changing sentences ( plagiarism)

Clinical Observation

Introduction

The clinic is a great place for getting all the information that the students need to get because they will be talking to patients and doctors in order to build their experience. Thus, when I was in my clinical rotation; I had the chance to get all the information that I was looking for. The doctors were very polite and helpful. They explained most of the injuries for me and how to treat them. The first injury that I observed was for a concussion and then a mallet finger and lastly a multidirectional instability.

Clinical study on Concussion

The clinic is a great place for getting all the information that the students need because they will be talking to patients and doctors in order to build their experience. Thus, when I was in my clinical rotation; I had the chance to get all the information that I was looking for. The doctors were very polite and helpful. They explained most of the injuries for me and how to treat them. The first injury that I observed was for a concussion and then a mallet finger and lastly a multidirectional instability. The patient was a female athlete, of Caucasian origin, aged 19 years old. The patient complained of having an associated dizziness and headache. She also complained of a blurry vision in both eyes, stating that his vision had become significantly starry. From the doctor’s diagnosis, the patient had a protracted concussion with vestibular symptoms which meant that she had slower reaction time, hence placing her at an increased risk for new injury. The patient did not have a history of vomiting, and the doctor ruled out the possibility of a brain injury that is associated with an elevated intracranial pressure. Also, the patient reported a previous history of concussions with prolonged neurologic symptoms that include dizziness, headache, and hyperacusis. The doctor noted that this was indicative of post concussive syndrome and could substantially influence the patient’s return-to-play decisions. The doctor’s diagnosis meant that the patient’s concussion could not resolve progressively after 7-10 days, which is the time that the symptoms of simple concussions take to resolve. The concussion in this case was complex as the symptoms were persistent and had a history of recurrence with exertion as well as a prolonged impairment of the patient’s cognitive function. The doctor made a recommendation that the patient was to be put under a specialized care while being closely monitored and was not able to return to the field for physically involving activities until she is completely asymptomatic. This means that the patient would have to be free of dizziness, headache, amnesia, delayed ocular responses, blunted effect, and until all the patient’s cognitive functioning had returned to normal.

Clinical study on mallet finger

The patient was a 16 year old, American boy who had a forced distal interphalangeal joint flexion injury. According to the patient’s primary caregiver, he had an inability in that he could not extend the distal joint actively, despite her full passive extension remaining intact. The patient’s dorsum appeared slightly swollen and tender. The patient did not indicate that he felt pain as a result of the injury. According to the patient, he thought it was a mild sprain of the ankle and had continued to play even after sustaining the injury for about two days when his primary caregiver noticed he had a loss of active extension. The patient’s history is that he had suffered a direct blow to the finger, which had caused the pain and swelling of the patient’s DIP joint, hence impairing the patient’s ability to fully and actively extend the joint. The doctor advised that the mallet finger injury was not chronic and could be addressed through a nonsurgical procedure. This would involve the immobilization of the patient’s DIP and PIP joints that were necessary to allow for relaxation of the intrinsic musculature and the extension hood to allow for the terminal extensor tendon healing. According to the doctor’s advice, only the DIP joint needed to be immobilized in extension so as to allow for the mallet injury to heal.

Clinical study on Multidirectional Instability

The patient was a white Canadian male aged 20 years old. The patient was an active participant in both contact as well as non-contact athletic activities. The patient reported occurrence of different symptoms that included; pain, weakness, instability, paresthesia, crepitus, as well as instability of the shoulder during sleep. Sulculus sign was conducted to assess the rotator interval and load and shift test for determination of the patient’s posterior stability. The doctor diagnosed positive for multidirectional instability. The patient’s multidirectional instability was not caused by a traumatic event. The patient had not exercised the joint over a long period of time, hence he had a weak shoulder joint, particularly the rotator cuff. The doctor recommended that the patient should be treated for the pain and inflammation of the shoulder caused by the multidirectional instability and then placed on physical therapy aimed for one year aimed at helping in the strengthening of the muscles of the patient that support the scapula (shoulder blade) and the rotator cuff (shoulder joint) so as to help the patient in returning to normal physical activity and also prevent an injury at the same place again.