Pelvis is stable. The patient is ambulatory and show no restrictions in motion at the hip, knee, ankle, or foot. Examination of the left upper extremity shows a posterior splint. This is removed and shows some mild swelling and ecchymoses in and around the posterior aspect of the elbow and ulnar forearm. Axillary, radial, median, and ulnar nerves are intact to motor and sensory tone.…
Group I, Category 19 Incorrect RFC Decision ISSUE DDS proposed a denial determination. The evidence in file supports a more restrictive RFC, as a result, additional vocational documentation is required. CASE DISCUSSION & POLICY ANALYSIS (INCLUDING SPECIFIC REFERENCES) This 57-year old is filing a DIB claim alleging disability due to loss of right eye, COPD, high blood pressure, edema of both legs and feet, back surgery, weight gain, depression, and neuropathy, as of 10/22/2014.…
This case involves a lawsuit brought by Kenneth Leitzen, Sr. and Theresa Leitzen, on behalf of their disabled son, Kenneth Leitzen, Jr. Kenneth, Jr. was diagnosed at birth with Downs Syndrome. Later, as an adult while residing at our client’s facility, he was diagnosed as being bipolar. His I.Q. was tested at 36 and our client’s documents indicate that he had the mental capacity of a seven year old at the time he moved into the facility. (Subsequent evaluations reveal that his capacity declined throughout his residency at our client’s facility.) As a result of Kenneth, Jr.’s bipolar disorder and related behavioral issues, his physicians prescribed psychotropic medications consisting of Depakote, Risperdal, its generic equivalent, Risperidone,…
Washington Redskins vs. Dallas Cowboys….. What’s With the Stretcher?? With the recent head/neck injuries that were sustained this weekend by Washington Redskins players, Dashaun Phillips and Kyshoen Jarrett (a fellow Hokie!), after helmet-to-helmet hits with the Dallas Cowboys running back Darren McFadden I’ve decided to elaborate on what a “cervical stinger” is and how it can potentially be prevented. (Image from Maguzz.com) What is a “Cervical Stinger?”…
His face continues to symmetric at rest with good strength throughout his face. The remaining of his cranial nerve examination was within normal limits. He has good strength of his extremities.…
Everhart and Hunnicutt used multiple narratives from respondents within their work. One respondent whose name is Chris described their abuse relationship, for in their description Chris’s partner practiced a form of polyandry, in which she had multiple partners. Chris described how their partner made them feel uncomfortable, and sexual assault was present within the relationship. Additionally, the sexual assault that Chris experienced was at the hands of their partner and another perpetrator. When Chris confronted their partner about their concerns regarding the sexual abuse, Chris’s partner associated their concerns with “whining”.…
Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain.…
On 10/31/2016, the claimant complained of neck and upper back discomfort. She also presented with a low back pain. According to the provider, to restore a normal function and increased the range of motion, continued exercise was suggested. On 11/14/2016, the claimant presented with a low back pain and neck soreness.…
All available documentation submitted for this claim has been reviewed from the perspective of Internal Medicine. The claimant is a female (DOB 08/20/1979) who works as a sales representative who is claiming disability from 04/03/17 through 04/16/17. The physical requirements of her job included carrying optical bags, standing, and walking. Based on the submitted documentation, the main medical issues, in this case, are acute cystitis with hematuria, left-hand numbness, left-sided neck pain, cervical disc disease, dysmenorrhea, premenstrual dysphoric disorder (PMDD), and bacterial vaginosis (BV).…
Working Toward a Solution By Shane Barry Many doctors and medical researchers have spent years on their exploration into spinal cord injuries. The encounters in which they have made have been used toward finding a new and innovative solution to these injuries in the hope of helping these patients walk or even move or feel again. Most of the injuries included are quite tragic such as partial or complete paralysis. Varying spinal cord injuries can come from the slightest impact or fall. They can occur from a failed attempt at a backflip on a trampoline, or even falling when you were jumping up and down on top of the bed.…
On examination, the patient has normal strength and tone. No involuntary movements are noted. Her movements appear purposeful and normal, specifically there is no tremor or shaking and they are not slow. No fasciculations are noted. Tapping muscle tendons elicits a normal…
Jennifer McNab of Pioneer State Mutual Insurance Company referred this file for medical case management. Instructions were given to meet with Susan Iversen and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 10/24/16 I met Ms. Iversen at her home. She is alert and oriented.…
Concerns that the student nurse would want to monitor for would be signs of decreased cardiac output and lack of blood flow to his peripheral tissues that would be evidenced by edema and relatively colder skin (Jarvis, 2008). R.M. also had weakened pedal pulses of +1 bilaterally. Another abnormal assessment was with R.M.'s musculoskeletal system. R.M. had very limited range of motion especially in his lower extremities greatly due to arthritis and a very labor intensive job his entire working life. In R.M.'s patient's chart, it stated he had functional decline and joint limitations.…
Imagine a world where doctors could get rid of muscular, nervous, and skeletal pains or diseases, just by simply adjusting a part of your nervous system. Sadly most medical conditions can’t be cured in this way, but some can. Luckily, most conditions can be treated through various therapies that lessen the symptoms. Chiropractors can treat these symptoms through therapy. Because of this, Chiropractors can treat many conditions dealing with the nervous, muscular, and skeletal systems, however, most don’t know that some conditions that happen everyday or conditions that last for a long period of time can be treated through chiropractic therapy.…
“Folic Acid and the prevention of spinal bifida and other neural tube birth defects.” Neural tube birth defects have been defined in the medical dictionary as “Any of a group of congenital malformations involving defects in the skull and spinal column that are caused primarily by the failure of the neural tube to close during embryonic development.” (Mosby’s Medical Dictionary, 8th edition. 2009, Elsevier.) To me and you NTD’s are birth defects of the brain, spine or spinal cord, which are thought to occur during the first month of a woman’s pregnancy.…