DOI: 02/07/2004. This is a 57-year-old male fuel tank driver who sustained cumulative trauma due to repetitive movement caused by delivering fuel. The patient is subsequently diagnosed with Pain in left shoulder. As per office notes dated 6/6/16, the patient complained of left shoulder pain and left shoulder torn rotator cuff. The patient is described as aching, burning, stabbing, throbbing, and sharp with pain level of 6 to 10 located at the left, lateral shoulder. It was noted that the pain is recurrent and the onset was since 2004. Alleviating factors are rest and narcotics (Percocet). Aggravating factors include lifting, pushing/pulling, range of motion, and previous surgery. Previous surgery notes 3 times left shoulder surgery; “ARCR”. …show more content…
Physical examination revealed that the left shoulder is swelling. There is tenderness of the greater tuberosity and the bicipital groove noted upon bony palpation. Soft tissue palpation revealed tenderness of the glenohumeral joint region, the trapezius, and the lateral cuff insertion. Active range of motion of the left shoulder revealed a forward flexion of 80 degrees, external rotation of 0 degrees, abduction of 5 degrees, and internal rotation of “L5” degrees. Special test that resulted positive are Hawkin’s test, Neer’s test, O’Brien’s test, and Speed’s test. Empty can sign is also noted to be positive. Subscapularis weakness is noted. Strength of the left shoulder revealed flexion 4/5, abduction /5(4-), and internal rotation 4/5. Skin inspection revealed large incisions of the anterior left shoulder. As per assessment and plan, the provider notes that he is unable to give opinion regarding treatment options as the patient has not had an MRI arthrograms to determine any recommended surgical options. It was also noted that given the past medical history, there is some question whether further surgery in this patient would be recommended. As per emergency documentation from Sharp Grossmont Hospital dated 5/17/16, impression includes rotator cuff injury, possible complete
On History- The patient was a 49-year-old Caucasian male with a chief complaint of pain and weakness in R shoulder abduction and external rotation (dominant shoulder). He was a retired baseball player. He has been a baseball pitcher for 12 years before he retired 5 years
When comparing rotator cuff tears from the common people and athletes, they are much more common when a person is physically active in sports. An injury in the rotator ...
Shoulder injuries are very common amongst people of all ages. If you think about it, we use our shoulders for numerous daily activities like driving, reaching up in cupboards, washing and brushing our hair, picking up items off the floor, reaching in our pockets whether it be in the front or the back, putting a belt on, and many others. A common injury that occurs in the shoulder though, is the rotator cuff. This structure is very often torn in individuals who use a lot of overhead reaching motions or are forcefully pulling objects constantly. A couple examples of people that do these motions constantly are athletes and construction workers. A rotator cuff tear can be caused by a direct-blow to the shoulder or it can happen over a period of time with wear and tear. Normally when an individual has a rotator cuff tear, they will present with pain or weakness when trying to lift their arm.
Heart disease is one of the most common causes of the mortality and morbidity in most well developed countries. They come in different forms such as stroke and other cardiovascular diseases and it’s the number one cause of death in the state of America. In the year 2011 alone nearly 787,000 people were killed as a result of this epidemic. And this included Hispanic, Africans, whites and Americans. As for the Asian Americans or pacific Islanders, American Indians and the natives of Alaska, the concept to them was a second only to cancer. However, statistics has proved that a person gets heart attack every 34 seconds and in every 60 seconds, someone dies out of it which include other related event. Additionally, majority of the women are the
A 61-year-old gentleman was admitted on 25/1/2016 to Letterkenny General Hospital with central chest pain after history of a fall. He also had drastic weight loss and loss of motor and sensory function. He walks with the aid of a walking stick as he has problems walking due to his lower limb weakness. The patient was a heavy smoker of 90 pack years (3 packs/day for 30 years) and stopped nine years ago. He stopped drinking seven years ago. He is married and lives at home with his wife. He works as a plasterer. He has a strong family history of ischaemic heart disease and type 2 diabetes mellitus. Two of his brothers had coronary bypasses and stents. His father died of a myocardial infarction. Two of his brothers are also type 2 diabetics. During
Shoulder and neck pain are the most common musculoskeletal disorders one can get. Right sided neck and shoulder pain is one that the assistant is highly prone to developing, and is difficult to avoid. Reason being is frequent reaching across the assistant’s mid-line with the right arm. Neck pain can also be caused by leaning forward with your head bent down for a long period of time.
Heart failure is a major clinical, social and economic problem in the United Kingdom according to the Department of Health [DH] (2013).The National Institute for Health and Clinical Excellence [NICE] (2010) reported that about 900,000 people suffer from heart failure in the United Kingdom. The National Institute for Cardiovascular Outcomes Research [NICOR] (2011) conducted a national audit which found that one in every 20 people over the age of 65 is diagnosed with heart failure which demonstrates that it mainly affects the elderly. As a leading cause of mortality, heart failure contributes to more than 6,000 deaths each year (NICOR, 2011). Newly diagnosed cases of heart failure have a 40% risk of dying within a year (NICOR, 2011). Despite advances in therapy, mortality is still high and only half of patients are alive five years after being diagnosed with heart failure (NICE, 2010).
Charley is the main character in the book Soldier's Heart, He is going into the war at Fort Snelling. Charley was very young especially for war, he enlisted to the union at the age of fifteen. The war needed more soldiers, so Charley lied about his age and enlisted. Once Charley got in the war he completely changed his mind.
Whether it is Lipitor being used to lower cholesterol or aspirin to lower blood pressure, until the present, cardiovascular and heart diseases have been tackled by a variety of medications that address its various risk factors. However, this strategy focuses on secondary and tertiary prevention instead of heart diseases’ underlying causes. Yes, diabetes mellitus and hypertension have a concrete proven link to heart disease, but addressing them with medication only masks them and does not address the root of the problem.
Just as breast cancer is killing our African American women, heart disease is also one of the major diseases killing our women. Heart disease is one of the nation’s leading causes of death in both woman and men. About 600,000 people die of heart disease in the United States (Americas heart disease burden, 2013). Some facts about heart disease are every year about 935,000 Americans have a heart attack. Of these, 610,000 are a first heart attack victim. 325,000 happen in people who have already had a heart attack. Also coronary heart disease alone costs the United States $108.9 billion each year. This total includes the cost of health care services, medications, and loss of productivity. Deaths of heart disease in the United States back in 2008 killed about 24.5% of African Americans.
Patient returned the next day still complaining of pain. The PT applied heat, then initiated the exercise program, but the patient could not perform theem to same extent as previously, secondary to pain. Therefore, the PT told the patient to schedule an appointment with his physician. The patient was seen by the MD the next day and an arthrogram performed that revealed a reinjure to the repaired site. And a second surgery repaired the rotator cuff.
Heart disease, also known as cardiovascular disease, is a disorder that affects the heart. Heart disease is the leading cause of death of most ethnicities in the United States, including African Americans, Hispanics, and Whites. For American Indians or Alaska Natives and Asian or Pacific Islanders, heart disease is the second leading death. Although heart disease is often thought of as a problem for men, more women than men die of heart disease each year.
In spite of resolving itself the symptoms return as soon as activities are resumed. in the event that the examiner feels that sports hernia might be present the author recommends palpation of the potential sites of injury. Lower abdominal, adductors, pain to palpation is common in athletes; therefore, it is critical to determine if the pain is consistent with their symptoms. The abdomen and abdominal obliques should also be palpated. Besides palpation to point out exactly that the athlete is suffering from sports hernia imaging machines such as radiographs, MRI’s , and injection of dye coupled with valsava like maneuvers and radiographs are also
Rotator cuff tear – The muscles adjoining the shoulder joint are required for rotating the shoulder, amid other movements. The tendons of these muscles furthermore influence the structural strength of the shoulder joint. Harsh, rapid actions, for example in tennis and baseball, can result in tearing of one of these tendons. This then causes pain as well as a decline in range of motion. Surgery possibly will be necessary to repair a torn
I asked for a second opinion regarding my full-blown rotator cuff and because of the mental state I am in the doctor asked that I return to discuss the surgery after I visit with the psychiatrist. Yes, he agreed, I am in need of surgery, but my mental state will not permit surgery at this time. I am requesting the documentation you have from the doctor that took me off work and changed his mind and returned me to work, as Ms. Franco explained to the Texas Insurance Associate as to why I am not receiving my benefits from worker’s comp.