DOI: 10/4/2007. Patient is a 43-year-old male upholsterer who sustained a work-related injury to his left knee due to being struck on table. The patient is subsequently diagnosed with impingement syndrome, right shoulder. As per office notes dated 7/14/16, the patient returns for follow up. The patient is frustrated due to denial of the right shoulder surgery. It was noted that the patient is still having very significant pain in both of the shoulders, more on the right. Objective findings revealed that the patient has a positive Neer’s and Hawkins sign bilaterally. He has active forward flexion only about to 125 degrees on the left and about 100 on the right. He has supraspinatus weakness, bilaterally. He has some scapular dyskinesis, bilaterally.
HPI: Ms. Smith presents to the office with bilateral shoulder stiffness and lateral elbow pain in right arm. The patient has been suffering shoulder stiffness for over 2 years. The symptom developed gradually after she started using her computer more at her work place; she had to hold her telephone between her shoulder and head while typing information on computer. The pain in right elbow stated about 8 months ago with gradual onset. The patient does not recall any trauma to the shoulder and elbow. She has been diagnosed as tennis
If you are injured on the job, you may be eligible for workers' compensation. For a long term injury, you may be eligible for disability, but in either case, it usually ends with this type of payment. However, there are certain situations when you may be able to file a lawsuit because of your injury. The following are four of these possible situations.
Ingrid is a social worker, wife, and a mother who lives in a two story colonial home with her husband and two daughters, aged 8 and 15 years old. She was active in the school of her children, serving on committees and volunteering to read in the classroom. She attended to church habitually, though her husband did not accompany her. Her interests included swimming, snorkeling, and hiking. Not only was she close to her immediate family, but also maintained frequent contact with her college friends living throughout the country. As well, Ingrid requires moderate assistance with most of her basic activities of daily living (BADL).
I am writing to provide you with an updated status concerning the above-referenced industrial injury case.
I met with Larry on August 6 regarding his potential Workers Compensation Claim. Larry is a member of Carpenters Local 94 and has worked at the housing authority at Parenti Villa since 1998. His indirect supervisor is Teamsters member Frank Manfredi. Larry reports that on July 16, 2015 he was locking down an elevator on the 15 floor. When he went down to the fourth (4th) floor he observed lots of smoke. He and a laborer Aduarda Figueroa stepped off the elevator along with their supervisor Gabby and Larry was able to identify that the smoke was coming from apartment 411. He went into the apartment and found the resident and then assisted the resident in escaping. Larry states that during the incident he felt pain in his head and neck and a “poking”
The workers’ compensation claim detailed the circumstances surrounding an injury that he suffered while at work. He confessed that while working on the job site he sustained severe burns to his lower body. His duties on this day included that he make some repairs to a leaky fuel line. During this process fuel spilled onto his pants. Additionally while making repairs pieces of steel become caught on his pants. Lastly as Mr. Martinez attempted to use a torch to cut free pipe a spark ignited the fuel on his pants. This resulted in burns to his lower body. This injury resulted in him to miss having to miss a considerable amount time from work. He filed a workers compensation to replace part of his lost wages. The suit accused the defendants of failing to maintain a safe work site for its subcontractors and in failing to provide personal protective clothing, personal protective equipment, and firefighting equipment.
DOI: 12/5/2013. The patient is a 57-year-old female precertification technician who sustained a work-related injury to her head, neck, lumbar spine, and right knee after slipping and falling on icy sidewalk. As per OMNI entry, she was diagnosed with head/scalp injury, status post concussion, cervical strain, headaches, and right knee medial meniscal tear status post surgery on 06/04/2014.
Inspection of the right shoulder joint reveals atrophy. Movements are restricted with flexion to 90 degrees limited by pain and abduction to 75 degrees limited by pain. Hawkin’s test, Neer’s test, Shoulder crossover test, Empty Cans test, Lift-off test, and Apprehension test is positive. On palpation, tenderness is noted in the acromioclavicular joint and subdeltoid
I am writing to provide you with an updated status concerning the above-referenced industrial injury case.
DOI: 9/30/1997. The patient is a 50-year-old female reservation clerk who sustained a work-related injury to her back and bilateral lower extremities when she tripped and fell.
The patient notes that the injury happen when he was lifting some metal trash trays into a trash bin when he felt a sharp pain in his shoulders. Treatment history notes that the treatment to date has consisted of medications. Of note, the MRI done showed a large full thickness tear with retraction of the tendon. Physical examination of the left shoulder revealed that the range of motion has forward flexion of 0-175 degrees, external rotation of 0-40 degrees, and internal rotation to T12. There is positive Hawkins’ and Neer’s sign for impingement. There is weakness with abduction testing. Treatment plan notes recommendation, surgical intervention in the form of a left shoulder, subacromial decompression, rotator cuff repair surgery as necessary. A follow up of 2 to 3 weeks if surgery is authorized. As per medical summary and work status dated 6/14/16, it was noted that the patient has not improved significantly and would be needing surgery. The patient’s return to work date is 6/14/16 with no lifting over 10 pounds and no overhead reach. Follow up to clinic date is on
DOI: 3/19/2015. Patient is a 63-year-old right hand dominant male janitor who sustained injury while he was mopping when he began having right shoulder pain. Per OMNI, he was initially diagnosed with right shoulder impingement syndrome, neck strain and right shoulder strain.
Also, the right upper extremity was kept in protection with arm adducted and internally rotates, possibly subconsciously. All left upper extremity range of motion was within normal limits, no pain, no decreased range, some tightness of pectoralis muscles observed and some scapula dyskinesis. Right upper extremity was found limited to an active range of motion (AROM) performed in standing for flexion and abduction, the pain was present with instability, compensation and scapula dyskinesis. Following this step, the patient was supine position to measure passive range of motion (PROM), also pain was a limiting factor with muscle guarding end feel. Following, manual length test (MLT) of biceps was limited with replication of pain, mainly for the long head than for the short head. Additionally, manual muscle test was performed in sitting with a result of 3+/5 with pain present, and fear physiognomy was observed during testing. Additionally, special tests were performed to confirm diagnosis of the labrum tear; positive Speed test performed in a sitting position and Compression rotation test performed in supine position. Both special tests present with outstanding sensitivity and specificity. Limitations with activities like reaching up cabinets and washing his back were functionally addressed. Additionally, recreation activities like weight
This worksite has both absolute and relative disparities in worker injuries. According to the given chart, farmworkers experienced the largest total number of injuries, with 18 of 50 people injured in 2012. Twice as many farmworkers were injured when compared to packers or butchers, two categories of workers that each sustained nine injuries. So the farmworkers’ claim of having the greatest number of workers is not only true, but it is enhanced with compelling evidence that more of their workers got injured than others.
DOI: 10/24/2014. The patient is a 42-year-old female janitor who sustained a work-related injury when she fell down stairs while vacuuming. As per office notes dated 6/7/16, the patient presents today and reported with continued intermittent moderate right shoulder pain and mild low back pain. The shoulder pain worsened with radiation to the forearm and numbness and tingling in the hand. Examination of the cervical spine revealed increased tone, with associated tenderness to palpation about the paracervical muscles. There is some guarding on examination and the cervical distraction test is positive. There are muscle spasms. There is decreased range of motion due to pain. . There is some guarding on examination and the cervical distraction test