Glasgow coma scale is a neurological scale which is used in assessing the level of consciousness of a person the initial score of a person is taken and recorded and this is compared with the subsequent score of the person. This is done to note if the patient is improving or deteriorating. The scoring is made based on certain criteria and a score of 3-15 is made. The score 3 indicates deep unconsciousness while the score 15 indicates full consciousness. The Glasgow coma scale was published in 1974
Premium Glasgow Coma Scale Traumatic brain injury Psychology
medications at 10/10 and with medications at 7/10. Interference with their daily activities is rated as 10/10 in the last month. Symptoms are aggravated by ascending/descending stairs‚ bending‚ changing positions‚ daily activities‚ extension‚ flexion‚ jumping‚ lifting‚ pushing‚ rolling over in bed‚ running‚ sitting‚ standing‚ twisting and walking. Symptoms are relieved by pain medications.
Premium Patient Myocardial infarction Medicine
DOI: 2/10/1987. The patient is a 69-year-old male truck driver who sustained a work-related injury when he lost footing and twisted his back. As per OMNI entry‚ he is status post fusion at L4-S1 in 1989‚ with hardware removal in 1996. Based on the progress report dated 11/20/15‚ the patient presents for follow up regarding his low back pain. He reports a 70% increase in pain over the past month. He attributes the increased pain to cold weather and lack of sleep. In regards to his low back‚ he describes
Premium Sleep Pain Myocardial infarction
Chiari I malformation with acute neurologic deficit after craniocervical trauma: Case report‚ imaging and anatomic considerations David E. Adler‚ MD‚ Josha Woodward‚ BS Legacy Emanuel Hospital In patients with Chiari I malformation‚ the occurrence of acute neurological deficit after craniocervical trauma is rare. This case describes a 41-year-old male who sustained a single blow to the face‚ fell and struck the occiput. On admission‚ neurologic exam revealed a profound paraparesis‚ upper extremity
Premium Brain Neuroanatomy Nerve
numbness in midline of forearm extending from elbow to all fingers. Pain is rated 8/10 on the right. He also reports numbness extending from elbow to all fingers in midline of forearm. Phalen sign is positive. Active range of motion shows wrist flexion is 70 degrees‚ extension is 50 degrees‚ ulnar deviation is 25 degrees and radial deviation is 10 degrees. Motor power is graded 4+/5 in wrist motions. He is able to make a full fist. Grip strength is 20 kgw to the right and 42 kgw to the left‚ at
Premium Pain Medicine Health care
Case Discussion Beal’s syndrome (OMIM # 121050) is a disorder of connective tissues. The syndrome was first explained by Beal’s and Hecht in 1971. It is inherited as an autosomal dominant disorder that is characterized by multiple flexion contractures‚ arachnodactyly‚ severe kyphoscoliosis‚ abnormal pinnae and muscular hypoplasia. It is caused by a genetic mutation in FBN2 gene (encoding the extracellular matrix micro fibril fibrillin 2) on chromosome 5q23. The FBN2 gene provides instructions for
Premium Genetics DNA Gene
Metrics measured included the ground contact time (GCT)‚ knee flexion angle‚ foot strike‚ and stride cadence.4 Testing results revealed that barefoot runners had the smallest amount of rearfoot strikes (40%) when compared to shod runners (87%) and that GCT was the least with barefoot runners (250.6 ms).4 Last‚ the stride
Premium Running Exercise Knee
Cervical Spine Evaluation Name:__________________ NDI____________________ 9 points = relevant change Age:_________ PMH:___________________________ Previous Episode:______________________________ Occupation:______________________ Current Medications:________________________ Reason for PT:________________________ Have you had recent diagnostic imaging? Y N _____________________
Premium Vertebral column Trigraph
had significant increase in his pain. He has had no recurrent injury. MD opined that this is a preexisting Grade 2 spondylolisthesis‚ exacerbated by his work related injury. On physical examination‚ he has lumbar spasm‚ tenderness‚ pain on forward flexion and positive straight leg raise. Plan is to proceed with an MRI of the lumbar spine. Per the adjuster‚ the doctor’s first report of occupational injury is not
Premium
There is tightness in the right hand. Right shoulder range of motion is limited and noted as 90 degrees flexion and 90 degrees abduction. Patient is mildly positive for drop arm and empty can tests and positive for impingement sign on the right shoulder. Strength for the right deltoid is graded as 4/5 and limited by pain and the right interossei graded as 3+/5
Premium Medicine Patient Hospital