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Chapter 24 soft tissue injuries exam
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The patient is a 29-year-old male who sustained an injury on 03/25/17. The patient accidentally got his left long finger caught in a meat processing machine, which resulted to a severe laceration.
The patient was diagnosed with a complex soft tissue injury of the left middle finger with dorsal scarring.
Prior treatments included medications and physical therapy (PT). Current medication included Ibuprofen. The patient underwent a laceration repair and repair of a crush-type laceration of the left DIP extensor tendon, and repair and realignment of the fracture of the distal phalanx on 04/13/17.
An x-ray of the left long finger (undated) demonstrated a shear fracture adjacent to the head of the middle phalanx.
Medical records reviewed
included Primary Treatment Physician’s Follow-Up Report dated 07/18/17, Request for Authorization (DWC Form RFA) dated 07/25/17, Mitchell, UR Notice of Prospective Authorization Decision dated 04/25/17, and Initial Orthopedic Consultation dated 04/14/17. According to the report dated 07/18/17, by Dr. Kupfer, it was noted that the patient continued to struggle with stiffness involving the distal interphalangeal joint of the left middle finger. His review of systems revealed dyspepsia with some episodic gastric pain treated with antacids and H2 blockers. On examination, there was modest scarring involving the distal margin of the left middle finger. An obvious soft tissue defect was noted at the hyponychium with a scar extending along the radial border of the digit to the DIP level. A decreased range of motion of the finger was evident, principally at the distal interphalangeal joint. The treatment plan included medications and injection. This is a review for Voltaren XR 100mg #30; and Prevacid 15mg #60, as per the 07/18/17 order.
The anatomy of the knee contains the femur, tibia and the patella. There are four main ligaments within the knee. Those ligaments are called medial collateral (mcl), lateral collateral (lcl), anterior cruciate (acl) and posterior cruciate (pcl). The anterior cruciate ligament (acl) is in the middle of the knee and prevents the shin from sliding. An anterior cruciate ligament tear is the most common harmed ligament, undergoing an estimate of 200,000 happenings yearly. Typically individuals who play sports such as football, basketball, skiing or soccer experience this injury.
The patient is a 45 year old male who was in a car accident that
The skeletal system is an anatomical body system which consists of all the bones and joints in our bodies. In total, an adult body entails 206 distinct bones, arranged in the axial skeleton (80) and the appendicular skeleton (126). The latter division has bones in the limbs, pelvic girdle and the shoulder girdle, whilst the rest of the bones belong to the axial division. It’s a very important system therefore it has a few main functions. The most obvious is that it gives the body its rigid shape, which makes it relevant to other body functions like breathing, which is helped by the rib cage expanding to accommodate the movement of the lungs. Other functions include support to ensure that organs
Additionally, the finger in question is his pinky finger, not the middle finger as the occult recipe calls for, and the finger is fractured-- not cut. You can find the email and pictures regarding it here.
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture. A pneumothorax is defined as “the presence of air or gas in the plural cavity which can impair oxygenation and/or ventilation” (Daley, 2014). The development of a pneumothorax to a tension pneumothorax can be caused from positive pressure ventilation.
In the CNN article “Shazier injury, dirty hits cast dark shadow over steelers MNF win vs Bengals” Sean Tomlinson explains how Ryan Shazier’s injury and JuJu Smith-Schuster’s hit impacted the monday night football game between the Bengals and the Steelers. Shazier was injured on a pass play he was carted off by the medical team and did not play the rest of the game. Late into the game JuJu Smith-Schuster made a crackback block on Vontaze Burfict which some sports analysts viewed as a dirty hit.
Being a nursing student, I understand that Mr. John suffer hemiplegia resulting in weakness and also have limited ability to move, he cannot eat by mouth which restricts to have enough nutrition for the body, these are the some of the reason that make Mr John prone to have pressure injury as limited mobility and sickness causes the blood vessels to collapse easily so when for hours or days continuously pressure remains on the skin it leads to pressure sore and these pressure sore increases the risk of infection (Reddy, Cottrill, & Cansino, 2011). Usually, sustained pressure causes injuries over a bony prominent area especially in those who are malnourished and immobilized or limited mobilized. Routine assessment of skin is recommended to observe any sign of infection, 2 hourly position helps to relieve the pressure on the area (Barret, Kevin, James,
Sports Medicine is a medical field that specializes with physical fitness, treatment and prevention of injuries related to sports and exercise. It was introduced around the early Greek and Roman era when the first modern Olympic Games took place. The Greek felt they could do something to help heal and prevent injuries that the athletes were receiving. Now in sports medicine, certain injuries can only be assessed and treated by specific physicians. These physicians can include physical therapists, athletic trainers, and strength and conditioning coaches. Although sports physicians are most commonly seen by athletes after they are hurt so they can be treated, there are some physicians that are seen before an injury occurs so that they can learn how to prevent injuries.
The word patella comes from the great latin language meaning shallow pan or shallow dish. The description of that word could not be more correct, it was meant in reference to balance of food but in anatomy’s case a balance of the body. The patella is a small bone located in front of the knee joint where the thigh bone (femur) and shinbone (tibia) meet. It protects the knee and connects the muscles in the front of the thigh to the tibia. The patella is one of two sesamoid bones found in the body, roughly triangular shaped in size. It’s thick consistency allows for the articulation of the femur, which in turn allows for body support and balance. The patella has multiple body functions with the primary being knee extension. The patella is essential for basic body functions including locomotion;
The number of girls and women participating in all levels of sports has risen greatly in recent years, and the way they play has changed too. Women's sports used to be played by a slow defensive style. Today, the sports are played with speed, precision, and power. With these changes have come increased injuries, and female athletes have higher injury rates than men in many sports. Knee injuries have been rising in female sports. Anterior crutiate ligament (ACL) injuries have become the most common injury in the knee to female athletes. Females are four times more susceptible to injury then men.
Your hand are made up of many small bones, ligaments and tendons and constant unprotected abuse can quickly damage all of those internal parts. It is not that they are fragile but constant
DOI: 11/14/2013. Patient is a 34-year-old male digital sales lead who sustained injury on while he was lifting a heavy box. MRI of the lumbar spine without contrast dated 1/2/14 revealed degenerative disc disease and facet arthropathy with grade 1 anterolisthesis L5-S1; canal stenosis include L4-5 mild to moderate canal stenosis; and neural foraminal narrowing includes L3-5 mild to moderate left, mild right neural foraminal narrowing. As per office notes dated 6/17/16, the patient pain level has decreased since the last visit He rates his pain with medications as 2.5 and 5 without medications. The patient is taking the medications as prescribed with no side effects reported. Current medications include ibuprofen and Skelaxin. Objective findings
· At the base of the thumb on the inside of the wrist, this is known
Throughout a dancer’s career, many will experience an injury. In dance, you deal with a lot of quick movements and you’re dancing on your feet the majority of the time. Dancing on your feet can cause injuries whether they are minor or intense. A dancer’s injury can affect their career by having the injury then have it wear off or it can affect them immensely in their career to the point where they aren't physically capable of dancing anymore.n injury can cause a dancer to either have it to then wear off or it can affect your whole dance career. Injuries can happen at anytime when while a dancer is in class, rehearsal, or even a performance. Dancer’s say most of the time that they do not know what they were what
“Dr. Zugabie made another startling finding, the Roman practice of nailing a victim’s palm to the cross would have ruptured the median nerve in the hand. This has the effect of turning the victim’s thumb inwards. A careful examination of the Shroud reveals that the victim has his thumbs turned inwards. They are hidden underneath the palms, just as one would expect if the median nerve had been ruptured” (Draconus33. Time: 15:38 -