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Cervical Spine: A Case Study

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Cervical Spine: A Case Study
DOI: 6/4/2015. Patient is a 46-year old female caregiver who sustained injury when a frustrated client grabbed her pony tail and pulled down on it. Per OMNI, she was initially diagnosed with anxiety attack, situational anxiety, and acute cervical train.
Per medical report dated 06/04/15, the patient complained of anxiety and being stressed. Patient is in severe distress, slightly crying and is hyperventilating. Plan includes psychiatry referral for anxiety attack and situation anxiety, start Lorazepam 1 mg, and PT for 6 sessions.

Based on PT evaluation report dated 06/09/15, the patient complains of severe and worsening cervical spine pain, described as aching and throbbing. Pain is rated at 7/10. Patient also has constant headaches and dizziness.
…show more content…
Diagnoses are acute cervical strain, anxiety attack and situational anxiety.
Plan is PT 3 times a week for 2 weeks.
Current request is for 6 Physical Therapy Sessions for the Cervical Spine between 6/22/2015 and

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