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.

She's married with no children. 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.

Per the Agreed Medical Re-Examination report dated 09/29/15, whole person impairment rating is 5%. Future medical care includes access to follow-up visits for monitoring of his condition for the next calendar year, with continued provision of pharmacological agents. Should patient experience a significant acute symptoms flare-up within the next calendar year, re-instatement of brief courses of traditional PT, acupuncture,

Based on the progress report dated 09/12/16, the patient reports more frequent pain with activity since the last

Risk Factors 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

Per the medical report dated 06/13/16, treatment to date includes He reports no major changes in his condition, since his last visit. His pain is rated as 3-6/10, described as dull, hard, aching or worse. Pain is increased with sitting, standing, walking, lifting, looking up and down, turning to the sides, bending, and twisting. He is unable to work. He is very limited physically. He has to modify or avoid social and recreational activities to manage the pain. He feels like his quality of life is severely affected. His pain is 80% in the neck and 20% in the upper extremities, mostly on the

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

of lymphocytes, plasma cells, neutrophils, eosinophils, and histiocytes. Most Reed-Sternberg cells are of B-cell origin, derived from lymph Etiology 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.

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

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.

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.

A 17-year-old male presents to his primary care physician with the complaint of right leg pain. The pain started as an ache a month ago and has gradually gotten worse. It has now progressed to a constant painful state that the patient rates as a 7/10. The main site of

Cancers of Blood and Lymph Systems Leukemias Leukemia is a group of malignant diseases of the bone marrow and lymphatic system. It is a complete and heterogeneity the subtype of leukemia has a therapeutic and prognostic implications. The French American British have further conducted studies on (ALL)

At today's visit he is found in his room. He is awake, alert, oriented and forgetful. He complains of nausea times 2 days. There are no aggravating or relieving factors. He has not reported it to his nurse or taken anything for the nausea. He complains of chronic neck and back pain. He describes his pain as dull with radiation down his back.