51 year old AAM. Patient has a history of HTN and DM, his current medications are glipizide 5 mg QD and lisinopirl 5 mg QD, but hasn't been taking them for more than one week. Patient reports neuralgia, tingling and prickling sensation at his bottom of his feet. Patient is a current resident at a Group Home and unable to afford any of the medications and needs community resources. Patient also report blurred vision, denies chest pain, SOB, N/V/ D,or fever. Patient is a current tobacco user, denies use of alcohol or illicit drugs.

This is 27 year old AAF Patient reports lower back pain, 10/10. Patient states this is a chronic issue for her, but for the past 2 weeks pain has increased where it is affecting her ADL. Patient denies chest pain,SOB, N/V/D, or fever. Patient denies any other medical conditions. Including DM, HTN. Patient reports some depressive moods related to her current illness (back pain. Patient denies use of tobacco, alcohol or illicit drug

Stage 1: Hodgkin is discovered in only single lymph node part or lymphoid organ for example the thymus. Here cancer is located only in 1 area of an only organ outside the lymph system.

At today's visit he is accompanied by his wife. He is awake, alert and oriented. He reports that his back pain has improved with the pain regimen he was started on last Friday. He complains of lower back pain that he describes as achy and constant; he rates his pain as a 7/10 in severity. He states that his pain doe not radiate, but it affects his mobility and impedes his ability to get out of bed by himself. His pain regimen is Morphine ER 15 mg p.o every 12 hours and oxycodone/apap 10/325 mg p.o every 4 hours as needed for breakthrough pain. He has taken 6 as needed breakthrough doses daily since Friday. He states that his pain has improved but his goal is to have his pain a little better than 7/10, then he will be able to perform his ADLS

Scientists have found a number of risk factors that may influence the probability of someone getting Hodgkin’s disease, but it is still not clear how these factors increase the risk (4). For example, some researchers think that infections with the Epstein-Barr virus may sometimes cause damage to the deoxyribonucleic acid (DNA) in the B lymphocytes, which leads to the creation of Reed-Sternberg cells (4). DNA is the set of instructions sent to the genes that dictates cell functions. Some genes are responsible for controlling when cells grow, divide, and die (4). Genes that assist the cells ability to grow, divide, and stay alive are known as oncogenes (4). Genes that slow down cell division or cause cells to die at the proper

The etiology of Hodgkin disease is unknown. Infectious agents, particularly Ebstein Barr virus (EBV), may be involved in the pathogenesis of Hodgkin disease. Patients with human immunodeficiency virus (HIV) infection have a higher incidence of Hodgkin disease compared with the population without HIV infection.

Hodgkin’s disease is a type of cancer, and the diagnosing and treatment of cancer has changed greatly over the past 70 years. In 1950, cancer survival rate was very poor, however, the survival rate now has increased due to advancements in technology.