Abdominal pain

Pain is modulated by descending mechanisms of nociceptive transmission between the brain and spinal cord. Multiple brain regions, pathways, and chemical mediators are involved in this modulation of pain. One type of powerful mediator involved in pain modulation are opioids. Endogenous opioid peptides, as well as exogenous opioid agonists, bind and activate opioid receptors. Activated opioid receptors directly inhibit ON cells and also inhibit GABAergic interneurons which inhibit OFF cells, thus…

Pain can be as simple as a paper cut or a bleeding scar, but at the same time it is the monster that eats an individual up inside, keeping them up at night and asking them questions that they wish they only knew the answers to. It questions their every decision and thought similar to a nagging mother paired with an untidy room. There are multiple aspects of pain both physical and emotional that each has their own distinctive impacts on an individual’s life. The pain associated with the loss of…

Plantar Fasciitis is the number one leading cause in foot pain. The plantar fascia is a flat ligament that connects the heel bone (Calcaneus) to the toes and it also helps to support the arches underneath both of the feet. When the plantar fascia gets pulled or inflamed then you will feel the bottom middle of your foot pulling or stretching out and will usually hurt. It will usually hurt most when you are walking or standing to put pressure on the foot. Most athletes or middle aged people who…

medial epicondylitis. Per office visit note dated 04/25/2016, patient continues to have right middle and ring finger pain with any activity that involves grasping and gripping of the right hand. The numbness of the last two fingers has become constant. Her medications are Naproxen 550mg, cyclobenzaprine 7.5mg, Gabapentin 300mg, and Lidopro cream. Her medications help control her pain from 8/10 to 4/10. Based on the progress report dated 06/13/16 by Dr. Verceles, the patient feels a lot better…

REASON CHIEF COMPLAINT: Re-evaluation initiated; however, patient being discharged. S Patient has no showed for the last two weeks of speech therapy. SLP met him at his room today and he stated he did not want to do speech therapy any longer. MD was informed and he was discharged. O Inmate had just received new hearing aids and had demonstrated marked improvements in overall communication ability by just adding the hearing aids. However, staff reports and patient reports that by…

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 D deficiency should be treated before initiating alendronate…

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…

S: Client reported sharp low back pain between 8/ 9 on a10 pain scale with movement. Client reported being a little dizzy during the kitchen task but she said she was okay to continue walking to sitting area. O: Client participated in ADL retraining in lumbar support and TED Hose Application, Transfer/Functional Mobility training and IADL retraining in Tub Transfer this week. Client was able to put on the lumbar back support with demonstration, supervision and verbal cues. Client stated after…

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…