Patient With Coccygeal Injury

1936 Words8 Pages
The purpose of this study is to present the case of 33 years old female that had an examination performed at the County Hospital. Also, to list equipment used and procedures necessary for producing the diagnostic images ordered. In addition, presenting findings as well as presenting extensive related pathology research, signs, symptoms, and possible treatment options.

On June 3rd 2008 a 33 years old female presented at the County Hospital for a three view sacrum and coccyx study, due to mid buttocks and coccyx area pain caused by patient falling approximately a year prior. Patients’ ID was verified using three methods of authentication and a thorough history was obtained. Patient history revealed that she was currently on her menstrual cycle and no chance of pregnancy, she had experienced trauma from a fall one year prior to medical visit. The pain has been constant since accident occurred manifesting by throbbing, dull and sometimes sharp pain. On a 1 to 10 pain scale level the patients experienced a pain level of 6. The onset to patient trauma occurred by her trying to sit on a chair that wheeled itself backwards causing patient to fall on her rear. Patient pain is aggravated by extensive periods of sitting increasing pain level to a 9. No associated manifestations have been reported. Subsequent to patients history attainment she was escorted to the radiographic room which has been set up for the study. Patient was instructed to remove everything below waist line except undergarment, as well as to remove any body piercings in midriff area. Patient was then asked to change into a gown and informed of the course of study that was to be performed.

Upon patients’ understanding of the procedure she was asked to lay down supine on the radiographic table. The first image performed was an (anteroposterior) AP axial sacrum on a 10X12 cassette with 85 kilovoltage (kV) and 15 milliampers per second (mAs). Patients’ breasts were shielded with lead apron; she was supine with arms on her sides and with no rotation. X-ray tube detented at 40 inches source-to-image distance (SID), 5 degrees (°) cephalic central ray (CR) angle, centered 2 inches above symphysis pubis exposed on suspended expiration. After the image was processed the second image was obtained. AP axial coccyx was acquired on the same size cassette using 82 kV and 20 mAs, there was no adjustment to patient positioning from previous image.

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