20 yrs old man with a neck flexion- extension (whiplash) injury is treated at your outpatient setting two weeks after a motor vehicle accident. what questions would the PT ask concerning his pain? list at least three
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a 20 yrs old man with a neck flexion- extension (whiplash) injury is treated at your outpatient setting two weeks after a motor vehicle accident. what questions would the PT ask concerning his pain? list at least three.
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- What specific interventions will you use to address the affected UE? How might you address their trunk/posture and positioning in different positions (bed, w/c, standing)? What will you teach your patient/family to work on outside of treatment times? Your patient had a L CVA (R hemiparesis) 2 days ago and has a flaccid RUE. They have difficulty standing, keeping their weight on their L side. They demonstrate slight lateral trunk flexion to the R in sitting and supine with slight cervical flexion to the R. While seated and standing, their weight is shifted to the L.A 33-year-old male patient visits his primary care physician complaining of right buttock and right leg pain with no known injury. He is employed as a long-haul truck driver and is healthy. Upon examination by a neurosurgeon, the patient exhibits normal range of motion except when raising his right leg that causes sharp pain. The surgeon orders an MRI that shows an L4-L5 herniated disk. The patient is scheduled for a lumbar discectomy. What instruments and/or special equipment will be used during a discectomy?Ms. M is 42 years old and has had rheumatoid arthritis for six years. At baseline, her fingers are stiff and show slight ulnar deviation. She has come to see you as she is currently experiencing an exacerbation, and her wrists are red and swollen. She finds it to be painful when something such as clothing touches the skin over her wrists. Her elbows and knees are also stiff and painful, especially after she has been resting. She is feeling extremely tired and depressed and has not been eating well. Describe the pathophysiologic process that leads to the appearance and the pain occurring at her wrists. Is this an acute or chronic process? Could it be both? Describe the pathophysiology contributing to the stiff, deformed fingers. What terms can be used to describe this?
- A patient has muscle and tendon tears that have become inflamed, causing pain and weakness in the left hand and albow. The nurse identifies these symptoms as related to muscle spasms meniscus injury strain injury carpal tunnel syndromeA 33-year-old male patient visits his primary care physician complaining of right buttock and right leg pain with no known injury. He is employed as a long-haul truck driver and is healthy. Upon examination by a neurosurgeon, the patient exhibits normal range of motion except when raising his right leg that causes sharp pain. The surgeon orders an MRI that shows an L4-L5 herniated disk. The patient is scheduled for a lumbar discectomy. What are the possible complications associated with surgery on the lumbar spine?.A 33-year-old male patient visits his primary care physician complaining of right buttock and right leg pain with no known injury. He is employed as a long-haul truck driver and is healthy. Upon examination by a neurosurgeon, the patient exhibits normal range of motion except when raising his right leg that causes sharp pain. The surgeon orders an MRI that shows an L4-L5 herniated disk. The patient is scheduled for a lumbar discectomy. What instruments and/or special equipment will be used during a discectomy? What are the possible complications associated with surgery on the lumbar spine? Discuss the differences between a laminectomy and a discectomy.
- A 33-year-old male patient visits his primary care physician complaining of right buttock and right leg pain with no known injury. He is employed as a long-haul truck driver and is healthy. Upon examination by a neurosurgeon, the patient exhibits normal range of motion except when raising his right leg that causes sharp pain. The surgeon orders an MRI that shows an L4-L5 herniated disk. The patient is scheduled for a lumbar discectomy. Discuss the differences between a laminectomy and a discectomy.Mr. Harry Roost is a 78-year old male being discharge after a fracture of his right tibia and fibula. He has a long leg cast that he will need to wear for the next 8 weeks. The nurses have observed him using a hanger to scratch the skin under the cast. The nurses have reminded him each time that he is not to put anything down his cast. He also sits on the side of the bed for long periods with his leg in a dependent position. He also gets up to go to the bathroom without calling for help. The staff have observed him hopping to the bathroom without using his crutches. He currently rates his pain 5/10.Name the Disease Process giving a short description of patho of disorderWrite down the physical therapy examination of SCl and role of physical therapist in spinal card injury patients and also mention the challenges physical therapist faces when treating neurological patients
- Motor defects that result from an internal capsular lesion include :-a- Paralysis of all skeletal muscles on the opposite side of the bodyb- Paralysis of all skeletal muscles on the same side of the bodyc- paresis of axial muscles on the same side of the bodyd- paralysis of the distal muscles on the opposite side of the bodyJack is a 29yo male competitive bodybuilder who comes to the ER complaining of difficulty extending hisright elbow, cramping in the triceps area, and a “hollow” feeling at the back of the elbow. Due to a caseof olecranon bursitis, Jack has recently received a series of local cortisone injections to the right elbow.He also has a history of 4-androstenediol consumption which he claims must be safe because it is sold asa nutritional supplement. Upon examination, the physician informs Jack that he has completely rupturedhis triceps tendon.18. Describe the role of the FDA in regulation of nutritional supplements.19. Describe the role of 4-androstenediol in muscle growth.20. Describe the structure and function of the triceps tendon as it relates to the olecranon.21. Describe the factors that could have contributed to the rupture of Jack’s triceps tendon.Case Scenario: Mrs. Chu is a 76-year-old widow who lives alone. She slipped and fell in the bathroom and broke her right hip. She had undergone a TOTAL RIGHT HIP Replacement 2 weeks ago. Now she is home and the CLHIN has ordered a PSW to assist Mrs. CHU's daily activities. The PSW is ordered 3 hours daily for 4 weeks. Ques- PSW Role in the care of a client following hip replacement surgery. DIPPS must be mentioned and how this can be shown in the care.
