Mrs. Q, age 78, is coming to physical therapy for treatment…

Mrs. Q, age 78, is coming to physical therapy for treatment of spinal stenosis.  She has been progressing well with your treatment intervention.  This afternoon she comes to her therapy appointment and reports a sudden onset of 9/10 pain in her lower leg which began earlier in the day.  She complains of numbness and tingling in the same lower leg area.  Upon assessment, you note that the skin is very pale and you are unable to palpate extremity pulses.  What do you suspect is happening with this patient?

Mr. A is 58 years old and has been receiving physical therap…

Mr. A is 58 years old and has been receiving physical therapy treatment for osteoarthritis of his hips and spine over the past four weeks.  His medical history is positive for hypertension.  He was recently diagnosed with elevated cholesterol and one week ago began taking a “statin” drug.  He was progressing well until his last visit.  He began reporting more generalized muscle and joint pain.  What do you suspect is causing this increased pain?

You are working in the hospital and are scheduled to see Mr….

You are working in the hospital and are scheduled to see Mr. J this morning.  This will be your fourth visit with him.  He is recovering well from a total hip surgery and will be discharged to a skilled nursing facility in two days.  Your treatment is concentrated on gait training and therapeutic exercise.  After reviewing the chart and speaking with the nurse, you note that the patient had some complications during the night.  His hematocrit is 20% and a blood transfusion has been scheduled.  What clinical decision would be appropriate in light of this new information?

Mr. H is 74 years old.  He has a diagnosis of Polymyalgia Rh…

Mr. H is 74 years old.  He has a diagnosis of Polymyalgia Rheumatica and is closely followed by his Rheumatologist.  He has begun to complain of a throbbing headache and blurry vision on the right.  He is also tender to palpation in the temple area.  How would you respond to this situation?