Subjective history of chief complaints and pain will lead physical therapist to look in to the possibility of serious pathology. Addressing the given case history, throbbing type of pain unrelated to the activities and history of nocturnal pain will serve as red flags to the clinician.
Patient complaints of shortness of breath and pain pattern are not directly related to the occupational history and medical history provided. According to VanWye, 2009, screening skills of physical therapist for conditions requiring immediate attention of physician will result in timely diagnosis of serious medical condition. Hence, judicious approach of identifying the possible underlying reason for these complaints must be further explored and appropriately …show more content…
According to Siemionow & McLain, 2006, nocturnal pain which is insidious, persistent, increases at night and awakens the patient from sleep and not alleviated by rest should not be overlooked and emphasis must be given in taking detailed history of any neoplasm or infections.
3. The best possible reason that can be given for the throbbing pain experienced by the patient will be the peripheral vascular disease (PVD). Patient has a medical history of both hypertension and hyperlipidemia for which he has been treated with Valsartan and Zocor. Long term use of statin can lead to myalgia and fatigue. Physical therapist apparently did not perform any tests to doubt vascular reasons for pain. Given the history of hyperlipidemia, throbbing pain in abdominal and groin area with episodes of dyspnea during exertional activities like stair climbing is suggestive of vascular issues that can eventually lead to thrombus formation.
Peripheral vascular disease has a risk factor profile similar to that associated with coronary artery disease like diabetes, smoking, hypertension, and hyperlipidemia as suggested by
Chen, Shi, Wang & Li
Patient complaints of shortness of breath and pain pattern are not directly related to the occupational history and medical history provided. According to VanWye, 2009, screening skills of physical therapist for conditions requiring immediate attention of physician will result in timely diagnosis of serious medical condition. Hence, judicious approach of identifying the possible underlying reason for these complaints must be further explored and appropriately …show more content…
According to Siemionow & McLain, 2006, nocturnal pain which is insidious, persistent, increases at night and awakens the patient from sleep and not alleviated by rest should not be overlooked and emphasis must be given in taking detailed history of any neoplasm or infections.
3. The best possible reason that can be given for the throbbing pain experienced by the patient will be the peripheral vascular disease (PVD). Patient has a medical history of both hypertension and hyperlipidemia for which he has been treated with Valsartan and Zocor. Long term use of statin can lead to myalgia and fatigue. Physical therapist apparently did not perform any tests to doubt vascular reasons for pain. Given the history of hyperlipidemia, throbbing pain in abdominal and groin area with episodes of dyspnea during exertional activities like stair climbing is suggestive of vascular issues that can eventually lead to thrombus formation.
Peripheral vascular disease has a risk factor profile similar to that associated with coronary artery disease like diabetes, smoking, hypertension, and hyperlipidemia as suggested by
Chen, Shi, Wang & Li