Chief Complaint Left Knee Pain - 1227 Words

CHIEF COMPLAINT: Left knee pain. HISTORY OF PRESENT ILLNESS: Neal Kays is a 38-year-old male who presents after referral from emergency room visit dated July 27, 2015 secondary to pain in and about the left knee. He states that he was walking across housing floor to the bathroom when he stubbed his toe and had tearing and popping type sensation in and about the left knee. He states that over the last seven or so days, he has had uncontrolled pain and swelling in and about the knee. He was seen in the emergency department that day and gave a similar history. He was diagnosed with a knee strain and referred to the office for outpatient evaluation and management. He is here today for that reason, utilizing crutches, and a knee immobilizer with 10/10 pain per his estimation. Patient states that he is taking multiple medications and is under the care of a pain medicine specialist. Some of these include, morphine extended release, acute morphine tabs and Norco. He continues to say none of this is effective in con trolling his symptoms. An attempt to gather a more specific history is blocked by the patient s historical reference to knee problems going back 30 years. He states this began at the age of 10 secondary to a football injury, intermingled with multiple stories of knee instability complaints are stories of heavy athletic duty and full use of the knee. He has been seen in the past by other physicians that have recommended surgical intervention, that from hisShow MoreRelatedPathology Report1675 Words   |  7 PagesGynecology PATHOLOGY FINDINGS: Specimen number 03-S-965 SPECIMEN RECIEVE: 03/27/2014 SPECIMAN REPORTED: 03/30/2014 SURGICAL PROCEDURE: Left partial salpingectomy CLINICAL HISTORY: Patient has an ectopic pregnancy, as proven by pelvic ultrasound. TISSUE RECEIVED: Left fallopian tube. GROSS DESCRIPTION: Exam of the specimen designated â€Å"left fallopian tube† reveals the presence of a fallopian tube measuring 6 cm in length and 2.3 cm in average diameter. Sectioning of the tube showsRead MoreHillcrest Case 6 HP Essay602 Words   |  3 Pagesdisk Chief Complaint: low back pain, right leg pain. HISOTRY OF PRESENT ILLNESS: This 40-year-old Latin female presents with complaints of low back and right leg pain she said that she hurt her back in a motor vehicle accident three years ago and she has had a history of intermittent low back pain since that time. Last December she started a job where she had to lift boxes that weighed approximately 40 pounds. Around the first of January this year she began to complain of back pain that graduallyRead MoreCase 4 History and Physical Essay596 Words   |  3 PagesEXAMINATION Patient Name: Adela Torres Patient ID: 132463 Room No.: 541 Date of Admission: 06/22/---- Admitting Physician: Leon Medina, MD, Internal Medicine Admitting Diagnosis: Stomatitis, possibly methotrexate related. Chief Complaint: Swelling of lips causing difficulty swallowing. HISTORY OF PRESENT ILLNESS: This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for manyRead MoreEssay on History and Physical Examination Case 4628 Words   |  3 PagesPHYSICAL EXAMINATION Patient Name: Adela Torres Patient ID: 132463 RM #: 541 Date of Admission: 06/22/---- Admitting Physician: Leon Medina MD, Internal Medicine Admitting Diagnosis: Stomatitis, possibly methotrexate related CHIEF COMPLAINT: Swelling of lip causing difficulty swallowing HISTORY OF PRESENT ILLNESS: This patient is a 57 yr. old, Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many yearsRead MoreCommunity Patient Resource Group Interview Lab Assignment988 Words   |  4 Pagesmilitary and was also a construction worker. On observation, the patient entered the room with a standard cane. The speech was not affected, but there was evident drooping of the lips on the left side. The patient’s chief complaint was weakness and reduced sensations in the left leg and left arm since June 2005 when he suffered from stroke. Also, the patient complained of difficulty in performing activities of daily living like buttoning his shirt, eating, etc. since then. The patientRead MorePatient Escorts1257 Words   |  6 PagesCase #37 Zachary Hancher MGT 3374 - 003 January 30th 2014 Case #37 The chief supervisor of patient escorts argued that the problem with the present hiring system is that the application does not have any useful information on the applicant. He said that there are no longer questions that give insights into the employee’s personality. His suggestion was to ask applicants about hobbies, outside activities and their personal likes and dislikes on the application.Read MoreSymptoms And Treatment Of Nursing1972 Words   |  8 PagesNOTE 8 (DVT) Subjective: 1. Chief Complaint: Patient comes into the clinic with chief complaint of pain in his leg. 2. History of Present Illness: The patient here today at the clinic is a Caucasian male 48 yo named Rodney Cross. Patient is complaining about having pain in his right leg and that the pain started 3 days ago which woke him up. Patient said that the pain is on-going and it gets worse whenever he walks. Patient said the pain is in the area behind his right knee and runs all the way downRead MoreA Summary On The New York1922 Words   |  8 PagesChief Complaint J.R. is a 24 y/o male journalist living in upstate New York. He came to the clinic today complaining of flu-like symptoms with muscle achiness and joint pain that has progressively gotten worse over the past 10 days. J.R. also states that he has a difficult time gripping his pen when writing his column for Outdoor Life Magazine. PMH: No hx of previous diseases. Pt recently diagnosed with mild HTN. Up to date with all immunizations, including a tetanus shot nearly 3 years ago. SocialRead MoreSource Of Information : Mother And Patient2081 Words   |  9 Pages#2 Source of Information: Mother and Patient; both reliable sources Chief Complaint: 16 year old female with past medical history of intermittent asthma presenting with malaise and back pain for two days and on the day of admission cough with dark yellow sputum. History of Present Illness/Interval History: The patient initially presented to the Emergency Department on Monday after developing severe lower back and leg pain accompanied by fatigue. The patient had attended and participated in herRead MoreMost Important Mnemonics for Step 2 Cs2791 Words   |  12 Pagesillness) ALL CASES: OPD CSF AAA PAIN: OPD CSF LIQR AAA OPD CSF ABCDO FLUIDS: (Vomiting, Diarrhea, constipation, cough, vaginal discharge) O Onset of the symptom + precipitating factors P Progression D Duration C Constant /Intermittent S Settings F Frequency L Location of the symptom (forehead, wrist...) I Intensity of the symptom (scale 1-10, 6/10) Q Quality of symptom..BCDSPP(burning,Cramping,dull,Sharp,pulsating,pressure like) R Radiation of the symptom ( to left shoulder and arm) A Associated symptoms