noted with Norco use. Furthermore, there is no mention of the absence of aberrant behaviors and medication compliance. There were no UDS or CURES reports available for review. Currently, he is taking Naproxen for pain control. Medical necessity of Tramadol has not been substantiated. Recommend…
radiculopathy, lumbosacral region; myalgia; and long term (current) use of opiate analgesic. As per office notes dated 5/9/16, the patient complained of chronic pain in his lumbar spine. He states that the pain increases with activity. He needs Tramadol occasionally to control his pain and perform his work duties. He continues to work full duty. He has daily exacerbation of pain as the day progresses and he is involved in activities. He said that it is difficult to rest with the pain in back…
was noted that since her last her visit of 9/8/16, she has had increase in pain, so that she is now back on Norco 5/325 mg, a half pill at a time, for a total of two pills during the day as well as Tylenol No. 3 at night. She no longer takes the tramadol. She still has her left extensor hallucis longus weakness, but it has improved since the last examination. She has no significant lumbar paravertebral muscle spasm, but more lightness across the low back. She has the occasional stress urinary…
The rash caused by shingles is characterized by itchiness, but pain is an even more frustrating issue. On each side of your body, there are pathways for nerve roots that supply sensation to the skin. When the varicella-zoster virus, the same one that causes chickenpox, becomes reactivated, red blotchy patches on one side of your body or face, cluster along nerve pathways. It is common for an infected individual to complain of shooting pain in the region where the rash appears. Shingles…
stand, or drive in one position. The patient frequently changes position to get comfortable. The pain affects his sleep. The patient has a history of NSAID induced gastritis, dyspepsia and is placed on Prilosec. The patient is recommended to take Tramadol. He is allowed Naprosyn, Prilosec and Ultram. The exam of the neck revealed midline tenderness extending from C2 to C6. Bilateral facet tenderness is noted at C2-C3 and C5-C6. Bilateral occipital tenderness is noted. Pressure causes occipital…
Difficult Detox Drug addiction and substance abuse are not only prominent with the use of ‘street drugs’, the epidemic has been increasingly present in the world of prescription medications as well, even those that are used to ‘wean’ people off of other illicit drugs. Here are a list of some of the most commonly abused prescription, or ‘legal’ drugs, and their self-detox risks. SubOxone: The intended use of SubOxone is the treatment of opiate addiction, however, many individuals develop a…
C passes in the year attended. My studies in the past year were adversely affected as I was involved in a car accident, this affected my head, neck and back and have been in severe pain since. I have been taking multiple different tablets such as tramadol, morphine and oromorph in attempt to reduce the pain I have been suffering. This affected my college life vastly... Regardless of the pain I have been motivated to succeed in my education and pursue a degree in…
Review of the medical record indicates that she was recently admitted to MHS for complaints of increasing fatigue, lethargy and leakage from her indwelling foley catheter. She had a urology consulted with Dr. Beltran for evaluation of 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…
pronounced dead at 5:04 pm that day . His funeral was at the Brooklyn's Christian Cultural Center and collected a crowd of thousands. The cause of his death was a drug overdose, and an autopsy found a mixture of cocaine and the prescription drug known as tramadol. The overdose was ruled accidental and many witnesses confirmed this with their responses, saying that he complained of pain in his chest before his dreadful…
time, he continues to have abdominal cramping and also loose stool about 2-3 times a day. 2. He has been having chronic back pain. He only takes Tylenol but he claims that it is not really helping prior to him going to Oak Park Heights, he was on tramadol on a p.r.n. basis which really had helped. OBJECTIVE His blood pressure today is 142/86, pulse of 76, temp of 97.9, O2 sat of 99%. When he went on the table, he was really having a lot of pain in his back and the…