PFPS Case Studies

With an ever increasing number of people becoming involved with athletic activities, there is an increasing number of injuries occurring which can be devastating for the individual. Most of the injuries that affect athletes occur in one of four structures in the human body: bones, muscles, tendons, or ligaments. Because ligaments attach bone to bone and play a major part in providing stability for joints, the major stabilizing ligament in the knee, the anterior cruciate ligament (ACL), assists in performing everyday actions of the human body including sitting, standing, walking, running, dancing, and participating in other sports. The injury that specifically affects this ligament is very serious and always

List at least two major reasons that Medicare administrators turned to the prospective payment concept for Medicare beneficiaries.

Knee injuries are more predominate in contact sports such as football. However, they occur in other sports as well. To understand this injury (definition and diagram)

The common causes for a PCL tear is crashing your knee against the dashboard in a motor accident or falling on the knee when it's bent. Some of the main sports that can cause a PCL tear are, Football, Soccer, Baseball, and Skiing. The recommended treatment for a PCL tear is known as PRICE Protecting the knee from further injury, Resting the knee, Icing the knee with a ice pack for short times,Compressing the knee lightly, with a wrap, and Elevating the knee. A knee brace is also recommended(AAOS 2016).

My field placement is currently at Family Assessment Program (FAP). FAP is a voluntary program that aims to strengthen families and help them stay together. FAP seeks to reduce future involvement with the juvenile justice and child welfare system. My client system at FAP was basically parents who were having difficulties with their teenage children. Both the parents and the children came to the FAP to seek services to address their defiant behavior. Interviewing the family was able to apply four concepts to my cases which were empathy, barrier, taboo and tuning in. The following case scenarios will discuss how I was able to apply the concepts, obstacles I encountered.

Can humans sense what is not truly present? In many post-amputee patients, pain is experienced in their amputated limb, despite it being removed. This neuropathic phenomenon is known as phantom limb pain (PLP). PLP is a neurologically generated medical phenomenon of unknown origin, and ineffective treatment options.

Dr. Barllow said that he took into consideration that when his knee was bent he experience pain and popping. He told us that there is a rare case that some athletes can develop due to repetitive knee motion, called Snapping Biceps Femoris Syndrome. Micheal would have to undergo surgery because of the pain; a brace wouldn’t be able to help since this wasn’t caught earlier, but he did give Micheal a pair of crutches to help keep the weight off. It was almost Friday and spring Break was over in just two days. Micheal was from Galveston, Texas where his insurance could only be used so Dr. Barllow connected with his doctor friend in Dallas, Texas, Dr. Amwire who was well know for his surgical facility called KneeTech. Dr. Amwire accepted Micheal

A list of potential new members should be projected on a screen. Potential new members should be grouped into scores of zeros, fives and 10s as assigned by rotation groups between parties and listed alphabetically within each score category. Chapter Membership Criteria should be posted. Members sit by rotation group or alphabetically by initiation date. Give 10 to 15 minutes at the beginning of each membership selection session for chapter members to prepare Kappa Kognitives. This saves time later. Additionally, ensure members have access to reliable internet

LP is a female patient in her early 40’s who presented to the ED with a complaint of shortness of breath. The patient stated that she recently returned from an 11-hour international flight during which she experienced throbbing pain in her right calf accompanied by swelling and discoloration. She initially came in a few months ago to her primary care provider (PCP) for an uncontrollable itch which she suspected was an allergy. The PCP sent her to get a complete blood count (CBC) in the lab. Results came back which showed a 50% hematocrit level and 18g/dl hemoglobin. LP was referred to a hematologist for further testing which included a genetic component for the JAK2 gene mutation that came back positive from the blood sample, meeting the diagnostic

Patient should be discharged on single daily dose oral PPI for a specific duration and schedule an appointment with PCP in one week.

The patient, Roy, is a 36 year old African American male who is originally from Trinidad and Tobago.

Soccer like other popular sports has a risk of injury for the athletes participating. As a part of the sports medicine team it is crucial to be able to treat these injuries effectively and ultimately have the athlete returning to play as soon as possible. Injuries to the lower extremities are the most common in soccer. These injuries may be traumatic, such as a kick to the leg or a twist to the knee, or result from overuse of a muscle, tendon, or bone (1). This information will be helpful when assessing an injury. The three steps of injury assessment are, determine the type and extent of the injury, locate signs and symptoms, and finally compare bilaterally to notice any deformities (2). Our injury assessment is aided by the popular acronym H.O.P.S. Which stands for history, observation, palpation, and special tests. History is crucial for diagnosing an injury and would usually be found out by asking questions such as, “what happened?”, “Has it happened before?”. Asking this can locate any repetitive motions or actions that have been causing this injury. Observation is looking for signs, which are observable deformities such as a rash, swelling, or dislocation. Next is palpation, which is touching to look for pain or unusual textures on the skin. Finally, special tests, these are used to rule in/rule out injuries based on specific joint tests.

There are many social and psychological impacts FOP can have; for instance, while interviewing, Miranda’s grandmother was in utter shock when she first heard about her granddaughter having FOP, but the family was very supportive. “Everyone handled with a cool head, but her grandmother went through a lot of stress and lost a lot of weight” Miranda’s mother said. People in society try to support the family through reassurance, and providing comfort through optimistic statements like: “she will be fine” or “she will get better” but it irritated Miranda’s mother because it bared little truth. “Miranda needs help with putting on clothes, she can’t put on her own shoes, and needs support when going to the bathroom”.

One of the major of concerns among sport teams, coaches and athletes is injury. Numerous injuries occur each year caused by sport, resulting in decreased physical activity and work time lost in addition to substantial medical costs (Murphy, Connolly & Beynnon, 2003, p. 13). The most of the injuries are reported in the ankle and knee joint in the some sports such as football, hockey, lacrosse and basketball (Khabaz et al., 2014, p. 176). Entrancing force from different directions to the knee joint can cause some injuries in it such as injury or tear of Anterior Cruciate Ligament (ACL). Rupture in ACL is very prevalent and treatment of it has too cost and time (Khabaz et al., 2014, p. 176). It is obtained that statistical results had shown that 80 to 250 thousand of ACL injuries occur yearly that the most of them have 15 to 25 years old (Garrick & Requa, 2001, p. 2). Reconstruction of this ligament is

The investigation of GSP as a possible proxy for measuring FSG levels first depended on defining the relationship, if any, between FSG and GSP. Using the Mexican-American cohort, GSP values were screened for their relationship with FSG, as well as HbA1c. This investigation revealed that GSP is in fact a significant predictor of FSG levels (p<.00001). As a control measure, the relationship between FSG and HbA1c was investigated, which expectedly proved that HbA1c is a predicative measure of FSG levels (p<.00001). Conversely, the relationship proved that FSG is a significant predictor of GSP levels (p<.00001). Similarly, it was revealed that HbA1c is a significant predictor of GSP.