Knee Replacement Case Study

Elevated urine microalbumin/creatinine ratio. His last labs in January did show a mild increase. I will recheck that along with a basic metabolic panel and inform him of those results. A copy of them will be sent to Dr. Dourdoufis, as

Oliver et al. (2014), exemplifies how some physicians may not be aware of their implicit bias that could be causing healthcare disparities. This study determines whether physicians’ implicit racial views of African Americans affect their decision making, regarding total knee replacement (TKR) as a treatment option for OA. They also assessed whether not, if the Racial Implicit Association test would impact TKR recommendations. In the study implicit bias was determined by the racial implicit association test (IAT) and explicit bias was tested using a questionnaire that asked physicians which race they preferred (black or white) using a 5-point Likert scale and 10-point thermometer scaled to grade physician’s feelings.

Having read the case and knowing the situation, I would say the patient damaged his patellar ligament and posterior cruciate ligament. The knee joint consists of five ligaments—the patellar ligament, fibular collateral ligament, tibial collateral ligament, anterior cruciate ligament, and posterior cruciate ligament. The patellar ligament helps extend the leg at the knee. The fibular and tibial collateral ligaments stabilize the hingelike motion of the knee (Drake pg. 303). The anterior cruciate ligament restricts anterior displacement of the tibia and the posterior cruciate ligament restricts posterior displacement of the tibia (Drake pg. 303). Most likely, the cause of the blue color in the patient’s leg and foot is from lack

The DDS proposes a fully favorable allowance for this claimant with an EOD of 07/01/2013. The evidence in file supports a later onset date.

Introduction: In case of advanced knee arthritis, Total Knee Arthroplasty (TKA) represents an effective and reproducible surgical technique. In the last decade, Computer-Assisted Systems (CAS) have been introduced in TKA to allow more accurate prosthesis component implantation via intra-operative anatomy-based data tracking of the tibio-femoral joint (TFJ). Particularly, these systems were expected to result in better post-operative clinical outcomes under loading conditions and longer implant survivorship than Conventional Instrumentation (CI). This is generally due to more precise targeted bone cuts and Mechanical Axis (MA) using CAS. Unfortunately, only a few studies have compared so far TKA via CAS and CI at a long term follow-up in terms of clinical outcomes, MA alignment and implant survivorship.

The patient is a 66-year -old retired black male. The purpose of the visit was to determine medication compliance, evaluate functional and mental status and perform a complete physical evaluation. His chief complaint is left knee and foot and calf soreness and ankle swelling without any injury for approximately seven days. He states that he has pain in his left knee, soreness to his calf increases with swelling and redness to his left ankle but no temperature changes to his left leg or foot. He states that his calf pain increases with dorsiflexion of his left foot. He describes the pain in his knee as pressure and rates the pain as 4/10. The pain does not radiate to anywhere other than his calf and knee.

In a hospital I worked at recently, I was told in report that a patient I was taking was demented and didn’t know where she was or what her situation was. The patient admitted for a post knee replacement was 86 years of age, fragile, very hard of hearing and mute. The pain in her knee was excruciating and she often cried out asking for pain medication. Moving her in the bed also caused her pain, because she was said to have dementia no one explained to her what they were doing so, she fought the staff when they moved her or changed her brief. After I came on shift I assessed her, I attempted to take her knee immobilizer off to assess her knee and she cried out in pain and smacked my hand aside. I felt so bad for her, I decided to try to yell

.) SP is an 84-year-old widow recently admitted to an orthopedic ward for a total hip replacement from the anterior approach. She is widowed, but has two adult children living nearby. SP has a familial history of cancer and heart disease, and she herself has experienced several different medical issues. When discussing cares, procedure options, and having general conversations with SP the health care team needs to be especially aware of her hardness of hearing, and need to use hearing aides. A communication barrier exists between the patient and the care team. This barrier exists because of both her hearing issues and her advancing age. Safety risks from improper communication related to these barriers can greatly increase her chances of experiencing undue harm from her hospitalization. An example of how this could occur would be improper communication of what hip needs to be operated on. At all times, the health

PHYSICAL EXAM: He is in discomfort. He cannot straighten his knee out completely. He has a large bulky dressing on his knee and a brace.

ACTIONS AND USESNifedipine is CCB generally prescribed for HTN and variant or vasospastic angina. It is occasionally used to treat Raynaud's phenomenon and hypertrophic cardiomyopathy. Nifedipine acts by selectively bloking calcium channels in myocardial and vascular smooth muscle, including those in the coronary arteries. This results in less oxygen utilization by the heart, an increase in cardiac output, and a fall in blood pressure. It is available as extended-release tablets (XL).

3.) Psyllium (Trade Name: Metamucil) 1 tablespoon by mouth, twice a day; used for relief and prevention of constipation (Deglin & Vallerand, 2007).

People undergo total knee replacement when arthritis or injury erodes the joint's natural cushioning to the point where it's hard to walk even short distances without severe pain.

If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities, such as walking or climbing stairs. You may even begin to feel pain while you are sitting or lying down.

Knee injury is one of the most common injuries in sports activities or events. Failure to detect it would jeopardize the athletes’ future. Knee image processing is studied for the development of an aided system to identify knee injury. However, medical experts analyze the MRI images using their naked eyes. This increases the possibilities for false analysis. To overcome the problem, this study aims to develop an intelligent system, which involves image processing system to assist the medical experts in making decisions to decide on the types of ACL knee injury. The end results in the identification of ACL injury is in the form of a classification based on crucial tear (CT), partial tear (PT), and normal classes. The analysis of results based

3:30 p.m.: Mr. B. arrives at triage accompanied by his son. Assessment results - B/P 120/80, HR-88 (regular), T-98.6, R-32, weight 175 pounds, pain 10/10, Left leg appears shortened with edema in the calf,