However, staff reports and patient reports that by increasing the overall loudness, he does not tolerate wearing them for very long. Nursing was encouraged to help him put them on for a few hours in the morning, allow him to take them out and put them back on a few hours in the afternoon. He will need some…
For low bone mass before and perodiaclally during therapy. Paget’s Disease: Asses for symptoms of Paget’s disease (bone pain, headache, decreased visual and auditory acuity, increased skull size) Lab Test Consideration: Osteoporosis: Asses serum calcium before and periodically during therapy. Hypocalcemia and vitamin…
QUELL HEARTBURNS SAFELY Heartburns hurts – but so can overzealous treatment, concluded a recent collection of studies in the Archives of Internal Medicine, which looked at proton pump inhibitors (PPIs) – the powerful drugs that shut off production of stomach acid. PPIs are effective, but heavily used. Researchers have found that hospital patients who take PPI are more likely to be infected with Clostridium difficile, a dangerous superbug. For older women, long-term use increases the odds of…
DOI: 4/25/2016. The patient is a 43-year-old right-hand dominant female housekeeper/maintenance worker who sustained a work-related injury alleging a repetitive injury to both wrists. Electromyography/nerve conduction studies of the upper extremities dated 05/17/2016 demonstrated moderate right sensorimotor median nerve neuropathy at the wrist consistent with carpal tunnel syndrome. There is also mild left carpal tunnel syndrome. There is no evidence of cervical radiculopathy at this time. Per…
misdiagnosed diseases. It is a common pain disorder that causes widespread pain and tenderness to touch that can be all over the body, or in just one area. The severity of the symptoms vary from person to person and never go away entirely. The weather and time of day can cause flare ups. Affecting mainly women, it is a chronic disease that can affect from children to older adults. Symptoms include but are not limited to, headaches, migraines, facial pain, depression, anxiety, mood…
In the book The Giver the book is portrayed as a utopian society. On the other hand everyone is always being watched and studied, which could make the community a dystopia. In my opinion the book is a dystopia. It is not a perfect community, it has its flaws which makes it a dystopia. From a baby until getting chosen for a job they are watched, everyday of their lives. ¨Attention. This is a reminder to male elevens that objects are not to be removed from the Recreation Area and that…
Others advocate for this treatment in order to provide their patients with relief from back pain and stiffness that commonly occurs with such a deformity in posture (Cuppett). In my opinion, I…
with chronic ankle pain that he developed after an old sprain sustained while paying soccer. He eventually withdraw from soccer entirely doe to his chronic pain. So, I thought that a history of previous injury will help me pinpoint the differential diagnoses faster. However, according to my preceptor, my patient’s pain might be caused by an intra-articular or extra-articular problem and may be the result of his injury or not. Thus, the differential diagnosis for his chronic ankle pain is quite…
I was referred to Dr. Bray by my therapist ( a friend of Dr. Bray's), who had heard me mention many times that I had trouble with my back. I was pretty hesitant to call him - my insurance is quite awful, and because of this, I have an extensive history with poor healthcare providers. I decided to call anyway, despite my apprehension, and I have not regretted that decision. I played competitive volleyball for many years, to the point that I was being recruited to play in college. During my…
chronic indwelling urinary catheter and persistent leakage with recurrent UTI. Review of her medical history indicates multiple sclerosis, UTI, Memory loss, Pressure ulcer, facial neuralgia, blood transfusion, chronic kidney disease, decubitus ulcer of back, GERD (gastroesophageal reflux disease), hypertension and legally blind. At today’s visit she is accompanied by her husband. She is found lying in bed at home. She is alert and oriented times 2. The husband reports that during her recent…