spine sprain, right shoulder impingement and chronic pain of the right upper extremity. Electrodiagnostic studies done on 12/08/15 showed no electrophysiological evidence to support motor radiculopathy or brachial plexus injury and distal peripheral neuropathy in the upper extremities. MRI of the cervical spine dated 12/08/15 showed a 3-mm broad-based anterior disc bulging, more to the right, indenting the right anterior thecal sac at C3-4 and C4-5 levels.…
Dermatology Clinic: Questions and Answers Case 1 1. What is your diagnosis? This patient exhibits signs and symptoms of iatrogenic Cushing syndrome with steroid acne due to corticosteroid withdrawal. 2. What factors may have contributed to the disease? The chronic treatment with high doses of prednisone contributed to the patient’s Cushing syndrome. However, steroid withdrawal may have caused her recent skin flare around her trunk and extremities. 3. What is the treatment of choice for this…
Signs and Symptoms: HIV should be viewed as a continuum which includes initial infection, asymptomatic latent infection, symptomatic infection and end-stage AIDS diagnosis. The progression along a person’s continuum cannot be predicted as it varies from person to person. Since each person’s progression through HIV is different, each person should be viewed as an individual regardless of symptoms they may present with. There are various symptoms that a person can present with during the…
possibility to progress from acute inflammation to chronic inflammation. Mr. Jones’ diabetes causes increased serum glucose levels, vascular changes that lead to microcirculation and glycosylated hemoglobin, causing tissue ischemia (peripheral vascular disease (PVD), neuropathy) related to decreased oxygen release to tissue. During an acute inflammation, insulin needs are increased and Mr. Jones’ wound becomes more compromised. Increased serum glucose and tissue hypoxemia inhibits the…
vomiting, headache, insomnia, weakness, bone marrow suppression, anemia, and neutropenia which is low number of white blood cells; Tenofovir- weakness and a lack of energy, headaches, diarrhea, nausea, vomiting, and intestinal gas; Stavudine- peripheral neuropathy which includes a sharp burning pain sensation in the hands or legs (California, 2002-2015)”. Ask your doctor for a treatment plan that works for you because you have many options and death is not one of…
Perfusion/Oxygenation Ms. Crocker has poor profusion due to her heart failure. Her heart condition is not very advanced at this time, but is contributing to some peripheral tissues not getting as much blood. The reason for this is that the heart is putting out less blood and so the body wants to make sure that the vital organs are getting the blood supply first before/over the peripheries. Due to her COPD when the oxygen was turned up too high, she would begin to have a decreased level of…
Mobility disability is an early sign of the disability process in older people and is associated with adverse health problems such as arthritis, cardiovascular disease and number of comorbidities (Melzer et al., 2005). It is a precursor of end stage disability in older adults and is more common is women (Fried et al, 2000; Zunzunegui et al, 2015). Due to our rapidly aging population and loss of functional independence, identifying risk factors that predict mobility disability in elderly people…
blood-cleaning process, or may need to receive a transplant of a healthy kidney from an organ donor. Peripheral Vascular Disease is caused by atherosclerosis, the buildup of fatty material within the vessels, which leads to vessel blockage. Also, a very common complication of diabetes is a foot injury. Diabetes may lead to an amputation, which is why diabetic foot care is taught to the patient. Neuropathy is a deterioration of nerves resulting in loss of nerve function. The most primitive signs…
complications if you do not keep your diabetes in check. "The presence of type 1 and type 2 diabetes is strongly correlated with the development of micro-vascular complications, including retinopathy, neuropathy, and nephropathy. It also causes macro-vascular complications, such as cardiovascular disease, peripheral vascular disease, and stroke. When compared to a person without diabetes, a person with type 2 diabetes has a 10–15 fold increased risk of lower-limb amputation and a 2–4 fold…
and for that, Physical therapist check for sensation before treatment of hot modalities. Because vascular diseases are contradiction of hot modalities like SWD, MWD, Hot pack, IR etc. Cryotherapy is also not recommended for vascular disease. In neuropathy, patient may have reduced capacity for physical activity. Physical therapist should not give high…