A 38-year-old male presents with a three-month history of lo…

A 38-year-old male presents with a three-month history of low back pain and right leg pain that has failed to improve with non-operative modalities, including selective nerve root corticosteroid injections. Leg pain and paresthesias are localized to his buttock, lateral and posterior calf, and the dorsal aspect of his foot. On strength testing, he is graded a 4/5 for plantar-flexion and 4+/5 to ankle dorsiflexion. On flexion and extension radiographs there is no evidence of spondylolisthesis. Sagittal and axial T2-weighted MRI images reveal a large L5/S1 disc herniation. Which of the following treatment modalities will allow the greatest improvement of physical functioning?

A 32-year-old right hand dominant female presents to your cl…

A 32-year-old right hand dominant female presents to your clinic with a 3-month complaint of right-hand pain and paresthesia of the thumb, index, and middle fingers. She works in a retail sales office where she spends much of the day on the computer keyboard typing. The presence of which of the following findings on physical examination would suggest that the underlying condition was more advanced?

You are asked to evaluate a 38-year-old right hand dominant…

You are asked to evaluate a 38-year-old right hand dominant female who presents with complaints suggestive of possible carpal tunnel syndrome. After resting the elbows on a table and allowing the wrists to fall into complete volar flexion for one minute (see image below), the paresthesias that the patient has been experiencing are reproduced along the palmar surface of the thumb, index finger, middle finger, and part of the ring finger of the right hand. Based on this information, how would you document this finding in the patient’s chart?  

You are evaluating a patient with a knee effusion and subseq…

You are evaluating a patient with a knee effusion and subsequent synovial fluid analysis reveals the following findings: Fluid is pinkish-red and cloudy with WBC 2,800 (30% PMNs) and glucose level 18 mg/dL. Which of the following conditions would be a possible underlying cause of these synovial fluid results?