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VICTORIA Case Studies Essay

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VICTORIA

Immediately following the accident, Victoria was transported via ambulance to Presbyterian Hospital due to the immediate onset of head, neck, and back pain. Once there, she was carefully evaluated, treated, she underwent x-rays, and was subsequently released with instructions to follow up with her physician as needed if the pain continued. Hospital record to be provided upon my receipt of same.

Subsequently, she presented to Dr. Joseph Wilson, D.C. of the ABQ Injury Clinic with continued complaints of headaches, pain in her neck, upper and lower back. Dr. Wilson notes that examinations revealed moderate to severe palpation tenderness noted in the cervico-thoracic and lumbosacral paraspinal musculature with muscle hypertonicity, taut tender fibers and associated active trigger points. Range of motion was limited with muscle guarding and spasm. Joint fixation hypomobility noted in the upper spinal segments. Examination for altered spinal motion revealed an increase of segmental fixation at T1-T11. An evaluation of the musculature revealed a marked spasticity in the suboccipital muscles bilaterally, cervical paraspinal muscles bilaterally, upper thoracic muscles bilaterally, mid thoracic muscles bilaterally, lower thoracic muscles bilaterally and lumbar paraspinal muscles bilaterally. Examining the spinal …show more content…

Ms.Gaytan-Mendoza is only 42 years old and will continue to suffer from pain as a result of the injuries sustained in this crash. She now has difficulty performing normal activities of daily living. In addition, her 3 young children also suffered permanent injuries and will likely suffer from pain in the future as a result of their injuries sustained in this crash. Mrs. Gaytan-Mendoza and her 3 children were carrying out all of their activities of daily living without restrictions or limitations prior to the crash which occurred on June 9,

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