2. EMG/NCV studies consistent with peripheral motor and sensory neuropathies, from October 2008 12/15/15 Progress Report described that the patient has ongoing low back pain. He was last seen on 10/28/15. The patient stated that his current medication regimen has been helpful. He rated the pain 9/10-scale level, which is brought down to 6/10-scale level with the medications.
The purpose of this essay is to describe structure and function of the tendon, present a discussion on the process of pathophysiological Tendinopathy and provide a review of known intervention used to manage or treat both acute and chronic tendinopathies. Tendons act to serve a connective tissue linking muscle to bony attachment points and in the case of the intermediate tendons that will act to link a muscle belly to another (Benjamin and Kaiser, et al). Tendons are a uniaxial and assist in force transmission thus being able to withstand external forces from multiple planes and angles (Kannus, 2008). Tendons are also responsible for storage of power and changes in the mechanical energy of the body of which in turn reduces muscular work by
Mrs. Joan Buckalew dtates that she is not on any blood thinners and that there is no change to her medications. SO EMT Perez checked for hip stabilization in which he noted no physical deformity and full range of motion without
Based on medical report dated 06/12/15, the patient reports that his left wrist is hurting significantly. He presents with pain and dysfunction of the left wrist. The patient continues to experience substantial discomfort, is frustrated by lack of progress.
He has no Romberg 's sign. IMPRESSION: History of chronic inflammatory demyelinating polyradiculoneuritis. The strength and sensation of his extremities continues to improve after this, with no recurrence of symptoms from this with weaning off of Imuran. PLAN: Continue off of Imuran. Continue observation from a neurological standpoint.
Range of motion is limited with flexion and extension of 20 degrees limited by pain. Spurling test is positive. Sensation is diminished C5-C6 bilaterally. Diagnoses are cervical strain, bilateral C5-C6 cervical radiculopathy, and diminished sensation, C6 reflex bilaterally.
so it was negative. My result was colorless for the Voges Proskauer (VP) test so it was negative. The Gelatin (GEL) test result had no diffusion of pigment so that showed it was negative. The Glucose (GLU) result was yellow so it was positive, and the Mannitol (MAN) result was blue-green so it was negative. The Inositol (INO), Sorbitol (SOR), Rhamnose (RHA), and Sucrose (SAC) test results were all blue-green so they were all negative, as well as the Amygdalin (AMY) test.
Each year duchenne muscular dystrophy affects around 1 in 3500 male births worldwide(1). Duchenne affects patient's whole life since it attacks skeletal system, respiratory system, and in progress stages it may attack the heart(2).The phases of duchenne muscular dystrophy help scientists understand the disease because each phase has its own symptoms. Moreover, each phase attacks specific systems and organs in the patient's body. Duchenne muscular dystrophy develops relentlessly over time, and can be divided into three phases, early phase , transitional phase, and teenager and adult phase(1). The Early phase of duchenne muscular dystrophy begins from the day is diagnosed until the patient is 6 years old(1).Duchenne can by diagnosed through a muscle biopsy, taking a sample
As per progress report dated 4/27/16, the patient complains of cervical spine pain with left shoulder/hand radiculopathy. Upon examination, there is tenderness to palpation in the left trapezoid. There is positive Spurling’s test noted. Left hand/shoulder examination reveals positive Phalen’s and Tinel’s syndrome. Cervical and left shoulder/hand motor muscle strength is 4/5.
Review of Symptoms General: denies fever, night sweats, significant weight gain or loss, exercise intolerance, depression, sleep disturbances, or fatigue HEENT: denies dry eyes, irritation, vision changes, difficulty hearing, ear pain, sore throat, runny nose, or sinus pressure Neck: denies swollen glands or stiff neck Pulmonary: denies cough, wheezing, or shortness of breath Cardiovascular: denies chest pain or palpitations Gastrointestinal: denies abdominal pain, nausea, vomiting, diarrhea, constipation, acid reflux, or melena Genitourinary: reports dysuria and vaginal itching, denies incontinence, hematuria, increased frequency, abnormal bleeding, or vaginal odor Musculoskeletal: denies muscle aches, weakness, joint pain, back pain, or edema Integumentary: denies any rashes, lesions, or change in hair Neurological: denies numbness, headache, seizures, tingling or sensation changes Endocrine: denies bruising, excessive sweating, thirst, hunger, heat or cold intolerance Objective Data Physical Exam Vitals: blood pressure - 130/77, heart rate - 97, respiratory rate - 17, temperature – 97.9 , oxygen saturation –97% on room air, weight – 183 pounds, height – 5 feet 4 inches, body mass index –
Patient states the pain has worsened in the past 2 days. Patient denies fevers, shortness of breath, cough and muscle pain. ROS: Constitutional: denies chills, fatigue, diaphoresis, fever, headache, lightheadedness and weight loss.
According to the questionnaire, the patient reported with a 35% disability upon the initial filling of it out and with a 15% disability three weeks later. Based on the patient’s written reporting she was doing much better, however, without studies of the questionnaire itself I am hesitant to make conclusions regarding
The carpal tunnel functions as an entrance to the palm for many tendons and median nerve (1). The median nerve is one of the five branches that make up the brachial plexus. This nerve provides motor innervation to the flexor muscles of the forearm and hand as well as muscles responsible for movements of the thumb. It also provides sensory innervation to the volar aspects of the first three digits and half of the fourth digit, the palm, and the medial region of the forearm (2). Carpal tunnel syndrome (CTS) is a common painful disorder of the wrist and hand.
Acoustic analysis of voice in spastic dysarthria: Case report ABSTRACT Voice analysis in dysarthria is challenging because of the complexity of the disorder and its affects on the speech production system. A combination of perceptual and acoustic analysis is increasingly common because of its convenience. The aim of this report is to perform the voice analysis in 66 years old male diagnosed as spastic dysarthria. Based on the assessment we can conclude that voice analysis reveals interesting data on the multiplicity of voice quality in spastic dysarthric.
Along with using their time wisely to document correctly with legible and accurate writing. A major difference between my experience in the clinic and my education was the use of the Tinetti with patients with PD. In class we have been taught that this outcome measure did not have good evidence for use with these patients and should not be used with them. However, the therapist chose the Tinetti to test balance and gait for a patient with PD.
