Palpation

Patient is a 54-year-old female assembler who sustained a right elbow injury on 8/16/2011 due to repetitive use of torque wrench. Patient has multiple diagnosis which includes complex regional pain syndrome I of upper limb, bilateral; Carpal tunnel syndrome, left upper limb; carpal tunnel syndrome, right upper limb; and Lateral epicondylitis, unspecified elbow. Per medical report dated 5/9/2016, patient presents with primary complaints of right upper extremity pain and right middle finger pain.…

Patient F.C. physical exam presents with a male whose general appearance resembles his stated age. He appears ill with noted restlessness, sweating profusely and in acute pain (being bent forward on the exam table). His vital signs are abnormal with a low B/P of 85/60, elevated HR of 120, elevated respiratory rate of 35 and a temperature of 101.4. His weight is 154 lbs and a height of 5’ 7.5”; BMI is normal at 23.8. Patient is awake and oriented to person, place and time; able to follow…

improved in flexion to 60 degrees, extension to 10 degrees, bilateral rotation to 20 degrees, left lateral flexion to 10 degrees and right lateral flexion to 20 degrees. Decreased intersegmental range of motion was observed by standard motion palpation at T10/11/12, L4, L5 and S1 and left sacroiliac joint.…

DOI: 07/02/2014. This is a 50-year-old female crew member who sustained cumulative trauma to her neck, right hand, arm, elbow, wrist, and upper extremity. Patient is diagnosed with trigger finger, carpal tunnel syndrome, lateral epicondylitis, and 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…

DOI: 03/23/2015. The patient is a 31-year-old male apprentice climber who sustained a work-related injury to his right knee when his left boot sole got stuck on fence, causing his full weight to bear on the right leg. MRI of the right knee dated 7/25/2016 revealed mild knee joint effusion. Suggestion of complex tear involving the posterior horn of the medial meniscus and horizontal tear of the lateral meniscus. As per progress report dated 8/10/2016, patient continues his gym exercise and…

The 44-year-old obese female is admitted to the emergency room with fever, severe abdominal pain on the upper right side that radiates to the scapula and nausea. I believe this patient is experiencing acute cholecystitis, gallbladder attack. The signs and symptoms of acute cholecystitis includes: intense or sudden pain in the upper right part of the stomach, worsening pain with deep breathing extending to the lower part of the right shoulder blade, shortness of breath due to pain, nausea and…

History The important and most common cardiac symptoms include having: - Chest pain, discomfort or tightness - Dyspnoea - Palpitations - Dizziness - Syncope The related cardiovascular history including any strokes, peripheral arterial disease, transient ischaemic attacks or peripheral oedema. Chest Pain One of the most important symptoms of heart disease is chest pain as it can be difficult to evaluate. The mnemonic PQRST is used to assess chest pain: Provocative or Palliative: What makes the…

Betty Jones is a happily married 54 y/o primary school teacher who presented at our clinic with a 2-day history of intense back pain after moving a heavy pot in the garden and a long-term history of bronchitis. Her back pain is exacerbated by a current episode of bronchitis, which is maintained by smoking 3-5 cigarettes daily. While in the garden two days ago, Betty bent over to move a large ceramic flower pot. Upon lifting, she experienced immediate pain which has remained consistent with an…

The integumentary system consists of the largest organ of the body which along with supporting structures that cover majority of the surface area of the human body. Responsible for protection, thermoregulation, palpation, and excretion. Cutaneous Membrane: More commonly referred to as the skin, the largest organ of the body that as a is composed of two main components: Epidermis- The outer most layer of the skin. Acts as a physical barricade against microbe’s due to its configuration of tough…

DOI: 09/09/2015. Patient is a 41-year-old female receiving clerk who felt a pop in her left wrist while picking up boards. Patient is diagnosed with left scapholunate ligament tear and left wrist pain. She is status post left wrist diagnostic arthroscopy with partial synovectomy and left scapholunate ligament repair on 10/20/2015 and removal of hardware on 03/24/16. Per the PT daily note dated 05/25/16, the patient has attended 14 visits for the left wrists since 03/28/16. Based on the…