On 10-7-14, PT Wilcox documented that Mr. Durland reported he hadn’t taken any pain medication since he was last in. Pt Wilcox documented improved tissue mobility in the UGT (upper gluteal tendon) today. On 10-13-14, Chiropractor, D.C. Bogan documented Mr. Durland had recurring low back pain that was better in AM but worse in the PM. Mr. Durland’s pain was 2-3 in the AM and 5-6 in the PM.…
Pt states that he has family hx of colon CA and therefore is very concern. Pt denies hx of fever, chill, dark tarry stools, nausea, and vomitting. Assist the pt scheduling an appt. Informed pt if he has any of the above symptoms go tothe ER. Pt agrees an verbalized understanding.…
Constipation-Medium risk. Goal: Rigoberto will maintain regular bowel elimination through the use of medications and diet for the next 12 months AEB no need for fleet enemas or rectal suppositories. Rigoberto did not have any documented or reported constipation episode. He did not require any enemas, suppositories or manual impaction checks.…
Case Report: This is a 56-year-old white female with a history of cirrhosis secondary to alcoholism and NASH, history of portal hypertension and ascites, and hepatic encephalopathy, who was brought to the ED by her mother and daughter due to concerns about confusion. The patient is confused and unable to answer questions; therefore this information has been obtained by family members. According to the family members, the patient has been confused for 2-3 days and has had a few episodes of emesis for the last few days and was drinking an excess amount of lactulose for the last 3 days due to constipation; however, she did have a loose bowel movement yesterday. The patient has been complaining of diffuse body pain including her abdomen, but she…
Her review of systems was positive for joint issues, nocturnal urination, trouble falling back to sleep, fatigue, weight gain (30-40 pounds over the last 2 years), constipation, dyspepsia, fever, night sweats, and chills. Eye floaters, sore throat, sinus congestion, difficulty breathing, occasional chest pain and palpitations, joint swelling in the knees, anemia, muscle weakness, and paresthesias were also noted. Her physical examination was unremarkable.…
Continent of bowel habits both at home and at the hospital. ACTIVITY-EXERCISE (ADL’s, leisure, amount/type of exercise): Patient seems very fatigues and does not get up out of bed much. Patient watched television most of the day but would periodically fall asleep. Patient worked well with physical therapy and was able to stand up well, take a few steps and sit on the chair. After about 15 minutes of sitting on the chair, patient heart rate dropped to 72, so we moved him back to bed.…
The patient claimed abdominal pain, indigestion, heartburn, frequent constipation, frequent diarrhea, painful bowel movements and chronic bloating. The patient also complains of difficulty urinating and inability to control urine. Musculoskeletal system review revealed muscle pain, shoulder pain, back pain, and morning stiffness. Psychiatry assessment revealed anxiety, depressed mood, mood swings, nervousness and difficulty sleeping. Examination of the neck revealed muscle spasms, tenderness to palpation at C3 to C7.…
Pt is a 28 y/o female with c/o feeling fatigue, low grade temp (99), decrease appetite, decrease urine output, and one episode of loose stool four less than 24 hours. Pt denies fever, chills, n/v, or pain. Pt states that she ate brunch, and dinner yesterday and tolerated it well. Instructed pt to eat, drink plenty of fluid, take OTC immodium as need for loose stool. Instructed the pt is she start having a fever greater than 101, chills, unable to tolerated solid or liquid, and call for acute appt/UC/ or ER.…
On 7/16/2015, at 1933 hours, I was on duty, in uniform, and driving a marked police vehicle (0913). I was dispatched to the Clallam County Public Library (2210 S Peabody Street - which is in the city limits of Port Angeles, Clallam County, Washington State) on report of a male outside that was refusing to leave. The reporting party did not see the male consuming alcoholic beverage, but reported that he smelled as though he had consumed alcoholic beverage. I arrived in the area at 1935 hours. The male had left the area in the blue "olds" with an elderly female the reporting party believed was his mother, and was driving westbound towards Orcas Ave., and turned right on Chase Street.…
• Your stool (feces) may be white or gray for 2–3 days until all the barium has passed out of your body in your stool. You may be given a laxative to take in order to help remove the barium from your body. • Your health care provider may recommend other things to help prevent constipation after this procedure,…
Giant cell tumor are typically diagnosed in the third or fourth decades of life, and most patients have normal life expectancy. In this group of relatively young patients, the burden of revision TKA is almost inevitably rising[09]. Surgery and prosthesis implantation are the primary treatment approach for giant cell tumor around the knee. For maximizing functionality of the knee joint, commonly surgical approach implemented through the patella bone, comprising the whole knee capsule, patellar and quadriceps tendon, followed by prosthesis implantation and cement fixation[40064]. The reconstruction aims to minimize soft tissue injury and avoid post-prosthetic operational complications.…
Pseudopolyps are projecting masses of scar tissue that develop from granulation tissue during the healing phase in repeated cycle of ulceration (especially in inflammatory bowel disease). Inflammatory tissue without malignant potential,[1] pseudopolyps may, according to Joffe (1977), represent either regenerating mucosal islands between areas of ulceration, edematous polypoid tags or granulation tissue covered by epithelium. There are reported cases when localized giant pseudopolyposis resulted in intestinal…
Pseudotumor cerebri is a rare disease which occurs when the pressure inside the skull is caused by the increase of the Cerebrospinal Fluid (CSF) for no obvious reason. However a common explanation for increased pressure is a problem with the reabsorption of this fluid back into the body, which causes the pressure to increase. Pseudotumor cerebri can occur in children and adults, but it's most common in obese women of childbearing age and people who have a thyroid condition or chronic kidney failure. Symptoms mimic those of a brain tumor which includes but not limited to changes in vision (like double vision/ vision loss), feeling dizzy or nauseated, neck stiffness, headache or migraines and persistent ringing in the ears (tinnitus). Furthermore…
Jennifer McNab of Pioneer State Mutual Insurance Company referred this file for medical case management. Instructions were given to meet with Susan Iversen and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 10/24/16 I met Ms. Iversen at her home. She is alert and oriented.…
What is the common name for this parasite? What is the scientific and common name for the general classification for this parasite? What should you tell Mr. Johnson to expect to see in cooper’s feces now that he has been dewormed? Is this parasite typically the cause of anemia’s?…