WSC Senior Presentation Poster

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Ankylosing Spondylitis

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Previously known as Bechterew's disease, Bechterew syndrome. Ankylosing Spondylitis is derived from the greek words- Ankylos meaning stiffening of a joint and Spondylos meaning vertebra. Spondylitis refers to inflammation of one or more vertebrae, often resulting in spinal fusion between the vertebrae. A fused spine is often called a “bamboo spine” because of it’s appearance on radiologic examination.

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FBs, particularly those with high oil content may cause severe mucosal inflammation with formation of bulky granulation tissue. When a FB is completely encased in bulky and bleeding granulation tissue, extraction can be very difficult or impossible. A short course of corticosteroids may reduce the inflammatory process and enhance recovery pre or post extraction and in some cases may facilitate removal of the FB.

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Chronic pain is debilitating to individuals and to our economy, yet most treatments are based on the assumption that it is due to a physical cause. Once it is recognised that chronic pain is caused by our brain and central nervous system as part of a protective stress-processing response, then as this process is reversible, full recovery is possible. SIRPA Ltd was set up to train health professionals to integrate into their own work the pioneering SIRPA approach, where the emphasis is on recovering from chronic pain, rather than management. www.sirpauk.com

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1 day ago Christina Alvarez Alvarez: Ankle Injury COLLAPSE Top of Form Episodic/Focused SOAP Note: Ankle Injury Patient Information: F.P, 46 y/o, Hispanic, Woman S. CC: Right ankle pain. “I was playing soccer over the weekend and heard a pop.” HPI: Patient, F.P., is a 46-year-old Hispanic woman who presents in the clinic today complaining of bilateral ankle pain, with right ankle of primary concern. She states she was playing soccer 2 days ago and heard a “pop”. She further states she heard the “pop” after running approximately 50 yards. She denies recent trauma or fall. She describes the pain as sharp when bearing weight, and dull/throbbing when she is at rest. She is able to bear weight but is uncomfortable. The pain is constant but worse when she bears weight. She rates the pain at its worst as a 7/10 and at its best 2/10. Pain is reproducible with palpation. The pain does not radiate. Patient states she did not apply ice to the injured ankle, and has only taken 200 mg of Ibuprofen, which she took 2 days ago and provided no relief. Patient states she doesn’t like to take medicine for pain one only took one tablet. She reports no associated signs and symptoms. Current Medications: no prescription medications; centrum complete multi-vitamin daily, ibuprofen, 200 mg; denies homeopathic products. Allergies: No known medication allergies. Denies environmental, food, and latex allergies. PMH: Reports history of insomnia, never treated. Denies having major illnesses, surgical procedures and hospitalizations. Reports being up-to-date on vaccinations. Last tetanus shot was 09/2019 – as preventative measure. Flu vaccination given 10/2019. SH: F.P. is a single woman with no children. She lives in a home she owns and is independent. She works as an online life coach and operates from her home. She lives alone with four dogs and a lizard. She denies drinking alcohol, smoking/vaping, using nicotine products, and recreational drugs. She endorses drinking 1-2 cups of coffee daily. She drives routinely, does not text-and-drive, and wears seatbelts. Her home is equipped with NEST home security and fire/carbon dioxide detectors. She has been celibate for the last three years and has practiced safe-sex. She is not currently on birth control, and her last menstrual cycle started 2-days ago. She denies having any sexually transmitted diseases. She participates in a local soccer league, and has for the last 10 years. She plays soccer every weekend and participates in hot yoga 3 times a week. She reports that her living environment is safe and her dogs are well-behaved and provide “all the emotional support I need.” FH: Mother, died at 69 of lung cancer; father, 75, living, high blood pressure, high cholesterol, osteoarthritis; Paternal grandmother, died at 70, complications from osteoporosis/diabetes; Paternal grandfather, died at 78, heart attack; Maternal grandmother, died at 98, ruptured aortic aneurysm; Maternal grandfather, di ...

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This video explains Cervical Radiculopathy and Cervical Herniations. When herniations begins to affect the nerves and spinal cord this is called Cervical Radiculopathy. This video highlights the history, epidemiology, and treatment options both conservative and surgical. If you or someone you know needs to be seen in regards to Cervical Herniation/Radiculopathy feel free to look us up online www.beverlyspine.com or www.santamonicaspine.com OR call toll free 1-8SPINECAL-1

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After six years of intermittent groin pain, Nadine sought medical care when her symptoms became worse. An MRI revealed a cartilage tear in her right hip and she was later diagnosed with bilateral hip dysplasia. When Nadine visited me for a second opinion, I found that her right hip was worse than her left and recommended a right hip periacetabular (Ganz) osteotomy. In the months since her surgery, Nadine’s right hip pain has been resolved and she’s been able to return to her normal activities. http://www.davidsfeldmanmd.com/patient-education/case-studies/nadine-hip-dysplasia

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I need a respond to this assignment three references zero plagiarism Case 3 : KNEE PAIN. A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform? Assessing Musculoskeletal Pain: Knee Patient Initials: MA Age: 15 years Gender: Male SUBJECTIVE DATA: Chief Complaint (CC): “My knees hurt, panful and with clicking sound. I experience catching sensation under the patella. ” The additional history will be assessed by asking questions related to the onset of the pain in terms of acute or gradual, duration of the pain and its associated symptoms and previous treatment for the pain. History of Present Illness (HPI): MA is a high school sophomore who came to the doctor complaining of knee pain. He is an active basketball player for his school team. He started experiencing knee pain in the last week. He claims to be suffering clicking sounds from both knees. Location: bilateral knees. Onset: Eight days while playing basketball. Character: Dull intermittent pain. Associated signs and symptoms: A catching sensation under kneecaps. Timing: For the past 8 dyas. Exacerbating/ relieving factors: gets worst while patient treks to school. The pain subsides with mediciation rest and ice pack. Severity: 7 on a pain scale of 1-10 after pain medication Ibuprofen 200mg 2 tabs orally was taken and 10/10 worst pain level after a trek to school. Medication: Ibuprofen. Allergies: No allergy to medication but allergic to shellfish. Past Medical History (PMH): The patient sprained his left knee four months ago, and history of Rheumatic fever during his early childhood. Past Surgical History (PSH): No history of medical surgery. Sexual/Reproductive History: None. The patient is not sexually active. Personal/Social History: Denies smoking, drinking alcohol, or using any other drugs. Immunization History: All immunizations are up to date as per the parents. Received flu vaccine 10/5/19. Significant Family History: MA lives with his parents. Both grandfathers have diabetes, his mother is obese. His two other siblings are healthy. The family has a history of obesity. Review of Systems : MA has presented a complaint of dull knee pain that he experiences in both knees. The pain is clicking and accompanied with a catching sensation under the patella. The pain mostly persists during physical activity. OBJECTIVE DATA: General : MA is a healthy 15 years old who has maintained a healthy body. MA is alert and oriented and very active in school when it comes to basketball an.

I need a respond to this assignmentthree referenceszero plag.docx

florriezhamphrey3065

Lindsay Claggett Week 8 Discussion Post: Back Pain COLLAPSE WEEK 8 DISCUSSION: Focused SOAP note for a 42-year-old male who reports pain in his lower back for the past month that sometimes radiates to his left leg. PATIENT NAME: S. F. AGE: 42 SEX: Male CHIEF CONCERN: “I’ve been having left lower back and leg pain for about a month now that doesn’t seem to be getting better” HISTORY OF PRESENT ILLNESS: This is a 42-year-old Caucasian male who reports left-sided low back pain for the past month that radiates down the back of his left leg. He describes the pain as a deep aching and burning sensation and rates the pain a 5-6/10 at times. He states the leg pain is often worse than his back pain and reports frequent “tingling” sensations down his leg. He reports that the pain is worse at work when he is moving or bending and has caused him to leave work early a few times. He has been taking naproxen for his pain which “only helps some”, reducing his pain to around a 2-3/10. PAST MEDICAL HISTORY: 1. Insomnia: diagnosed 8 years ago- controlled SURGICAL HISTORY: 1. Tonsillectomy/adenoidectomy- age 3 2. ORIF right radius/ulna- age 16, sports injury 3. Wisdom teeth extraction- age 18 MEDICATIONS: 1. Trazodone 100 mg PO at bedtime- last dose yesterday evening at 1930 2. Naproxen 250 mg PO q6 hours for back pain- last dose this morning at 0700 ALLERGIES: NKDA HEALTH MAINTENANCE: -Tdap vaccine- 6/2016 -flu vaccine- 11/2020 -last PCP visit- 11/2020 FAMILY HISTORY: -father alive at 68, history of HTN, HLD -mother alive at 66, history of anxiety/depression, migraines, RA -sister alive at 39, no medical issues -paternal grandfather deceased at 81 from pancreatic CA, history of HTN, HLD, DM -paternal grandmother alive at 89, history of OA and dementia -maternal grandfather deceased at 78, COPD, RA -maternal grandmother alive at 85, history of depression, breast CA -son alive at age 17, history of asthma -daughter alive at age 14 with no medical issues SOCIAL HISTORY: Patient admits to smoking a pack of cigarettes a day for 20 years. He admits to drinking 6-8 beers every weekend. He reports drinking 3-4 cups of coffee every day. He denies illicit drug use. Patient eats a standard American diet and denies a current exercise regimen. Patient is a factory worker and reports moderate physical and mental stress levels but states he has a strong support system from family and friends and denies issues affording healthcare or medications. REVIEW OF SYSTEMS: GENERAL: Denies fever, fatigue, or recent weight changes. CARDIOVASCULAR: Denies chest pain, palpitations, or peripheral edema. RESPIRATORY: Denies dyspnea or cough. GASTROINTESTINAL: Denies abdominal pain, nausea, vomiting, or changes in bowel habits. GENITOURINARY: Denies urgency, frequency, hesitancy, dysuria, nocturia, hematuria, or flank pain. MUSCULOSKELETAL: Reports occasional left lower extremity “heavin.

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