Patient S.G. is a 67-year-old female who came to Lutheran on March 28th. This patient’s pennant history has to do with the reason for her admission of a red swollen left leg. This patient has a fibromyalgia, had ovarian cancer 15-20 years ago, Arthritis, chronic back pain, psoriasis, MRSA infection in 11/5/2014, Uterine cancer, Type 2 diabetes, and peripheral neuropathy.
It was a week of constant pain stirring throughout my left leg, I didn’t think much of it, “it’ll go away in a week” I told myself. The following day I noticed the sudden swelling of my lower leg, and with that a flood
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
Dr. Brennan was discussing the rehabilitation approach to manage edema and lymphedema. Attendees included occupational therapists, physical therapists, certified occupational therapist assistants, licensed physical therapy assistants, registered nurses and advanced practice nurses. Additionally, there was a physician assistant, an acupuncturist and a podiatrist present. Some of the names and titles of the participants include:
I was just two weeks into my internal medicine rotation at Suez Canal University in Egypt, when I encountered a case that I still remember to this day. Ms. Rafat was an elderly diabetic patient that came into our clinic complaining of a persistent wound on the sole of her foot. Upon removing her boots, her complaint turned out to be a foot ulcer with an infection extending to the first and second metatarsal bones .Unfortunately for her, we had to break the news to her and her family that her foot would need amputation. Ms. Rafat was understandably upset but took the news in stride. Following up on her case, I learned that after the surgery, the blood flow to her leg became increasingly poor and she had to return to have a below the knee amputation. Ms. Rafat ended up dying of pulmonary embolism as a complication of her second surgery. This case stayed with me not only because it
My personal narrative was not very detailed because I could not remember most of the race and the reason I black out at the finish line. I gave everything had in the race and I barely remember any part of race. Till my family told I the whole race and I guess it finally came back to me but very few moments. But I remember everything before the first mile of the race and looking back that I’m a very spiritually person. Plus, I keep my traditions alive and still believe my way in my Native world. Instead of falling into the white way but I have to act white so I can make in this world and make a living for myself. I had to write about my last race because it was the best day of my life and I remember eating after the race at Texas roadhouse.
Mr. Lewis is seen for Dr. Craane at Oak Park Heights. Mr. Lewis is a 74-year-old gentleman with multiple medical problems, including rheumatoid arthritis, hepatitis C, diabetes mellitus, hypertension, and severe respiratory insufficiency. His recent history is well known to us as he was originally at Faribault when he became ill with the current episode of leg ulcerations. He was being treated for rheumatoid arthritis and severe COPD at that time and had significant edema in his legs. He was being treated with methotrexate for his rheumatoid arthritis and was also on low dose prednisone at that time. He developed very, very painful leg lesions that quickly developed from darkened skin lesions to undermined ulcerations that had a gangrenous
If the frigid temperatures this winter are causing your feet to burn, itch and you begin to experience painful blisters, then you should know that these problems may be caused by a condition called Chilblains or pernio. This condition is more common than most may believe. Its so common that when one of our patients came in to the office complaining of foot pain we were able to properly diagnose his condition. The patient that came to us recently, had no clue what was causing his foot pain. The toe pain was so intense that he thought his toe was going to fall off over the weekend. To which Dr.Freels explained to him was indeed a real possibility if the condition progressed. The patient has had this issue for several years but only complained of pain during the winter. This year due to a mild winter he was hesitant to go see a specialist because he had not experienced severe pain…yet. Last week during a cold front the patient was in extreme pain and was desperate for help. The patient asked us to share his story so that others are able to get the help they need for their Chilblains.
I spoke with Mr. Sutter several times since 3/2/17. Mr. Sutter moved his medical appointment from 2/23/17 to 3/2/17. I was not unable to attend nor was I able to find a co-worker to attend. I spoke with Dr. Olenyn’s office staff many times for updated scripts and next appointment time. Mr. Sutter has lymph edema to the right and left legs. He was supposed to elevated and also wears compression stocking. His legs are so big the stockings cut in. Dr. Olenyn told Mr. Sutter he must get the swelling down because that will affect the healing of the fractures. He is at high risk for infections from open skin. Some of the bones are healing but not all. Mr. Sutter continues to use a bone stimulator daily. I have spoken with Mr. Sutter and
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.
The patient is an 86-year-old female who was brought to the emergency room because of bilateral leg swelling. She was recently discharged from the Arbor Glen Reha and she's developed increasing bilateral leg edema. Her medical history is significant for hypothyroidism, chronic kidney disease stage II, anemia which is a chronic, ulcer in the sacral ulcer stage III and she denies any other symptoms. Review of the lab work does show a bump in her creatinine from 1.27 baseline in February of 18 to 1.54 on this admission with an increase in her BUN. She also demonstrates a mild anemia of 10 with a MCV of 90. Her edema is described as massive by the attending physician. PT examination reveals she needs significant assistance to moneuver her
It's a Friday afternoon, I plan to go to Great Wolf Lodge in an hour with my church. I see one of my friends so he says to his mom “ Hey, that's my friend” I said “Crap” So I go inside to sign in to go and see my friends just sitting in a corner on a big sofa. We are listening to music and just talking then a green bus comes.
I injured my foot to be clear, my plantar fasciitis the treatment may speed up recovery treatment includes rest, good footwear, heel pads, painkillers and a steroid injection. They say I need to be off my feet for this week and that it will take three month for my foot to be back to normal, Also I will not be doing fair this weekend8/13-14/2016 and I cannot come back to work on Tuesday 8/16/2016. I will bring a doctor excuse when I come back to work next weekend. So sorry for the inconvenience, hope you all stay hydrated and cool…That all from my end and so sorry for getting hurt I miss you all. Tabitha
Based on the progress report dated 04/05/16 by Dr. Fieser, the patient complains of pain in the left knee, left ankle and left foot, associated with numbness and tingling in the left leg/foot, as well as weakness in the left leg. He describes the pain as sharp, cutting, throbbing, dull, aching, pressure-like, cramping, shooting and shocking with muscle pain and pins-and-needles sensation.