- Jun 10, 2012
- 7,383
- 23,587
- 876
Follow along with the video below to see how to install our site as a web app on your home screen.
Note: This feature may not be available in some browsers.
That is a sign of vit b deficiencygot anything for a split lip?
I hope your bones are in good enough shape to do a hip replacement. You know they cement the fake hip onto the bone.Subjective:
Patient is here for evaluation and management of new onset Bilateral hip pain. Patient reports lateral sided and groin hip pain for several months. Patient reports previous treatments with anti-inflammatories and activity modification. Patient reports pain with ambulation beyond 100 feet. Reports pain especially that is worsened after sitting for long periods of time. They report difficulty with twisting of the hip to put on shoes and socks. Also reports difficulty with ascending and descending stairs. They have tried anti-inflammatories and rest with no improvement. Referred by Dr. Roman Trimba for bilateral hip pain not back pain. Continuing to have severe and unrelenting pain. She is looking for any and all options. Has a history of previous injections
Objective:
General: Well-developed well-nourished no acute distress
Psychiatric: Pleasant affect alert and oriented to person place time and situation
Gait: Abnormal antalgic bilaterally shortened stance phase
Neuro: Sensation intact to light touch distally on all four extremities, reflexes intact
Skin: Skin demonstrates no rash no signs of infection
Cardiovascular: Regular rate via peripheral pulse examination
Respiratory: Easy work of breathing no use of accessory musculature no audible wheezing
Lymphatic: No evidence of lymphadenopathy in bilateral lower extremities
Musculoskeletal: Focused examination of bilateral hip shows exquisite tenderness to palpation over the greater trochanteric bursa. Positive Stinchfield. Pain with internal/external rotation at the extremes of motion. Slow and antalgic gait with a hip flexion contracture gait. Positive cross adduction sign
X-ray: X-ray examination of the hip and pelvis shows evidence of hip arthritis throughout the femoral head and acetabulum consistent with joint space narrowing, osteophyte formation, subchondral sclerosis, and subchondral cyst formation.
Assessment:
Hip pain
Primary hip osteoarthritis
Hip stiffness
Plan:
I had a long discussion with the patient about the different options for the hip pain present. Patient has tried other conservative treatment options including anti-inflammatories activity modification. We discussed all the different options including but not limited to surgical intervention injections prescription strength anti-inflammatories physical therapy and advanced imaging studies. Patient would like to proceed with more aggressive treatment options to help control the pain. Because of the patient's size and concerning issues with possible avascular necrosis versus femoral head collapse I would like to proceed with a CT scan of the pelvis for evaluation of the bone quality and possible surgical planning for total hip arthroplasty. Patient understands the plan the risk benefits and alternatives we will proceed
My shot was late last month. Im due again on the 9th so soon.That is a sign of vit b deficiency
I have to get the ct scan done to find out. They dont sound good do they?I hope your bones are in good enough shape to do a hip replacement. You know they cement the fake hip onto the bone.
Mine too. My premium for my Medicare supplement is going up. I pay 80 dollars a month for my supplement and they take around 200 out of my SS check for Medicare. So much for my SS raise.Out came the pen and wrote the right amount and the itsy bitty paycheck was gone without a discount !
I suck at rhyming.
Maybe give it early or see if your dr can give you vitamins.My shot was late last month. Im due again on the 9th so soon.
No. We know your bones are soft from the pred.I have to get the ct scan done to find out. They dont sound good do they?
Ever heard of Adele davis? She wrote many books on vitamin deficiency. I would get some vicks and start putting it every night. Or quit making out with Tom, lolThat is a sign of vit b deficiency