Left Middle Finger Laceration Case Study

S: TM works in GA Final when she closed the Sante Fe’s back door on her left pointer finger. TM rates her pain at 10/10 pulsating type pain. After 20 minutes of ice TM rates her pain at 7/10. TM reports initial bleeding, copious amount from her left pointer finger distal phalanx. TM denies previous injury to the location.

Patient is a 57-year-old male fuel tank driver who sustained cumulative trauma on 2/7/2004 due to repetitive movement caused by delivering fuel. As per QME dated 1/25/14, the patient has numbness in the fingers and the patient is diagnoses that he has carpal tunnel syndrome. The left wrist had undergone carpal tunnel surgery; however, he gets numbness from the wrist up into his forearm and numbness in the fingertips. It was also noted that on 12/5/13, the patient complains of shoulder pain bilaterally at 7/10. It is constant and goes into noth arms, along with weakness with numbness in the hands, decreased ability to perform activities of daily living, and impared grip. The pain in the bilateral shoulders is constant and aching with intermittent

DOI: 06/04/2008. The patient is a 61-year-old female dispatcher who sustained a work-related injury to her right hand and arm due to repetitive duties. As per OMNI entry, she is status post right proximal median nerve decompression on 05/12/11 and right carpal tunnel release on 09/26/11.

S: TM just finished working on a car in the back step off platform into pit, wielding AN Car, and fell back on pipes on his left lateral side. The initial pain was 10 out of 10 and it was difficult to breath related to pain. Now, he rates his pain at 5 to 6 out of 10, aching paint to his left shoulder and his left lateral rib cage. Denies any headache, blurred vision, N/V. Ice X 20 minutes now did helped him with symptoms management.

Studies and surveys have shown that upper-extremity injuries are a common result of pitching through youth, high school, and collegiate baseball leagues. There have been surveys taken to show the relation of elbow and shoulder injuries and pitching. Statistics taken describe (1) the proportion of pitchers with a history of pitching related upper-extremity injury (2) proportion of pitchers with w history of pitching related elbow and shoulder injury that was treated through surgery (3)types of upper-extremity injuries sustained by pitchers and (4) types of upper extremity injuries sustained by a certain age category around the same time of injury.

DOI: 12/23/2013. The patient is a 64-year-old male foreman who sustained injury when he was involved in a motor vehicular accident. Per OMNI, he has had multiple injuries to the right shoulder, right knee, back and right arm/elbow. He is status post arthroscopic surgery for the right shoulder on 05/30/2014.

On 6/14/16 I met Mr. Blake at the U of M wound clinic, Midland location. Mr. Blake said over the weekend, the white end cap fell off his pin to the third toe. Since that time he reports an increase in pain to that toe. Mr. Blake reported that he called Dr. Biddinger’s office and he was told to come in on 6/15/16. Dr. Taylor examined the foot. He removed some calloused skin around the toes. Dr. Taylor stated the wound is completely healed now. He does not need to come back to the wound clinic.

S: TM works in Front sub, he was lifting pipes when he experiencing pain in his left wrist. Most pain wit extension of his wrist. 3 to 4/10. TM denies previous injury to his left wrist.

O: A & O x3. No edema or redness noted at the contusion location, CN II- CN XII Grossly intact.

OBSERVE: When observing the injured area, compare both limbs to determine any signs, deformity, swelling, inflammation etc.

A 32 yo male presents in the Urgent Care via personal vehicle with lacerations to the left eye and right hand following an altercation. The patient is also complaining of chest pain, so a chest x-ray will be performed. The patient received sutures to the left eye and right hand and no abnormalities were detected from the x-ray.

Leslie Christian nearly spent over fifty days hospitalized at Fayetteville and Chapel Hill. She felt “ at one point when they diagnosed me, I had thirteen spasms in over one day”,Leslie says. She had all the possible symptoms of tetanus, like the headache, very high fever, and lots of sweating. It was very hard for Leslie to recover from her experience from tetanus, but thankfully she did. Tetanus isn't something that you would want to get, it's like being stuck in the same place without being able to move. So if you've stepped on a rusty nail, you should probably treat it with proper care to avoid from getting

Her physical exam was notable for a blood pressure of 105/56 mmHg, pulse of 87 beats/min, temperature of 37.7 C, respiratory rate of 20/min, and oxygen saturation of 100% on the ventilator. Her secondary survey revealed unequal pupils with discordant reactivity. Her right pupil was 8 mm and non-reactive to light and her left pupil was 3 mm and reactive to light. Ominously, she was noted to have decerebrate posturing (indicating severe brain damage) of both the upper and lower extremities bilaterally. On further examination, a five cm laceration to the right lower anterior thigh was identified and repaired. Her Focused Assessment Sonogram for Trauma (FAST) exam was negative.

lacerations, burns - including friction burns and scalds, drowsiness, pressure sores, cowering and flinching, unexplained hair loss,

The possible physical abuse section includes the assessment of bruising that appeared on several places on the patient’s body including right periorbital area and right maxilla along with swelling, redness and warmth. There was