Blog

Lucia Nolen is an 8 month old female who has recently been a…

Lucia Nolen is an 8 month old female who has recently been adopted by Mr. and Mrs. Nolen.  Mrs. Nolen brought Lucia to the pediatrician today because she cannot get Lucia to bear any weight on her legs and she will not keep her back and neck upright for very long.  Mrs. Nolen is very concerned that Lucia might have some neurological problem as a result of something that occurred prior to the adoption.  The adoptive parents do not know much about Lucia’s living situation before her adoption with the exception of they know that she lived in a poverty stricken housing project and she is still suffering from some problems from malnutrition.  The pediatrician orders a bone survey.  The radiographs demonstrate cupping and fraying of the metaphyseal ends of the radius and ulna with a disappearance of the normal sharp metaphyseal lines.  There is also slight bowing of her legs. What diagnosis is going to be given to Lucia?  What treatments options are available for Lucia?  Name two facts that led you to this conclusion. (4 points)

Your 50-year-old female patient presents with pain in her ri…

Your 50-year-old female patient presents with pain in her right wrist and hand for the past 3 months. She reports that the pain began gradually after increasing her computer use at work. Pain is worse when typing, gripping objects, or holding a coffee mug, and eases slightly with rest. She describes a dull ache across the dorsal and palmar aspects of the wrist and mild stiffness in the fingers, particularly in the morning. She denies numbness or tingling. PMH: Type II Diabetes. Social history: Works as an accountant; plays piano recreationally. Functional limitations: Difficulty typing for extended periods, lifting objects, and performing household tasks such as cooking or cleaning.   What are likely movement impairments?