On October 5, 2015, near closing time, Ms. Dunn visited your restaurant located at 1701 North Beltline Road in Irving, Texas. Ms. Dunn was on her way to get more food, when she slipped and fell. While she was laying on the ground, she noticed water on the ground, coming from underneath the kitchen doors. The manager on duty at the time offered her Ibuprofen and icepacks. Ms. Dunn asked several times for the manager to call an ambulance, as she was in a great deal of pain, and the manager refused. Ms. Dunn had to eventually have her friend who was with her call 911. While waiting on the ambulance to arrive, Ms. Dunn asked for an incident report to be made, and the manager refused to do one. Ms. Dunn had to make a trip to the restaurant days …show more content…
Dunn presented to Baylor Scott & White Medical Center in Irving by ambulance. At Baylor, Ms. Dunn complained of great back, knee and leg pain. After X-Rays and lab tests were performed, Ms. Dunn was diagnosed with a sprain of site of left knee/leg, sprain of ligaments of thoracic spine, sprain of ligaments of lumbar spine, and anemia. Treating physician prescribed Ibuprofen: used to release pain, Methocarbamol: used to treat muscle spasms/pain, used along with rest, physical therapy to help relax muscles, and acetaminophen/codeine: used to help relieve mild to moderate pain. Treating physician set up a treatment plan that included the following: rest for the next few days causing her to miss work, remain active to improve back pain, prevention from bending and lifting, therapy and continuance of the prescribed medicine. Ms. Dunn was advised to report any new or remaining problems since it is impossible to recognize and treat all elements of an injury or illness in a single emergency care …show more content…
Ms. Dunn indicated that her symptoms have increased since the day of the fall, necessitating additional medical treatment. Ms. Dunn presented to Accident & Injury complaining of left thigh/knee pain on a level of eight out of a scale from zero-ten, with an increase in pain when walking. She complained of low back/left sacroiliac joint pain on a level of six-eight out of a scale from zero-ten, she described the pain as intermittent, achy, sharp and stiff, also with an increase in pain when twisting, bending and prolonged standing/walking. Additionally, she complained of fatigue, irritability, nervousness, emotional disturbance, difficulty sleeping, weakness and swelling since the fall. The following orthopedic tests were positive in the thoracic and lumbar spine: Minor’s sign is present indicating a pathologic condition of lumbosacral origin, Lasegue’s produced low back pain at 30o on the left and 75o on the right, Milgram’s test is positive. Orthopedic tests performed in the knee and ankle/foot were positive for the following: Varus stress test is positive indicating injury to the lateral collateral ligament, Patellar/Femoral grinding test is positive for indicating patellar-femoral disorder, Apley’s compression and grinding is positive suggesting a meniscus tear, and effusion sign is present indicating edema in the knee. Treating physician, Dr. Shane Marcum,
The most common knee injury in sports is damage to the anterior cruciate ligament (ACL) through tears or sprains. “They occur in high demand sports that involve planting and cutting, jumping with a poor landing, and stopping immediately or changing directions” (University of Colorado Hospital). The ACL is a ligament that runs diagonally in the middle of the knee and found at the front of the patellar bone. Its function involves controlling the back and forth motion of the knee, preventing the tibia from sliding out in front of the femur, and providing rational stability to the knee. Interestingly, women are more prone to ACL injuries than men. The occurrence is four to six times greater in female athletes.
On a normal work night at Pete’s Pizza, two co-workers decided to switch shifts. Kayla Cutler asked Gabie Klug to work a Wednesday evening, so she could have Friday evening off. That night Kayla and Drew are working, a man named “John Robertson” called in to order three large meat monster pizzas to be delivered to 1091 River Road which is a fake address. He asked if the girl in the mini cooper was making deliveries, the one driving the mini cooper is Gabie, but since Gabie isn’t there, Kayla had to go make the delivery. Kayla takes the order and never comes back, so Drew got worried and decided to call the police and file a report, for a missing person. As time passes, Drew told Gabie that the guy who ordered had asked for the girl driving
The athlete plays softball, and she plays short stop. She is eighteen years old. She has had no previous injuries. The injury that she sustained was an ACL tear, and she tore both the medial and lateral meniscus. She was injured while playing in a softball tournament. She was running to first base after bunting the ball, and the second baseman that was coving first base was trying to find the base. The second baseman was actually all the way over the safety base, and when the athlete went to touch the base, she hit the second baseman’s leg in full stride. She felt a pop in her knee, and she immediately was on the ground. She said that she didn’t have much pain; she just had a lot of instability in her knee. The athletic
For those who need hospital admission, the focus should be on anticipated discharge date, clear clinical criteria needed for admission in the right ward, and the right team for timely assessment (Royal College of Physicians 2012a; Emergency Care Intensive Support Team 2011; British Geriatrics Society 2012b). In my case study, the patient was admitted to the specialised ward for fracture neck of femur patients only and the need to consider why he had a fall at home certainly needs some thought.
The receptionist was on the phone for quite a long time before she could reach out to Ms. Patient. In the end, the receptionist just took Ms. Patient’s insurance without any clarification and made her wait for a while. Additionally, she was unable to focus on Ms. Patient and got distracted when another patient asked for indications. The receptionist clearly indicated unprofessionalism when she was unable to provide adequate information for the patient when she was disoriented. Also, the receptionist did not have any manners when she failed to excuse herself when another patient wanted to speak with her. Ms. Patient stated that she felt extremely vulnerable and lost when no one was able to help her understand what was going on. Therefore, the healthcare team in this case was unsuccessful in providing a caring and helpful environment for the
Earlier in the spring I was playing a soccer game against the South Anchorage varsity soccer team. I was playing left midfield, taking the ball up the left side of the field when the other team’s right fullback stepped up to get the ball. I cut to the right and heard a loud snap that rung in my ears. I could not stand up. Every time I tried to move my leg, waves of pain pounded from my knee. I had to be carried off the pitch. I learned a few days later
In order to understand how the menisci can be injured, you must understand the basic anatomy of the menisci and why they are important. The menisci are two oval (semilunar) fibrocartilages that deepen the articular facets of the tibia and cushion any stresses placed on the knee joint. They enhance the total stability of the knee, assist in the control of normal knee motion, and provide shock absorption against compression forces between the tibia and the femur (Booher, 2000). Articular cartilage covers the ends of the bones that make up the joint. The articular cartilage surface is a tough, very slick material that allows the surfaces to slide against one another without damage to either surface. This ability of the meniscus to spread out the force on the joint surfaces as we walk is important because it protects the articular cartilage from excessive forces occurring in any one area on the joint surface, leading to degeneration over time (Sutton, 1999).
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
warm) in the left upper and lower extremities; decreased strength and movement of the right upper and lower extremities and of the left abdominal muscles; lack of triceps and biceps reflexes in the right upper extremity; atypical response of patellar, Achilles (hyper) reflexes in the right lower extremity; abnormal cremasteric reflex in the right groin; fracture in cervical vertebrae #7; and significant swelling in the C7-T12 region of the spinal canal (Signs and symptoms, n.d.). The objective complaint of a severe headache could also be consistent with a spinal cord injury (Headache, nausea, and vomiting,
Once I could bend my knee again, I started playing sports again. I took a break from basketball, but I kept up with softball and volleyball. My knee didn’t feel quite the same, but I thought that would pass. During my volleyball camp at Olivet Nazarene University, I was jumping up to block and when I landed my knee buckled and I knocked over my friend Christie. I could not believe this happened again! After I couldn’t get up, once again, the coach insisted that I go and see Ozzy, the trainer. He checked out my knee and thought I had torn my meniscus(the cartilage in the knee joint) and possibly had a small tear in my MCL(the inside tendon of the knee). He insisted that I go to O.A.K. Orthopedics (a health care office that includes 8 orthopedic surgeons) to see Dr. Ellis.
Tests after tests including MRI’s, X-rays, and experimental procedures were performed to show I had five ruptured disks in the lower lumbar section of my back. Tedious Examination done by a group of doctors concluded I had a crippling disease of the spinal column called spinal stenosis. Spinal stenosis is a narrowing of the spinal canal that causes compression of the spinal cord. (Lohr,1) If this disease was ignored any longer, it would lead to many other problems affecting other areas of my back to help support this weakness. It was an extremely rare case for an athlete my age.
Once school was out last year, I had done something to my foot. I don’t know what happened to it, but I know a general time frame it happened in. At first, I thought it was just my foot getting used to the new summer conditioning. After about three weeks, the pain had moved towards my achilles tendon. Once that happened, I only had pain when I pointed my toes, or pushed through my toes. The pain was to a point where my coach was noticing a change in tumbling, so she had me go to a doctor to make sure everything was
Rixe JA, Glick JE, Brady J, Olympia RP. A review of the management of patellofemoral pain syndrome. The Physician And Sports Medicine. 2013;09:2023
Traumatic injuries seem to occur a lot in the sport of football. Knee injuries seem to be one of the most occurring traumatic injuries in football (Become an Advocate for Sports Safety). The main types of traumatic knee injuries are: tearing/spraining of the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and the meniscus, which is the cartilage that is in the knee (Become an Advocate for Sports Safety). The anterior cruciate ligament (ACL) is a very vital ligament in the knee. It is the main stabilizer of the knee. Surprisingly usually the anterior cruciate ligament is torn from a non-contact twisting of the knee (5 Most Common Football injuries (and How to Prevent Them)). The knee normally pops and it will begin to swell and it may feel unstable (5 Most Common Football injuries (and How to Prevent Them)). Swelling depends on the severity in the tear of the ligament. The anterior cruciate ligament is one of the four main ligaments that provide stability to the knee joint (Common Football Injuries). It is the most important out of the four. Injuries to any of the cruciate ligaments in the knee are most of the time sprains (Common Football Injuries). The anterior cruciate ligament being the most often stretched, strained, sprained or either tore (Common Football Injuries). Most of the knee injuries that occur in footbal...
We have a great track record in the performance of total knee replacement, decompression laminectomy, totalhip replacement, amputation, limb knee reconstruction, discectomy etc. Besides surgical interventions our orthopedic team also explores non surgical options such as reconditioning programs and rehabilitation schedules. Health care facilities have improved a lot these days. With a plethora of choices available, choosing the right hospital and medical professional is difficult. Getting the best possible medical attention at a reasonable cost is everyone’s endeavor.