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Essay on sports injuries and preventative strategies
Sports injuries assignment 2 essay
Prevention and care of athletic injuries
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CHIEF COMPLAINT Left knee pain. SUBJECTIVE Pittman is an 18-year-old patient who is seen at the medical clinic today in regard of follow up with his left knee pain. The patient states that in the past he had surgery for his left knee. He also seen the physical therapist in regard of left knee strain in 08/2016. Patient said that the last three days he admitted that he was playing sports with high impact and he also fell down and landed on his left kneecap. Patient noticed that he has pain in the medial aspect. The pain is local which he rated approximately like 5/10 pain level. Patient states he takes three tablets of pain medication twice daily, which resolved the pain. Patient also reports that he was fitted with ankle brace. He also have some sort of restriction and no recreational restriction for two weeks due to his pain. Patient denied any numbness or tingling, unable to weight bear. He denied any severe pain. He denied any red flag symptoms. He said that he can ambulate without assistance. He only has mild swelling over there but he stated when he fell down then he noticed that there was more swelling, but he stated compared …show more content…
General: Patient is alert, oriented, not in acute distress. Not in labored breathing. Gait is non-antalgic. Cooperative and talkative mood affect. On exam of left knee inspection noticed some swelling compared with the right. Tenderness and swelling in left knee medial aspect. The scar from anterior knee is well healed. No sign of infection. Vascular exam is normal, dorsalis pedis pulses posterior, tibial pulses and capillary refill. Neurologic exam is within normal limits. Sensation and motor is intact. Motor and sensory are intact equal bilaterally. Hyperextension and flexion is within normal limits. Lachman test is negative. Knee anterior drawer test is negative. McIntosh test is negative. Inspection is no ecchymosis but there is a mild swelling in the medial
Hazelwood v. Kuhlmeier of 1987-1988 Background: At Hazel East High School, the school has a sponsored newspaper called “The Spectrum” that is written and edited by the students. In May of 1983, the high school principal, Robert E. Reynolds, received the edited version of the May 13th edition. Upon inspecting the paper, he found two articles that he found “inappropriate.” The two articles contained stories about divorce and teen pregnancy. An article on divorce featured a student who blamed her father’s actions for her parents’ divorce.
The patient tells me this has been ongoing now for the last two months. There was no specific injury or trauma. She was describing a pain and ache in her right leg. She said she was not paying much attention to exactly where it was and elected to go see urgent care on September 3th. I do have that note from the physician that she saw there. At that time, her main complaint was right knee pain. She had x-rays done that showed some mild osteoarthritis and she is here today to follow up on that. She says after that visit, she really started trying to pay attention to where the pain was coming from and she realized it is really coming throughout the whole leg, particularly the thigh area, the knee, down the back of the leg as well, and she also feels it a little into the right buttock. No injury or trauma. There is no real low back pain associated with this. No weakness that she has noticed. No numbness or tingling that she has had. She is having no other joint issues that she can recall. She is not having fevers. There has been no redness or swelling. She is overall feeling okay. She is a little bit more tired than typical. No associated fevers, chills, or other body
According to the Primary Treating Physician’s Progress Report (PR-2) dated 8/22/2017, the patient complained of a left knee pain described as constant, aching and moderate. The pain was associated with
It was noted that the patient has had increase range of motion and decrease in allodynia due to injection. The patient’s injection has worn off and is in more pain as well as decrease in range of motion noted due to not having the injection performed. It was also mentioned that the patient is doing self-therapy. Currently, the pain is rated as 6 with medication and as 8 if without medications. The pain is located at left knee and ankle. The patient describes it as aching and increased. Physical examination revealed that on palpation of the lumbar facet revealed pain on both the sides at L3-S1 region. There is palpable twitch positive trigger points are noted in the lumbar paraspinous muscles. Motor strength is grossly normal except pain inhibited 4/5 on the left foot eversion and plantar flexion. Examination of the extremity revealed mild increase swelling in ankle and in the 3rd/4th metatarsals. Left ankle reveals increase allodynia and hyperalgesia. Dorsiflexion is 10 degrees. Plantarflexion is 30 degrees. Subtalar joint inversion is 4 degrees secondary to pain. Inversion is 5 degrees, forefoot abduction is 10 degrees, abduction of 20
Abraham said his appointment with Dr. Yacisen has been moved to 9/12/16 by Dr. Yacisen’s office. Mr. Abraham arrived to the appointment on 9/12/16 with his Mother. He walks stiff legged to the right knee. He reports his pain in the right knee is about a 2 to 3 with twisting. Examination showed the knee to be slightly swollen but stable. Dr. Yacisen still feels he may need to have a scope done. With discussion on the length he will be working and the type of work he does Dr. Yacsien may still do an ACL repair. Mr. Abraham said he is very apprehensive about going back to work. Much discussion was given to restrictions and when he would go back. Dr. Yacisen would like physical therapy to continue and added a work conditioning also. He wants Mr. Abraham to have a custom ACL brace and must be wearing it to return to work. The brace was measured but would take about 3 weeks to come in. The left shoulder has good range of motion. Mr. Abraham said he has slight pain in the shoulder, he declined a injection. He was given a home exercise program to do by Dr. Yacisen in conjunction with formal physical therapy. Mr. Abraham said he is also driving
Weight 195.2 pounds, BP 118/68, pulse rate 63, temperature 97.4, respiration rate 14. The gait once again is not antalgic. He can perform a full squat without difficulty. Single leg squats reveal knee adduction bilaterally, which is mild. Palpation of the lower back shows only mild tenderness at the lower lumbar paraspinals and only at the right sciatic notch, not at the sciatic nerve trunk exit. Motor power in the lower extremities is at the 4+/5 both proximally and distally. Sensation remains diminished in the L5-S1 distribution. Reflexes were present at the knees bilaterally and absent at the right ankle, but now present at the left. Toes were downgoing. The straight leg raising maneuver was negative. The figure-of-four test revealed lower back pain
Her blood pressure earlier is 130/70. Her heart rate is irregularly irregular at about 115 beats a minute, SpO2 on two liters is 96, although her respiratory rate is 26. Temp is normal. Head, eyes, ears, nose and throat reveal no abnormalities. No temporal artery tenderness. Neck is supple. I see no JVD. I hear no carotid bruits. There is coarse rhonchi and wheezes bilaterally. I do not hear a rub. Consolidation is not well heard. Heart rhythm is irregular regular. PMI is displaced lateral on mid clavicular line. Abdomen is soft and nontender. The low ribcage impacts on the superior iliac crest bilaterally. No organomegaly is detected. There is a midline scar. There is trace ankle edema bilaterally and no calf tenderness. Peripheral pulses are reduced.
On 11/14/17 I met Mr. Rasak at the office of Dr. Marquart. Mr. Rasak arrived with his wife. He walks using a cane. We had an extremely long wait. Mr. Rasak moved his right leg frequently getting up and walking at times. He reports the injection done on 9/7/17 did not help for the first few days. Then it seemed to “kicking”. He said it helped then seemed to peak before not helping at all with pain. He did report though that the pain is not as severe as it was before the injection. Dr. Marquart took time to review the prior x-rays. He showed Mr. Rasak the fracture alignment. Mr. Rasak asked if the bone had slipped out of place. He was told no that the bone healed just off the mark. There is a lot of post-traumatic arthritis in the
Examination revealed an oxygen saturation of 96% and chest auscultation was clear. The was no cervical lymphadenopathy or obvious hepatosplenomegaly. On the left leg there was a circular mildly??? erythematous area that was non-blanching.
Per the medical report dated 05/17/16, the patient reported bilateral hand pain with numbness and tingling for the past 7 years or so, worsening, right greater than the left side. There is some degree of numbness/tingling on the right hand at all times. She has difficulty sleeping at night due to pain and driving, doing her hair/make up or holding objects worsen her symptoms. She has tried wearing splints that they worsened the discomfort. She denies any history of steroid injections. On examination, Tinel’s, Durkan’s and Phalen’s tests are positive bilaterally. There is bilateral thenar weakness.
Musculoskeletal: All four extremities have AROM, no joint pain or stiffness observed with motor strength 5/5.
S: TM reports Acute Left Knee Pain. According to the TM, she was stepping into cell down the stairs and sudden pain shot though her left knee to mid tight. Reports the initial pain was sharp shooting like pain; 10/10. After Ice X 20 minutes helped to decreased her pain to 8-9/10. Now TM describes her pain as pulsation, located in her lateral and back of her knee. TM denies previous injury to the left knee. TM denies numbness, tingling, or loss of movement in her left leg.
Back with no tenderness over her kidney area. She does have a scar in her low back. Scar is surrounded by some blotchy redness, but the patient states this always looks like this. She does have pain to palpation above the scarred area and her low back. She has decreased range of motion of her low back, in general. Flexion however, causes significant pain and she is reluctant to do this. She has no pain when flexing her neck.
This was his second episode since 10 days ago where he develop the same pain at his right flank. He suddenly experienced severe pain 8 hours before admission when the pain shifts to his right lower quadrant of his abdomen. The onset is at 6.30 am before worsening at 10 p.m to 2 p.m. He described the pain as continuous sharp pain and gradually increased in severity. There is no radiation of the pain. The pain was exaggerated on movement and touch. There were no relieving factor and he scale the severity as 7/10. He experienced fever for 1 day prior to admission. It was a mild grade continuous fever. He does not experienced chills and rigor. The patient does not experience any nausea or vomiting, no dysphagia, no pain during micturition and no alteration in bowel habit. He experienced loss of appetite but not notice any weight loss.
Well-groomed, dress appropriately. BP 108/60; pulse 70; respirations 24; temperature 96.2 ̊. A&O * 1; resident was asleep; earlier resident was able to follow demands, state name, but was limited verbally. Resident affect was pleasant. Integumentary assessment: no new lesions; skin smooth and cool to touch. Respiratory assessment: skin light beige with yellowish undertone; red conjunctiva and eyes watery; pink lips; pink mucous membrane; no clubbing; nails dirty with yellowish/pink undertone; AP: lat ratio 1:2. Anterior symmetrical expansions; short breaths; no tenderness; no masses; wheezing lung sounds. Posterior symmetrical expansions; no tenderness; no masses; tactile fremitus present and equal Bil. Vibration diminishes ½ way down; no CVA tenderness; resident unable to lift clavicle up all the way…; no egophony. T. Zakrajsek, SN,