Outpatient Clinic Case Summary

certain swellings, either on the groin or under the armpits grew to be bigger than that of a

Patient is a high school counselor. He participates in physical activities by running 2 to 3 times a week, playing golf, and volunteering at a nursing home. The patient is married with one daughter and one son. He does not use tobacco and periodically drinks at

We've had some major news stories about MA Plans overcharging lately. What exactly are they about?

HISTORY OF PRESENT ILLNESS: David Lockman is a 44-year-old male who injured his right knee on July 21, 2015 when a circular saw came into contact with his medial right knee. He was taken to the operative suite by Dr. Lin for an emergent irrigation and debridement. He tolerated this very well. He was admitted overnight for antibiotic coverage, and discharged with instructions to weight bear as tolerated with the use of a hinged knee brace and walker. He was doing well but presents today with ongoing pain of 6-7/10. His biggest concern was that the swelling, redness, and edema was now extensive down the leg and into the ankle and foot causing him some ankle pain, as well. He has been using Norco for control of his pain. He is not taking any antibiotics currently. He is set up for

The Board office received a letter from Mary Fahey, MPHP via fax on 05/04/2015, advising that Dr. John Medley, M.D. a current “ILOD” status had informed her that he had relapsed over the weekend of April 25-26, 2015.

This condition is diagnosed with a physical exam and medical history. Sometimes X-rays are also done.

As Health information system continues to evolve and innovate the healthcare industries, one should be conscious of information security and safety. Kaiser Permanente experiences this dilemma first hand. On August 2000, Kaiser Permanente had a serious security breach that sends out email messages to their patients with another patient’s information. This integrated health delivery system serves over eight million members with appointments, prescription refills, health information, clinical advice and patient forums was breath and nineteen of the member received email messages with private information.

DOI: 01/14/2011. Patient is a 35-year old male Spanish, regular employee who sustained a work-related injury while bending over to pick up air hose off floor. Per OMNI, patient was diagnosed with Right Knee Strain. MRI of the right knee dated 02/03/2011 revealed menisci, cruciate ligaments, and collateral ligaments, small acute impaction injury with full-thickness cartilage defect in medial femoral condyle, small displaced osteochondral lesion of the inferior medial trochlea, mild diffuse patellar tendinosis, and moderate joint effusion without loose intra-articular chondral or osteochondral body. As per office notes dated 3/24/16, the patient is an obese patient who suffers from ongoing knee and lower back pain which indicates her for aquatic

Health History: A 25-year-old male injured his left knee in a recent skiing accident. The patient stated that he lost his balance because the inner edge of his right ski got caught while skiing. This resulted in the right leg being externally rotated followed by and audible “pop” as he lost footing. By evening, the right knee joint had become swollen, causing intense pain. The primary care physician referred the case to an orthopedist.

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

HISTORY OF PRESENT ILLNESS: This patient is a 10-year-old male. He was in a Motocross accident this past Saturday, sustaining tibial eminence fracture, displaced. He presents today for evaluation.

Until the last decade, diagnostic arthroscopy was the only possible way to clarify a doubtful diagnosis. Unfortunately, it is an invasive and expensive procedure, and its overuse has produced unnecessary comp-lications, such as infection, neurovascular lesions and damaged intra-articular materials. ( 86 ) It is preferably performed only for treatment purposes, provided that alternative non invasive diagnostic modalities such as MRI are available. ( 87 )

On examination, there is no redness or induration at the site of pain and there is a small defect suggestive of a skin break. No foreign body is visible to the eye or on magnified examination. Anteroposterior plain films of the right foot reveal no evidence of a foreign body. The wound

The patient stated that he began experiencing painful swelling in his right knee over a decade ago. A large mass grew around the knee and he underwent a total knee arthroplasty. Not long after the arthroplasty of his right knee, he began experiencing similar symptoms in his left knee and right elbow.

Tumors are one of the most feared diseases of our time. Many people upon hearing the word “tumor” immediately resonate to the conclusion of it being cancer, which is not necessarily true. Tumors fall into to two main types, benign and malignant. Although they are considerably different in tissue invasion, their nature that makes them distinct and symptoms, they are also quite similar in the way they recur in the same location, growth size and their health risks.