Column-oriented DBMS

The skeletal system is the main system involved in this case study. He damaged the lumbar region of his back. The possible consequences for a spinal cord injury can lead to inability to walk, changes in reflexes, muscle spasms, neurogenic bladder, and paraplegia. The prevalence of this injury happens to about 10,000 people each year. Trauma is the most common cause for spinal cord injury. Males happen to be more affected by SCI in ages between 16 and 30 years old. 9 percent of injuries occur in…

A little background information on Gary who came to the clinic with right shoulder pain. Gary is a 40 year old self-employed painter. He has had a cortisone injection that proved to be helpful for about five months. However, the pain returned and is a 5/10. Gary has been taking ibuprofen which hasn’t helped and using ice for some relief. There are several possible causes for Gary’s shoulder pain. For example, Gary could have Adhesive Capsulitis, Glenohumeral Osteoarthritis, Bicep Tendonitis,…

In this case, the claimant was 10 months status post left L4-5 laminectomy and discectomy on 11/14/2016. He reported persistent aching and shooting pain to his lower back radiating to his left lower extremities. He also had ongoing left leg pain with weakness and numbness. Despite previous surgery, the claimant continued to be symptomatic with low back pain. Considering this, an MRI of the lumbar spine is medically necessary and appropriate to further evaluate the claimant's condition. A visit…

Scoliosis is a condition where a child has a curve to their spine, with an unknown cause. Often times this curve is seen as an S-shape or C-shape during an examination of the spine. There are two types of scoliosis: structural and nonstructural. Structural scoliosis is a curve along the spine that affects the vertebral movement of the spine. Nonstructural scoliosis is caused by an effect, not by the spine but results from poor posture, differences in leg length, or an uneven gait. If…

I was anxiously awaiting the results. My mom trying to mollify me. All the possibilities running through my head, and then the door opened. The doctor spoke and much to my relief and displeasure, gave the diagnosis. After countless visits to the doctor and hospital for x-rays I was bewildered to find out that I was diagnosed with scoliosis. It turns out scoliosis is copious in teens and young adults. Unfortunately I was a part of this group. While it…

One beautiful, sunny day in late fall when the leaves were changing colors and there was a little chill in the air, my sister and I were in her jeep with our mom scouring the area for sales. Tonya, my sister, treated us to Hardees biscuits to eat while on our search. We were all excited about different items we purchased from the various sales. The day was feeling like another normal day to look for yard sales with my family. As I stared out the window, thoughts of the peaceful day flooded my…

Scoliosis is a spinal deformity which affects more than four million people in the United States alone. Scoliosis causes the spine to rotate and curve. Adolescent idiopathic scoliosis is a type of scoliosis with no known cause found in people over the age of ten. When patients reach skeletal maturity, they have instead idiopathic scoliosis as they are no longer adolescent. As adolescent idiopathic scoliosis has no known cause, it is the most scientifically important type. Without knowing a cause…

Thoracic outlet syndrome (TOS) was first identified by Sir Ashley Cooper in 1921 and was further evaluated by Rob and Standeven in 1958 (McKenzie). Thoracic outlet syndrome is a nonspecific diagnosis that refers to an array of conditions caused by compression of the neurovascular structures that pass through the thoracic outlet (Nichols). These conditions can be named based on their location of compression or the cause of symptoms (McKenzie). Factors that predispose patients to the development…

Scoliosis is an abnormal lateral curvature of the spine. While people without the condition have normal curves in their back, it should appear straight when looking from the front. However, people with the condition develop additional curves to either side of the body, and the bones of the spine twist on each other, forming a “C” or an “S” shape in the spine. The larger the curve is generally increases the risk for it to worsen overtime. S-shaped curves commonly tend to get worse overtime then…

Unit 3. Thoracic Spine Bulletin Board In the past, studies have shown that patients with musculoskeletal shoulder pain tend to lack thoracic mobility when compared to patients without shoulder dysfunction. When I treat a shoulder pain patient, I always evaluate and treated cervical, cervico-thoracic junction, and thoracic segments. The relationship between thoracic spine posture, shoulder ROM, and scap¬ular kinematics is well described in the literature. Lewis et al. (1) found that altering…