[doctor] so gloria is a 46 -year-old female today with past medical history of diabetes and back pain and today here for shortness of breath with chf and copd also so gloria tell me what's going on
[patient] i i i'm having a lot of trouble sleeping
[doctor] okay and and how long has this been going on for
[patient] really just for about the past two weeks i i just ca n't ca n't get comfortable you know when i when i lay down in bed i just ca n't ca n't fall
[doctor] is it because you're having you ca n't sleep or you're having shortness of breath or difficulty breathing or what's going on with that
[patient] yeah i i feel like i'm just i'm just choking a few minutes after i i lay down to sleep i just ca n't catch my breath
[doctor] okay and are you and how has your pulse ox been your oxygen level been at home i know you your oxygen level here is like ninety two right now in the office which is a little bit on the low side how is how has that been at home
[patient] i can breathe fine
[doctor] just when you lay down you get short of breath okay and is it worse when you have you noticed any shortness of breath during the day when you exert yourself when you climb stairs or do other stuff
[patient] i do n't i do n't do any of that usually i just i i sit on the couch and watch my shows
[doctor] okay fair enough and how about have you noticed any weight gain or swelling in your legs or calves or anything like that
[patient] yeah i i ca n't see my ankles anymore and and yeah i i do n't know what's going on with the scale i think the numbers are off because you know suddenly i gained about ten pounds
[doctor] wow okay alright and are you taking i know you were supposed to be taking lasix and we had you on you know diet control to to prevent to limit your salt intake how is that going
[patient] i i i do n't know how much salt is in freedoes but you know i i i'm really enjoying those in last weekend we got this really big party and yeah which color is that lasix pill
[doctor] yeah it's it's the white one the round one so it sounds like you're not maybe not taking it as regularly as you should
[patient] no sir i i do n't think i am
[doctor] okay alright and are you having any chest pain or tightness in your chest or anything like that or not really
[patient] no not really
[doctor] okay
[patient] just just when i ca n't breathe good at night you know
[doctor] okay got it
[patient] yeah
[doctor] so i'll examine you in a second so it's been a couple of weeks are you coughing up anything any fevers with this at all
[patient] no no fever kinda feel like i'm just bringing a whole bunch of yuck up once in a while though especially first thing in the morning
[doctor] okay alright and how have your blood sugars been doing this time i know you're taking the metformin are you checking your accu-cheks how has that been going
[patient] i i'm sorry what's an accu-chek
[doctor] for your blood sugar check are you checking that or not really
[patient] i i i did it a couple of weeks ago
[doctor] okay
[patient] and it was about it i i think about two thirty it was okay
[doctor] okay so your hemoglobin a1c last time was seven . five and we had talked about you know trying to improve your diet we had talked about you know we wan na avoid going to insulin but it sounds like it's been a challenge to kinda control the diet and also your blood sugars have been running a little bit high
[patient] yeah
[doctor] okay alright
[patient] yeah it's it's been a challenge
[doctor] alright and any nausea vomiting or diarrhea or anything like that are you peeing a whole lot or anything like that no
[patient] yeah i'm feeling like crazy
[doctor] okay alright
[patient] ca n't figure out why because i'm not drinking very much
[doctor] alright and how is your back then has that been okay i know you're sitting you said you're sitting on the couch a lot watching tv but
[patient] yeah
[doctor] besides that anything else
[patient] yeah you know it it just it just really hurts so you know and so that's why i sit on the couch so much
[doctor] okay alright no weakness or numbness in your legs right now
[patient] no
[doctor] okay
[patient] no
[doctor] so let me examine you now gloria i'm gon na go ahead and do an exam and let's pretend i did my exam i'm just gon na verbalize some of my findings just so i can record this and put it into my my into my chart so neck exam you do have a little bit of swelling in your neck little bit of jvd no bruits your lung exam you have some crackles in both bases and some rales that i can hear and there are a little bit of intermittent wheezing as well on your heart exam you have a two over six systolic ejection murmur you've had that in the past otherwise regular rate and rhythm it does n't feel a regular your belly exam your belly's slightly distended there's no tenderness or guarding or anything like that so that does n't that looks pretty good on your leg exam you do have some one plus pitting edema or actually almost one and a half plus pitting edema in your both of your ankles no calf tenderness negative homans sign that means no blood clots otherwise neurologic exam is normal the rest of your exam is normal so what does this all mean so let me explain that so for the first problem the shortness of breath you know i think you have an exacerbation of your congestive heart failure what i'd like to do is increase your dose of lasix from twenty milligrams to sixty milligrams for the next four days i'm gon na have you check your weights everyday and also i'm gon na go ahead and have you use your albuterol and atrovent we had given you some inhalers in the past i can give you another refill if you need to help with that some of the breathing that you're having the shortness of breath so i'd like to get some of this fluid off you have you check your weights daily we'll have you increase your dose of lasix we'll have you use a breathing treatments and see if that helps your shortness of breath i'd like to have you come back in about couple days actually i wan na see how you're doing and if it does n't get better we may have to increase the dose or send you to the hospital okay
[patient] i do n't want to go to the hospital doctor
[doctor] yeah so let's try to let's try to use the lasix and let's try to let's try to you know use the breathing treatments and and do that for the second problem the diabetes that we just talked about i like to go ahead and order another blood test another hemoglobin a1c i think we need to your blood sugars have been running a little bit high in the past and we've had a hard time but it's been a while since we checked your last one so i wan na check another one today to see where we are and when we have you come back in a couple days we should have the results back we can then adjust your metformin or we may have to adjust some of the you know add a different medication at that point but but right now i'm gon na order some blood tests we'll have you come back in a couple of days and then we can reassess at that point okay
[patient] so i had a piece of cake before i came in here is that gon na affect the the lab work
[doctor] yeah we'll probably do a fasting blood sugar we'll we'll order the hemoglobin a1c that should n't be actually matter because that checks long term but if we need your blood sugar may be elevated today i i would n't be surprised alright and i forgot to examine your back by the way so on your back exam you do have some tenderness in the paraspinal areas of your back in the in the lower back mostly no midline tenderness you have good reflexes so i think this is all muscular pain right now for your back pain i'm gon na go ahead and put you on some naprosyn and some flexeril which is a muscle relaxer i'm gon na give you some exercises you can do to help you get off the couch it'll also help your blood sugar and why do n't we have you if that does n't work the the pain medicine and the physical we can start physical therapy and see if that helps okay
[patient] okay
[doctor] any questions about that
[patient] i do n't think so which color pills
[doctor] i think it's a white pill and it's round
[patient] okay
[doctor] about this big
[patient] alright sounds good
[doctor] anything else gloria
[patient] no that's it
[doctor] alright thanks for coming in today

CHIEF COMPLAINT

Dyspnea.

MEDICAL HISTORY

Patient reports history of diabetes, back pain, congestive heart failure, and chronic obstructive pulmonary disease.

SOCIAL HISTORY

Patient reports living a sedentary lifestyle.

MEDICATIONS

Patient reports she is not consistent with taking Lasix and metformin.

REVIEW OF SYSTEMS

Constitutional: Reports 10 pound weight gain. Denies fever.
Cardiovascular: Denies chest pain or tightness.
Respiratory: Reports orthopnea and productive cough. Denies dyspnea on exertion.
Gastrointestinal: Denies nausea, vomiting, or diarrhea.
Genitourinary: Reports polyuria.
Musculoskeletal: Reports back pain and lower extremity edema.
Neurological: Denies lower extremity weakness or numbness.

VITALS

Oxygen saturation: 92%

PHYSICAL EXAM

Neck
- General Examination: Slight swelling. Mild JVD. No bruits.

Respiratory
- Auscultation of Lungs: Mild rales heard at the base bilaterally and slight intermittent wheezing.

Cardiovascular
- Auscultation of Heart: 2 out of 6 systolic ejection murmur, otherwise regular rate and rhythm.

Gastrointestinal
- Examination of Abdomen: Slightly distended. No tenderness or guarding.

Musculoskeletal
- Examination: 1.5+ pitting edema in the ankles bilaterally. No calf tenderness. Negative Homan's sign. Slight tenderness in the paraspinal area, mostly in the lower back. No midline tenderness. Good reflexes.

RESULTS

Hemoglobin A1c: 7.5

ASSESSMENT AND PLAN

1. Shortness of breath.
- Medical Reasoning: I believe this is an exacerbation of her congestive heart failure.
- Patient Education and Counseling: I advised the patient to monitor her weight daily.
- Medical Treatment: She will increase her dose of Lasix from 20 mg to 60 mg for the next 4 days. She should also use her albuterol and Atrovent inhalers as needed. If her symptoms don't improve in the next couple of days, we will either increase her doses or have her go to the hospital.

2. Diabetes type 2.
- Medical Reasoning: Her recent blood glucose levels have been elevated.
- Patient Education and Counseling: We discussed the possibility of needing to add another medication to her regimen.
- Medical Treatment: We are going to order a repeat hemoglobin A1c and adjust her dose of metformin accordingly.

3. Back pain.
- Medical Reasoning: This appears to be all muscular pain.
- Patient Education and Counseling: We discussed exercises she can do to help her pain and that ff this doesn't help we can consider physical therapy.
- Medical Treatment: Prescriptions provided for Naprosyn and Flexeril.

Patient Agreements: The patient understands and agrees with the recommended medical treatment plan.

INSTRUCTIONS

We will have her follow up in a couple of days.


[doctor] good morning julie how are you doing this morning
[patient] i've been better my primary care doctor wanted me to see you because of this this knee pain that i've been having for about six months now
[doctor] okay and do you remember what caused the pain initially
[patient] honestly i do n't i ca n't think of anytime if i fell or like i i've really been trying to think and i ca n't really think of any specific event
[doctor] okay now it it says here that it's in both knees is that correct
[patient] yes both my knees
[doctor] okay it kinda try let's let's try describing the pain for me please
[patient] yeah it's kind of feels like it's like right behind my kneecaps
[doctor] okay
[patient] and it's like a deep achy pain
[doctor] a deep achy pain okay what kind of activities makes the pain feel worse
[patient] let's see so anytime so if i'm sitting at my desk and i get up i have a lot of pain so anytime from like standing up from sitting for a while or even going up and down the stairs
[doctor] okay so you work from home
[patient] i do
[doctor] okay okay so there is a lot of desk setting at home is your office upstairs or is it i mean do you have to go up or downstairs to get to it
[patient] no well first thing in the morning but otherwise it's downstairs
[doctor] okay okay how do you like working from home
[patient] you know it has it's plus and minuses
[doctor] okay
[patient] i like it though my i like my commute
[doctor] yeah
[patient] i love it
[doctor] and the parking i'm sure the parking is
[patient] and the parking is great
[doctor] yeah i you know if i could do telehealth visits all day long i would be totally happy with that yeah and just set it home and do those so you mentioned is there anything that makes that pain feel better
[patient] usually after like if i feel that pain and then i just it does get better
[doctor] okay now you mentioned earlier that you tried some things in the past what have what are they and did they work at all
[patient] yeah i've done some ibuprofen or aleve sometimes some tylenol and that does help
[doctor] okay
[patient] it takes the edge off
[doctor] okay but you're never really pain free is that what i hear you saying
[patient] not really unless i'm like really just resting which i hate to do but otherwise any type of movement especially from sitting it causes pain
[doctor] okay so are you active other than going up and down the steps to your office
[patient] very i'm a big runner i love to run i run about five to six miles a day but with this knee with with these knee pain that i've been having it's i barely can even do half a mile
[doctor] yeah you know what that's that's i am a biker and i know that once you get that into your you know you have loved doing that activity it's so frustrating when you ca n't it's almost like a it's almost like a dry it almost becomes a drug when you get up
[patient] exactly
[doctor] yeah
[patient] it's
[doctor] okay so have you noticed any redness or swelling in your knees
[patient] no
[doctor] okay and have you ever injured your knees before
[patient] you know despite how active i am i you know i've never
[doctor] okay
[patient] injured or broken a bone
[doctor] okay great so let's go ahead and do a i just wan na take a look here i reviewed your vitals and overall they look good your blood pressure is one twenty over seventy your your heart rate is sixty and your respiratory rate is fourteen those are all phenomenal numbers as i listened to your heart it is at a regular and a slower rate but i do n't hear any extra sounds so there is no murmurs as we go through that now on musculoskeletal exam you have a normal gait i watched you you know kinda walk in here this morning your strength i just wan na check it when i go ahead and i want you to move your leg okay your muscle strength is is good you do have a three out of five for abduction of your legs bilaterally and that's you know kinda bringing your legs in the remainder of your muscle strength for your lower extremities is a five out of five now let me focus specifically on your knee examination i do n't see any redness or ecchymosis or warmth of the skin and those are big words you know i do n't see any bruising or or that redness there is no effusion that's just like a fluid underneath the knee i do n't appreciate that any at all you do seem to have some tenderness when i palpate and you do have a positive patellar grind test when you stood up i could feel that as we went through there you did say you had that knee pain with squatting but your lachman your anterior and posterior drawer and mcmurray test are all negative bilaterally neurologically and your your your lower extremities your patella and your achilles reflex are symmetrical and that's good so i did review the x-rays of both your knees which shows no fractures or osteoarthritis so based on what you told me and reviewing the mri that you had done before you came in your symptoms are consistent with patellofemoral pain syndrome and this is a really common condition that we see that causes knee knee pain especially in really active young people that's probably why i do n't get it when i'm riding my bike forever and ever now this condition has to do with the way your kneecap moves across along the groove of your thigh bone your femur so for pain i want you to continue to take the ibuprofen or any other anti-inflammatories you know aleve or any of those as you need it to help with the pain now i am going to recommend physical therapy well they will show you a number of lower extremity exercises this is probably one of the best things that you can do and this will help increase your lower extremity strength your mobility and correct any incorrect running mechanics that you might have do you have any questions for me
[patient] so will i be able to run again
[doctor] absolutely my goal is to get you out there and maybe we can cross pads on the the bike trail some day you are gon na have to take it a little bit easy for now but we are gon na get you back and once we do that i think you will be really pleased is there anything else
[patient] no i think that's it
[doctor] okay have a great day
[patient] okay you too
[doctor] thank you
[patient] bye

CHIEF COMPLAINT

Bilateral knee pain.

SOCIAL HISTORY

The patient is an avid runner. She also works from home.

REVIEW OF SYSTEMS

Musculoskeletal: Reports bilateral knee pain. Denies knee swelling.
Skin: Denies redness.

VITALS

Blood pressure: 120/70 mmHg
Heart rate: 60 bpm
Respirations: 14

PHYSICAL EXAM

Neurological
- Orientation: Normal gait. Patellar and Achilles reflexes are symmetrical.

Cardiovascular
- Auscultation of Heart: Regular, slower rate. No murmurs.

Gastrointestinal
- Examination of Abdomen: No masses or tenderness.
- Auscultation: Bowel sounds normal in all 4 quadrants.

Musculoskeletal
- Examination: No clubbing, cyanosis, or edema. Normal gait. 3/5 abduction strength of the bilateral lower extremities. Otherwise, 5/5 strength in the bilateral lower extremities.
- Bilateral knees: No erythema, ecchymosis, or warmth. No effusion. Tender to palpation. Positive patellar grind test. Lachman, anterior and posterior drawer, and McMurray test are all negative bilaterally.

RESULTS

X-ray of the bilateral knees are reviewed and reveal no fractures or osteoarthritis.

ASSESSMENT AND PLAN

1. Patellofemoral pain syndrome, bilateral.
- Medical Reasoning: After reviewing her x-ray, previous MRI, and exam findings, her symptoms are consistent with patellofemoral pain syndrome.
- Patient Education and Counseling: We discussed the nature of this condition in detail. I encouraged the patient to be conservative with her physical activity for now.
- Medical Treatment: Continue with over-the-counter NSAIDs for pain relief We are going to refer her to physical therapy to help strengthen her lower extremities, increase mobility, and demonstrate proper running mechanics.

Patient Agreements: The patient understands and agrees with the recommended medical treatment plan.


[doctor] hey jean how're you doing today
[patient] i'm doing alright aside from this foot pain that i have
[doctor] so i see here that you looks like you hurt your left foot here where you were playing soccer can you tell me a little bit more about what happened
[patient] yeah so yeah i was playing in a soccer game yesterday and i was trying to steal the ball from another player and she ended up falling directly onto my right foot and i do n't know i i mean i was trying to get around her and my body ended up twisting around her and then i accidentally felt a pain in my foot
[doctor] okay so have you ever hurt your left foot before
[patient] no i've had a lot of injuries in soccer but never injured this foot
[doctor] okay and then so after the fall and the entanglement with the other player were you able to continue playing
[patient] no i had to stop playing right away and actually being helped off the field
[doctor] wow okay and what have you been doing for the the pain since then
[patient] so i've been keeping it elevated icing it the trainer wrapped it yesterday and taking ibuprofen as well
[doctor] okay alright so without any ibuprofen can you tell me what your pain level is
[patient] with ibuprofen i would say my pain is a three
[doctor] okay and then without your ibuprofen can you tell me what your pain level is
[patient] like a seven eight
[doctor] okay so how long have you been playing soccer
[patient] really since i was like four five i've been playing a long time
[doctor] well that's cool yeah we our our youngest daughter she is almost sixteen and she plays the inner marrial soccer league they are down at the rex center did is that where you started playing or did you guys did you start playing somewhere else
[patient] yeah just like this local town leak i started playing that way and then played all throughout school
[doctor] that's
[patient] high school teams
[doctor] that's awesome so just out of curiosity with the left foot have you experienced anything like numbness or tingling or or any strange sensation
[patient] no i have not
[doctor] okay now if it's okay with you i would like to do a quick physical exam i reviewed your vitals and everything looks good blood pressure was one eighteen over seventy two heart rate was fifty eight respiratory rate was fourteen you are afebrile and you had an o2 saturation of ninety nine percent on room air on your heart exam your regular of rate and rhythm do n't appreciate any clicks rubs or murmurs no ectopic beats noted there on auscultation listening to your lungs lungs are clear and equal bilaterally so you're moving good air i'd like to do a focused foot exam on your left foot so i do see some bruising on the bottom of your foot and on the top of your foot as well now there is associated swelling and i do appreciate tenderness to palpation of your midfoot and you are positive for the piano key test on a neurovascular exam of your left foot you have a brisk capillary refill of less than three seconds dorsalis pedis pulse is intact and strong and you do have motor and sensation that it's intact to light touch now i would like to do a review of the diagnostic imaging that you had before you came in so i do notice a subtle dorsal displacement of the base of the second metatarsal with a three millimeter separation of the first and second metatarsal bases and the presence of a bony fragment in the lisfranc joint space so lem me talk to you a little bit about my assessment and plan now for for the first concern of right foot pain your right foot pain is due to a lisfranc fracture which is a fracture to one of your second metatarsal bones at the top of your foot where the metatarsals meet your cuboids now there are ligaments at the top of your foot so i'm gon na be ordering an mri to assess for injury to any of these ligaments now based on your exam and from what i'm seeing on your x-ray you're most likely going to need surgery of that foot now the surgery will place the bones back in their proper position and using plates and screws will hold them there while they heal and this is gon na allow those bones and ligaments to heal properly it is a day surgery and you will be able to go home the same day and then i'm going to have you follow up with me here in the clinic you'll be in a cast and you will need to use crutches and you will not be able to use that left foot for about six to eight weeks now after that six to eight weeks you will gradually start walking on your foot based on how you tolerate it and we'll see how you do at that point so i do believe you're gon na need surgery i i'm recommending this because there are significant complications to your foot if we do not do this poor bone and ligament healing can lead to losing the arch of your foot and you're becoming flat-footed you also have a high likelihood of developing arthritis in that foot so what i'm gon na do unfortunately you'll be out the rest of the season but we are gon na get you fixed up and ready for next season if you're okay with all of this i'm gon na have the nurse come in and get you started on your paperwork and then i will see you on monday morning and we will get your foot taken care of
[patient] alright thank you
[doctor] you're welcome

CHIEF COMPLAINT

Left foot pain.

HISTORY OF PRESENT ILLNESS

Jean Martinez is a pleasant 27-year-old female who presents to the clinic today for the evaluation of left foot pain.

The patient sustained an injury to her left foot while playing soccer yesterday. She became entangled with another player, causing the player to fall onto the patient's foot, resulting in immediate pain. After the incident, she required help to get off of the field and was unable to participate for the rest of the game. Her trainer wrapped her foot, and she has tried ice, elevation, and ibuprofen to treat her symptoms. with medication, she rates her pain as 3/10, but without medication her pain is rated as 7-8/10. There is no numbness, tingling, or other abnormal sensations associated with her pain.

Of note, the patient has sustained several injuries in the past while playing soccer, but this is her first left foot injury.

MEDICAL HISTORY

The patient reports that she has sustained several soccer injuries in the past.

SOCIAL HISTORY

The patient has been playing soccer since she was 4 or 5 years old. She is currently playing in a local league.

MEDICATIONS

The patient reports that she has been taking ibuprofen.

REVIEW OF SYSTEMS

Musculoskeletal: Reports left foot pain.
Neurological: Denies left foot numbness or tingling.

VITALS

Blood pressure: 118/72 mmHg
Heart rate: 58 bpm
Respiratory rate: 14
Temperature: Afebrile
Oxygen saturation: 99% on room air

PHYSICAL EXAM

CV: Regular rate and rhythm without clicks, rubs, or murmurs. No ectopic beats noted on auscultation of the heart. Brisk capillary refill, less than 3 seconds. Dorsalis pedis pulse is intact and strong.
RESPIRATORY: Lungs are clear and equal bilaterally.
NEURO: Motor and sensation in the left foot are intact to light touch.
MSK: Examination of the left foot: Ecchymosis on the plantar and dorsal aspects of the foot. Associated swelling. Tenderness to palpation of the midfoot. Positive piano key test.

RESULTS

X-ray images of the left foot were obtained and reviewed today. These reveal subtle dorsal displacement of the base of the 2nd metatarsal with a 3 mm separation of the 1st and 2nd metatarsal bases. There is presence of a bony fragment in the Lisfranc joint space.

ASSESSMENT

Lisfranc fracture, left foot.

PLAN

I explained the nature of her injury in detail. Based on her exam and x-ray findings, she will most likely require surgery of the left foot, but I want to order an MRI to assess for any ligamentous injuries. We discussed the procedure and postoperative expectations, such as recovery time and restrictions, at length. We also discussed the complications associated with deferring surgical intervention including poor bone and ligament healing, pes planus deformation, and a high likelihood of developing arthritis in the foot. She will be unable to participate for the remainder of the soccer season, but should be able to play next season.

INSTRUCTIONS

We will see the patient on Monday, for surgery.


[doctor] hey lawrence how're you doing
[patient] i'm doing alright aside from this elbow pain
[doctor] so it looks like here that you came in to see us today for an evaluation of that right elbow pain can you tell me can you can you tell me well first of all what do you think has been causing that pain
[patient] so i really during this pandemic i really got into ceramics and doing pottery so i've been doing a lot of pottery and over the past week i then started to develop this elbow pain
[doctor] okay and then so tell me a little bit more about that elbow pain where does it hurt exactly
[patient] you know it hurts a lot in the inside of my elbow
[doctor] okay so the inside of your right elbow okay
[patient] yeah
[doctor] and then does the pain radiate down your arm or up into your shoulder or anything like that
[patient] it does n't go into my shoulder it's it stays mostly at my elbow but it can go down a bit into my forearm
[doctor] okay and then do you remember any trauma did you hit your arm or elbow or any on anything
[patient] no nothing i i really was trying to think if there is anything else and i ca n't think of anything
[doctor] okay and you've never injured that right elbow before
[patient] no
[doctor] alright so now let's talk a little bit about your pain and how bad it how bad is that pain on a scale from zero to ten ten being the worst pain you've ever felt in your life
[patient] i would say probably a six
[doctor] okay and does that pain keep you up at night
[patient] it does
[doctor] okay and when you have that kind of pain does it keep you from doing other type of activities
[patient] yeah i mean i still try to like work through with using my arm but yeah it's it's it's difficult for me sometimes to lift and do things because of that pain
[doctor] okay and then and how long has this pain been going on
[patient] about four days now
[doctor] alright and anything you've done to help relieve or alleviate that pain any anything that that's giving you relief
[patient] i've tried ibuprofen that helps a little but not much
[doctor] okay so if it's okay with you i would like to do a a quick physical exam your vitals look good and i'm gon na do a focused exam on that right elbow i'm gon na go ahead and and and press here do you do you have any pain when i press here
[patient] yes i do
[doctor] okay so you are positive for pain to palpation you do note that moderate tenderness of the medial epicondyle now i'm gon na have you turn your wrist as if you're turning a door knob do you have any pain when you do that
[patient] not really
[doctor] okay now turn your wrist in so do you have any pain when you do that
[patient] yeah that hurts
[doctor] okay so you do have pain you were positive for pain when you pronate that that that forearm okay i'm gon na go ahead and have you rest your arm on the table here palm side up now i want you to raise your hand by bending at the wrist and i'm gon na put some resistance against it do you have any pain when i press against your flexed wrist
[patient] yes i do
[doctor] alright so you are positive for pain with resistance against flexion of that left wrist so i let let's go ahead and review the x-ray that we did of your elbow the good news is i do n't see any fracture or bony abnormality of that right elbow which is good so let's talk a little bit about my assessment and plan for you so for the problem with elbow pain i do believe that this is consistent with medial epicondylitis which is caused by the overuse and potential damage of those tendons that bend
[doctor] that that bend the wrist towards the palm now i want you to rest it i'm gon na order a sling and i want you to wear the sling while you're awake now we're also gon na have you apply ice to the elbow for twenty minutes three times a day and i want you to take ibuprofen that's gon na be six hundred milligrams q.6 h. with food and i want you to take that for a full week now you're not gon na like this part but i want you to hold off for the next couple of weeks on doing any type of pottery work okay alright now what i wan na do is i wan na see you again in a week and i wan na see how you're doing okay
[patient] alrighty
[doctor] alrighty so i'll have the nurse come in and get you set up with that sling and i will see you again in about a week
[patient] alright thank you
[doctor] thank you

CHIEF COMPLAINT

Right elbow pain.

HISTORY OF PRESENT ILLNESS

Lawrence Butler is a pleasant 45-year-old male who presents to the clinic today for the evaluation of right elbow pain.

Over the past week, the patient has developed 6/10 pain in the "inside" of his right elbow. The pain may radiate into his forearm on occasion, but does not extend up to his shoulder. He denies any history of trauma or injury, but he did start making pottery during the COVID-19 pandemic and suspects that his symptoms could be related to that. His symptoms affect his ability to lift objects or perform his typical activities of daily living. Ibuprofen provides minimal symptomatic relief.

SOCIAL HISTORY

The patient reports that he began making pottery during the COVID-19 pandemic.

MEDICATIONS

The patient reports that he has been taking ibuprofen.

REVIEW OF SYSTEMS

Musculoskeletal: Reports right elbow pain.

VITALS

Normal

PHYSICAL EXAM

MSK: Examination of the right elbow: Moderate tenderness at the medial epicondyle. No pain with supination of the forearm. Pain with pronation of the forearm. Pain with resistance against flexion of the wrist.

RESULTS

X-ray imaging of the right elbow was obtained and reviewed in office today. These reveal no evidence of fracture or bony abnormality.

ASSESSMENT

Right medial epicondylitis.

PLAN

The patient and I discussed his diagnosis in detail, and I explained that his symptoms are likely caused by overuse and potential damage of the tendons. We will provide him with sling to be worn during the day while he is awake. I want him to take ibuprofen 600 mg every 6 hours with food for a full week and ice the elbow for 20 minutes, 3 times daily. Finally, I advised the patient to rest his elbow and avoid doing any pottery for the next couple of weeks.

INSTRUCTIONS

The patient will follow up in 1 week.


[doctor] hi abigail how are you today
[patient] hello hi nice to meet you i'm i'm doing okay
[doctor] good i'm doctor sanchez and i'm gon na go ahead and take a look i saw with your notes that you've been having some knee pain yes that's that's true you know it's been going on for a while i like to run i do jogs i sign up for the 5k tack you know sometimes the marathon and i have n't been doing longer distances because
[patient] when i'm running i my right knee here it just starts to ache and it's it's just to the point where i need your opinion
[doctor] okay okay what have you done for it so far what makes it better what makes it worse
[patient] well it used to be that when i run it ache and then i put ice on it and then it would be okay so i do ice and ibuprofen
[doctor] okay okay and did you see anybody for this before coming into the office here
[patient] yeah i doctor wood is my primary care provider and i talked to him about it actually over the years and this last visit he said he referred me to you
[doctor] okay okay good so ice and rest makes it feel better running and and activity makes it hurt a little bit more is that correct
[patient] yeah that's right
[doctor] okay do you have any family history of arthritis or any of those type of immune diseases
[patient] i'm trying to think no i do n't think so no
[doctor] okay and do you get is it is this primarily worse in the morning or does it is it just there all the time when it comes on
[patient] it actually is worse towards the end of the day
[doctor] okay
[patient] once i'm on my feet all day it starts to ache towards the afternoon
[doctor] okay so let's go ahead and i want to do a quick examination here your blood pressure and was one twenty over sixty that's phenomenal your heart rate was fifty eight and you can tell that you're a runner with that that level of a heart rate and your respirations were fourteen so all of that looked very good there was no fever when you came in when i'm gon na just quickly listen to your heart and lungs okay those those sound good but let me get let's focus here on your lower extremities i'm i'm gon na look at your your left knee first when i move your left knee do you get any type of pain or is it just feel like normal and it's always your pain's always isolated to the right
[patient] that feels that feels normal
[doctor] okay okay so let me i just want you to back up here in the stretcher a little bit more and i'm just gon na do some movement of your knee any okay so i want you to push your leg out against my hand does that hurt
[patient] no
[doctor] okay and if you pull back does that hurt a little bit
[patient] no
[doctor] okay and i'm gon na move it around so when i look at the knee there is no redness there's no swelling i can appreciate a a small amount of effusion and that means that there's a little bit of fluid under the knee or in that knee's joint space and there is there is several reasons that could be now when i push on your knee does it hurt more on the inside or does it hurt more on the outside here
[patient] the the right knee here hurts on the outside
[doctor] okay okay and you've got a good pedal pulse so you know you can feel that and when i touch your feet you do n't have any numbness or tingling or anything like that
[patient] no uh uh
[doctor] okay well so what i want to tell you is that i think you have a knee sprain from overuse and we see that sometimes in runners now unfortunately you're gon na have to take some a little bit of time off of of active running but i do n't think it will be that long until we can get you up and running again now i reviewed the x-rays that we did when you first came into the office here this morning and the joint spaces of that right knee are are well maintained i do n't see any evidence of any fracture and when compared to the left knee everything looks good so i do n't even see any signs of any arthritis that i would've been suspecting i would like you to stay on two tylenol five hundred milligrams and two ibuprofen two hundred milligram tablets and i want you to take that three times a day and that's gon na help with both the pain and the inflammation i'm also gon na order some physical therapy for your your right knee and that physical therapy will help strengthen the lower extremities and make it give you a little bit of a balance and some they'll be able to recommend good running exercises for you i do wan na follow up with you in two weeks and see if we're getting better so let's no running for two weeks and if we're we're improving then we'll move on and probably start adding some additional activity does that sound like a plan
[patient] yeah that does i i was curious so i will lay off the running for now can i you know lift weights and do like my squats and and those type of exercises at the gym
[doctor] yeah absolutely and and those are good exercises but i'd like you to get that first physical therapy appointment in and they'll be able to talk with you on what the best exercises are for you to do
[patient] okay got it
[doctor] any questions
[patient] hmmm no i do n't think so
[doctor] okay thank you abigail and i'd like i said stop out at the desk and we'll make an appointment for two weeks
[patient] okay thanks doctor
[doctor] thank you

CHIEF COMPLAINT

Right knee pain.

SOCIAL HISTORY

Patient reports she is an avid runner who enjoys participating in marathons.

FAMILY HISTORY

Patient denies any known family history of arthritis or other immune disease.

REVIEW OF SYSTEMS

Constitutional: Denies fever.
Musculoskeletal: Reports right knee pain.

VITALS

Blood pressure: 120/60 mmHg
Heart rate: 58 bpm
Respiration: 14
No fever.

PHYSICAL EXAM

Respiratory
- Assessment of Respiratory Effort: Normal respiratory effort.

Cardiovascular
- Examination: Normal pedal pulses in right knee.
- Auscultation of Heart: Regular rate and rhythm. No murmurs, gallops or rubs.

Musculoskeletal
- Examination: No clubbing, cyanosis, or edema.
- Right knee: No pain with movement. No pain with strength testing. No erythema or edema. Small effusion. Tender to palpation over the lateral aspect of the knee.

RESULTS

X-rays of the right knee were obtained and reviewed in office today. These reveal well-maintained joint spaces. There is no evidence of any fracture or arthritis.

ASSESSMENT AND PLAN

1. Right knee sprain.
- Medical Reasoning: The patient is an avid runner and her symptoms appear to be the result of overuse.
- Patient Education and Counseling: We discussed the nature of her diagnosis, as well as her x-ray results, in detail. I advised her that this is a common issue for runners and encouraged her to continue her strength training exercises.
- Medical Treatment: She will take Tylenol 500 mg, 2 tablets, and ibuprofen 200 mg, 2 tablets, 3 times daily to reduce her pain and inflammation. We will also refer her to physical therapy to help strengthen her lower extremities, work on her balance, and demonstrate proper running exercises. She should avoid running for the next 2 weeks until her follow up visit, at which point we can consider adding some additional activity.

Patient Agreements: The patient understands and agrees with the recommended medical treatment plan.

INSTRUCTIONS

The patient will follow up in 2 weeks.


[doctor] hey anna good to see you today so i'm looking here in my notes says you have you're coming in today for some right ankle pain after a fall so can you tell me what happened how did you fall
[patient] yeah so i was taking out the trash last night and i ended up slipping on a patch of ice like and then when i fell i heard this pop and it just hurts
[doctor] okay so have you been able to walk on it at all or is it you know
[patient] at first no like my friend who was visiting thankfully had to help me get into the house and i you know and now i'm able to put like a little bit of weight on it but i'm i i'm still limping
[doctor] okay well you know that's not good we'll we'll hopefully we can get you fixed up here so how much how much pain have you been in on a scale of one to ten with ten being the worst pain you ever felt
[patient] it's it's more like so when i first fell it was pretty bad but now it's it's at like a six you know like it's uncomfortable
[doctor] okay and how would you describe that pain is it a constant pain or is it only when you move the ankle
[patient] it's it's constant it's like a throbbing pain you know and like when i touch it it feels kinda warm
[doctor] okay alright yeah but yeah i can feel it here so it does feel a little bit warm so i said you've been in a little bit of pain so have you taken anything for it
[patient] well like last night i iced it and i kept it elevated you know i also took some ibuprofen last night and this morning
[doctor] alright has the ibuprofen helped at all
[patient] not really
[doctor] okay alright so i just want to know i know some of my patients they have like bad ankles where they hurt the ankles all the time but have you ever injured this ankle before
[patient] so you know in high school i used to play a lot of soccer but and and like i had other injuries but i've never injured like this particular ankle before but because i used to play like all the time i knew what i was supposed to do but this is i also knew that it was it was time to come in
[doctor] okay yeah yeah definitely if you if you ca n't walk on it we definitely good thing that you came in today and we were able to see you so have you experienced any numbness in your foot at all
[patient] no no numbness and i do n't think i've had like any tingling or anything like that
[doctor] okay that that's good yeah it sounds like you have sensation there so yeah that that's really good so let me do a quick physical exam on you so i reviewed your vitals your blood pressure was one twenty over eighty which is good your heart rate your spo2 was ninety eight percent which is good that means you're you're getting all of your oxygen and so let me go ahead and look at your ankle real quick so when i press here does that hurt
[patient] yeah
[doctor] alright what about here
[patient] yeah
[doctor] okay so looking at your ankle and your right ankle exam on the skin there is ecchymosis so you have that bruising which you can see of the lateral
[patient] malleolus
[doctor] malleolus associated with swelling there is tenderness to palpation of the anterior laterally in the soft tissue there is no laxity on the anterior drawer and inversion stress there is no bony tenderness on palpation of the foot on your neurovascular exam of your right foot there your capillary refill is less than three seconds strong dorsalis pedis pulse and your sensation is intact to light touch alright so we did get an x-ray of your ankle before you came in and luckily it's there is no fractures no bony abnormalities which is really good so let me talk a little bit about my assessment and plan for you so for your right ankle pain your symptoms your symptoms are consistent with a right ankle sprain have you sprained your ankle before most times people do the athletics play soccer it happens every so often but have you done that before
[patient] no i do n't think so
[doctor] okay well you're one of the lucky ones some of my my patients that play sports they sprain their ankle seems like every other week so good for you so for that that that ankle sprain i just want to keep i want you to keep your leg elevated when you're seated and i want you to continue to ice it you can ice it let's say five times a day for twenty minutes at a time just to help that swelling go down i'm gon na give you an air cast to help you stabilize the ankle so keep it from moving and then i'll give you crutches and so i want you to stay off that leg for about one to two days and then you can start walking on it as tolerated tolerated so how does that sound
[patient] it's alright
[doctor] alright so do you have any questions for me
[patient] yeah like how long do you think it's gon na take for me to heal
[doctor] i mean it should take a a couple of days i mean i think in a day or two you will be able to walk on it but still think it will be sore for the next couple of weeks you know your ankle sprain seems to be not the worst but it's kinda you know medium grade ankle sprain so as i would say about two to three weeks you should be back to normal you will see some of that bruising go away
[patient] yeah okay can i get a doctor's note
[doctor] no because you need to go back to work because you work on the computer not running so
[patient] fine
[doctor] yeah you ca n't get a doctor's note so if you if i write a note i'm gon na tell your boss that you have to go to work
[patient] okay thanks
[doctor] so i i would n't do that but yeah but otherwise if if if you continue to have pain after this week if you feel like it's not getting better please feel free to contact the office and we can get you back in and possibly do an mri if we you know need to
[patient] okay
[doctor] alright
[patient] alright
[doctor] anything else
[patient] no that's it
[doctor] alright thanks

CHIEF COMPLAINT

Right ankle pain.

HISTORY OF PRESENT ILLNESS

Anna Diaz is a pleasant 31-year-old female who presents to the clinic today for the evaluation of right ankle pain. The onset of her pain began when she slipped on a patch of ice while taking out the trash. She states that she heard a pop at the time of the injury. The patient reports that she was unable to ambulate on her right ankle initially after the injury; however, she is now able to bear some weight on her right ankle, but she is still limping. The patient rates her pain level as a 6 out of 10. Ms. Diaz describes her pain as constant and throbbing. She reports that her right ankle is warm to the touch. She denies any numbness or tingling in her right foot. The patient has been icing and elevating her right ankle while also utilizing ibuprofen last night and this morning, which did not provide her with any relief. The patient states that she used to play a lot of soccer in high school so she notes that she has had other right foot injuries but not like this.

REVIEW OF SYSTEMS

Musculoskeletal: Positive right ankle pain.
Skin: Positive warmth to the right foot.
Neurological: Denies any numbness or tingling.

VITALS

BP: 120/80
SPO2: 98%.

PHYSICAL EXAM

CV: Capillary refill is less than 3 seconds. Strong dorsalis pedis pulse.
NEURO: Normal sensation. Sensation is intact to light touch distally.
MSK: Examination of the right ankle reveals ecchymosis over the lateral malleolus associated with swelling. Tenderness to palpation anterolaterally in the soft tissue. No laxity on anterior drawer or inversion stress. No bony tenderness on palpation of the foot.

RESULTS

X-ray of the right ankle taken in office today reveals no fracture or bony abnormalities.

ASSESSMENT

Right ankle sprain.

PLAN

After reviewing the patient's examination and radiographic findings today, I have had a lengthy discussion with the patient in regards to her current symptoms. I have explained to her that her symptoms are consistent with a right ankle sprain. I have recommended that we treat the patient conservatively. I have advised her to keep her right leg elevated when she is seated. I have also advised her to ice her right ankle 5 times per day for 20 minutes at a time to help with the swelling. I have also recommended that the patient be placed in an Aircast to stabilize the ankle. She will remain non-weight-bearing for 1 to 2 days, we provided her with crutches today, and then she can begin weight-bearing as tolerated.

INSTRUCTIONS

If her pain does not improve over the next week, she will contact the office and we will obtain an MRI.


[doctor] hey matthew how're you doing
[patient] hey doc i'm doing pretty good how are you
[doctor] i'm doing pretty good hey i see here in the nurse's notes it looks like you hurt your left ankle can you tell me a little bit more about that
[patient] yeah i did my wife and i were on a walk yesterday and i was just talking to her and and stepped off the curb and landed on it wrong it's kind of embarrassing but yeah it's been killing me for a couple days now
[doctor] okay now when you fell did you feel or hear a pop or anything like that
[patient] i would n't say i really heard a pop it was just kind of really kind of felt extended and stretched and it it's just been really bothering me ever since kind of on the outside of it
[doctor] okay and then were you able to walk on it after the incident
[patient] i was able to get back to the house because i did n't wan na you know make my wife carry me but it was it was painful
[doctor] okay and then have you done any or had any injuries to that ankle before
[patient] nothing substantial that i would say in the past
[doctor] okay and then what have you been doing for that left ankle since then have you done anything to help make it make the pain less
[patient] i have taken some ibuprofen and then i just tried to elevate it and ice it a little bit and keep my weight off of it
[doctor] okay so let's talk real quick about your pain level zero being none ten being the worst pain you've been in in your life without any medication on board can you rate your pain for me
[patient] i would say it's about an eight
[doctor] okay and then when you do take that ibuprofen or tylenol what what's your relief level what's your pain look like then
[patient] maybe a seven it it's a little
[doctor] okay now you mentioned going for a walk my wife and i've been on on back behind the new rex center where the new trails are have you guys been back there
[patient] we have n't yet but i'm sure we'll check it out ever since i feel like working at home during covid we we we take walks all the time
[doctor] yeah i
[patient] no i have n't been there yet
[doctor] yeah those those trails are great there's like five miles of regular flat trails and then there's a bunch of hiking trails that they've opened up as well it's a really great place man you guys need to get out there we'll get you fixed up and we'll get you back out there okay
[patient] awesome
[doctor] so let's let's talk a little bit about my physical exam if it's okay with you i'm gon na do a quick physical exam on you your vitals look stable by the way a little elevated i know you're in pain on a focused exam of your left ankle now i do appreciate that there is ecchymosis or bruising over the lateral malleolus and there is some swelling i do i do appreciate some edema now you are positive for tenderness to palpation on the lateral side and the the soft tissue is swollen here the good news is i do not appreciate any laxity in the joint okay and i do n't feel any any type of bony tenderness to palpation of your foot now on the neurovascular exam of your left foot capillary refill is brisk less than three seconds and i do appreciate strong dorsalis pedis pulses and you do have motor and sensation intact which is good now it's important that they were compared bilaterally and they are yeah your your exam is the same bilaterally so that that's an important thing now we did do an x-ray of that left ankle when you came in so i'm gon na review those x-ray results with you now the good news is i do not appreciate a fracture or any bony abnormalities so that's a good thing right so let me talk to you a little bit about my assessment and plan so for your first problem of your left ankle pain your symptoms are consistent with an ankle sprain of the lateral ligament complex and the ligament on the outside of your ankle is what got stretched when you fell now the best treatment for this sprain is what you've kind of already been doing doing the elevation and compression and ice so we're gon na continue the rice protocol and i am gon na go ahead and give you an air cast just to stabilize that ankle i'm gon na prescribe you some crutches i want you to stay off that leg but i do want you to start walking as tolerated but it may be a few days before you feel like doing that now your symptoms are going to get better significantly over the first you know four five six seven days but i am gon na wan na follow up with you just to make sure you're doing okay so what i do is i would like to see you in two weeks and i'm gon na have you continue taking those nsaids as well to help reduce that pain and swelling any other questions comments or concerns before i have the nurse come in and get you fixed up
[patient] no i think that sounds like a plan
[doctor] okay sounds good like i said i will see you in two weeks if you have any questions or if you have a lot of pain come back in we'll reevaluate otherwise i think you're headed in the right direction and i'll see you again in two weeks
[patient] awesome thanks document
[doctor] alright thanks bye-bye

CHIEF COMPLAINT

Left ankle pain.

HISTORY OF PRESENT ILLNESS

Matthew Murphy is a pleasant 20-year-old male who presents to the clinic today for the evaluation of left ankle pain. The onset of his pain began 2 days ago, when he stepped off of a curb and landed on his left ankle wrong. He denies hearing a pop at the time of the injury, however, he describes his ankle as feeling extended and stretched. He was able to ambulate back to his house after the incident but with pain. He denies any previous injuries to his left ankle. His pain is localized to the lateral aspect of his left ankle and can be rated at 8 out of 10 without medication. When taking ibuprofen his pain level is 7 out of 10. He states he has also iced and elevated his ankle.

SOCIAL HISTORY

Patient reports that he has been working from home since the start of COVID-19 and enjoys taking lots of walks.

MEDICATIONS

Patient reports taking ibuprofen.

REVIEW OF SYSTEMS

Musculoskeletal: Patient reports left ankle pain.

VITALS

Vitals are slightly elevated due to pain level but are otherwise stable.

PHYSICAL EXAM

NEURO: Normal strength and sensation bilaterally.
MSK: Examination of the left ankle: Ecchymosis noted over the lateral malleolus. Edema is present. Tenderness to palpation laterally. No joint laxity appreciated. No bony tenderness to palpation of the foot. Capillary refill is brisk at less than 3 seconds bilaterally. Strong dorsalis pedis pulses bilaterally.

RESULTS

These reveal no fracture or bony abnormalities.

ASSESSMENT

Left ankle sprain of the lateral ligament complex.

PLAN

After reviewing the patient's examination and radiographic findings today, I have had a lengthy discussion with the patient in regards to his current symptoms. We discussed that his symptoms are consistent with an ankle sprain of the lateral ligament complex. The nature of the diagnosis and treatment options were discussed. At this time he will continue to follow the RICE protocol. He will continue to take NSAIDs as needed for pain and swelling. He will also be placed into an Aircast for ankle stabilization and will be provided crutches in order to remain non-weight-bearing. We discussed that it may be a few days before he feels able to tolerate walking. I also advised him that his symptoms will likely start to improve significantly over the next 4 to 6 days.

INSTRUCTIONS

The patient will follow up with me in 2 weeks to assess his progress, sooner if needed.


[doctor] hi jeremy how are you
[patient] i'm really good thank you how are you
[doctor] i'm okay the the medical assistant told me that you had this ulcer on your foot that's been there for a couple of weeks
[patient] yes
[doctor] going away
[patient] yeah it's been there gosh it's like six or so weeks right now and it's and it's on my right foot and it's just yeah it's just not going away i'm not sure if it maybe even gotten a little worse from when i first noticed it
[doctor] okay and how long did you say it's going on for
[patient] probably about
[doctor] six eight weeks maybe
[patient] okay and do you have any pain in your foot no no no pain at all okay now i know that you're a diabetic and you are on some insulin have your sugars been running okay yeah they have been running
[doctor] okay
[patient] you know on the most part they seem to be running a little higher than normal
[doctor] your sugars are running higher than normal okay do you recall what your last hemoglobin a1c was was it above nine
[patient] yes it it it definitely was higher than nine
[doctor] okay alright now what do you think caused this ulcer were you wearing some tight fitting shoes or did you have some trauma to your foot or
[patient] yeah i was you know i think initially i'm you know i was out in the backyard you know kind of you know doing some work and you know i know i you know i could've stepped on a nail or you know there was some other work but you know i'm always outside so i do n't know if that kind of led to anything or caused anything
[doctor] okay alright and have you had any fever or chills
[patient] no no no fever or chills you know i kinda you know get headaches pretty often i do n't know if that you know i do n't know if that's a stress or but you know always have like the tension headaches in the front
[doctor] okay and do you have do you have neuropathy where you get like numbing and tingling in your feet
[patient] occasionally yeah occasionally especially when it's like colder outside
[doctor] mm-hmm kinda feels like it takes a little longer to
[patient] warm up but yeah i kinda have some sensation in in all my extremities
[doctor] okay alright and then are you are you a smoker or did you smoke
[patient] i did back you know kind of years ago i did but yeah i have n't smoked anything in in good number of years
[doctor] okay alright when did you stop smoking
[patient] couple years ago maybe four or so years ago
[doctor] okay alright and how many packs a day would you smoke
[patient] gosh back then yeah was at least two
[doctor] okay alright how many years did you smoke for like twenty
[patient] yeah at least twenty yeah twenty plus years
[doctor] okay alright now any other symptoms do you have any problems when you walk down the street do you get any pain in your calves at all when you walk
[patient] no no no no pain you know just kind of you know it's just i know that it's there
[doctor] okay and you said you're active you're out in the yard and things like that do you go on long walks at all or no
[patient] no no you know it's you know i just kinda feel like i've been just trying to take it easy lately
[doctor] mm-hmm
[patient] but yeah most most of the stuff i've been doing is just kind of hanging around the house
[doctor] okay alright so we talked a little bit about your diabetes let's talk about your heart disease now your heart disease you had a heart attack in twenty eighteen we put a stent into your right coronary artery you're still taking your medications for that you're still on your aspirin
[patient] i am yes yeah i do the baby aspirin every day
[doctor] okay alright and any chest pain or shortness of breath or anything like that no no yeah no nothing more than yeah i would n't attribute anything
[patient] okay and do you have a podiatrist for your yearly foot exams
[doctor] no i i i do n't okay alright alright well let's go ahead i wan na just do a quick physical exam i'm just gon na be calling out some of my exam findings so your vital signs here in the office you do n't have any fever so that's good your blood pressure is great it's like one twenty seven over eighty and your heart rate is nice and slow in the sixties on your neck exam i do n't appreciate any jugular venous distention or any carotid bruits on your lung exam your lungs are clear to auscultation bilaterally on your heart exam you do have a two out of six systolic ejection murmur heard at the left base and on your lower extremity exam i do n't appreciate any palpable dorsalis pedis or posterior tibial pulses there is a two by three centimeter ulcerated lesion on the right lateral foot near the fifth metacarpal metatarsophalangeal joint there is no associated cellulitis does it hurt when i press here
[patient] no
[doctor] there is no pain to palpation of the right foot there is associated granulation tissue and some slight purulent discharge from the wound okay so what does all that mean that just means that you have this ulcer that's you know fairly sizable with i think we need to do some good wound care on it let's talk a little bit about my assessment and plan so you know i you have a nonhealing ulcer of your right foot so we need to do some studies on you to see if you have an adequate blood supply to heal this foot wound and since you since you probably do n't because of your diabetes you're here in a vascular surgeon's office we may have to go ahead and talk about being able to open up some of your arteries to improve the blood supply to your foot so that might mean getting a stent to one of your arteries in your legs to open up the blood supply it might mean mean that we might have to do some bypass surgery to to improve the blood supply to your foot in order to heal that that wound i do think that you'll be able to heal it i do n't think that we need to do anything drastic i want you to continue with your aspirin because that will help
[patient] any questions
[doctor] yeah i mean is this do we have to do any more tests or anything what are you we're gon na do an arterial ultrasound i'm going to go ahead and order an arterial ultrasound of your lower extremities to see what the blood supply is like and then i'm gon na go ahead and order a podiatry consult because i want them to see this wound and improve the wound care that you're doing and then for your next problem your diabetes i wan na go ahead and talk to your primary care physician we need to get your diabetes better controlled because that impacts your wound healing as well okay
[patient] sure
[doctor] sure understood alright and for your last issue your coronary artery disease continue with your statin and i will talk to your cardiologist in case you need a procedure to see if you're cleared from a medical standpoint okay
[patient] okay perfect
[doctor] alright
[patient] perfect thank you so much
[doctor] okay bye

CHIEF COMPLAINT

Right foot ulcer.

HISTORY OF PRESENT ILLNESS

Jeremy Roberts is a 79-year-old male who presents today for evaluation of a right foot ulcer. He reports an ulcer on his right foot has been present for approximately 6 to 8 weeks. He first noticed the ulcer after working outside. There is no associated pain, however, he feels the ulcer may have worsened from when he first noticed it. He denies experiencing any fevers or chills. He does however experience tension headaches quite frequently. He denies any pain in his calves when he walks. At this time the patient does not have a podiatrist for yearly foot exams.

He is a diabetic and takes insulin. His blood sugar has been running higher than normal and his last hemoglobin A1c was higher than 9. Occasionally he will also experience numbness and tingling in his feet, especially with colder weather.

In terms of his heart disease, the patient sustained a heart attack in 2018 and underwent stent placement at the right coronary artery. He is currently taking aspirin 81 mg daily. He denies chest pain or shortness of breath.

MEDICAL HISTORY

Patient reports history of diabetes and heart disease. He sustained a heart attack in 2018.

SURGICAL HISTORY

Patient reports undergoing stent placement at the right coronary artery.

SOCIAL HISTORY

Patient reports he is a former smoker. He previously smoked 2 packs a day for 20 years and was able to stop smoking approximately 4 years ago. Currently he is not very active but he does work around the house.

MEDICATIONS

Patient reports taking aspirin 81 mg daily and insulin.

REVIEW OF SYSTEMS

Constitutional: Denies fevers and chills.
Cardiovascular: Denies chest pain.
Respiratory: Denies dyspnea.
Skin: Patient reports right foot ulcer.
Neurological: Patient reports headaches and numbness and tingling in feet.

VITALS

No fever.
Blood pressure: 127/80
Heart rate: 60s

PHYSICAL EXAM

CV: 2/6 systolic ejection murmur heard at the left base.
RESPIRATORY: Clear to auscultation bilaterally
NECK: No jugular venous distention or carotid bruits
MSK: Examination of the right lower extremity: No palpable dorsalis pedis or posterior tibial pulses. There is a 2 x 3 cm ulcerated lesion on the right lateral foot near the 5th metacarpal metatarsophalangeal joint. No associated cellulitis. No pain to palpation of the right foot. There is associated granulation tissue and some slight purulent discharge from the wound.

ASSESSMENT

1. Non-healing ulcer, right foot
2. Diabetes
3. Coronary artery disease

PLAN

After reviewing the patient's examination findings today, I have had a lengthy discussion with the patient in regards to his current symptoms. We discussed that his right foot ulcer is fairly sizable and will require wound care. I advised him that the ulcer does not appear to be healing and that further studies will be needed to assess if he has adequate blood supply to heal his foot wound. He was advised that due to his diabetes it is possible surgical intervention such as stent placement or bypass surgery may be required to improve his blood supply. I also advised him that I believe we will be able to heal his wound. At this time, I have recommended continued wound care and for him to also continue taking aspirin 81 mg daily. We will order an arterial ultrasound of the lower extremities. He will also be referred to podiatry for a consult.

Regarding his diabetes, this appears to be unstable as the patient reports his last hemoglobin a1c was greater than 9 and is now experiencing a non-healing right foot ulcer. We discussed the importance of blood sugar control as this will impact his wound healing. At this time, I have recommended that he follow-up with his primary care physician for further care.

The patient's coronary artery disease is currently stable. It is recommended that he continue to take his statin as prescribed. I will contact his cardiologist for medical clearance should surgical intervention be required for his non-healing right foot ulcer.


[patient] hi good afternoon joseph how are you doing today
[doctor] i'm doing well but my my big toe hurts and it's a little red too but it really hurts okay how long has this been going on i would say you know off and on for about two weeks but last week is is when it really became painful i was at a a trade show convention and i could n't walk the halls i could n't do anything i just had to stand there and it really hurt the whole time i was there
[patient] okay does it throb ache burn what kind of pain do you get with it
[doctor] it's almost like a throbbing pain but occasionally it becomes almost like a a sharp stabbing pain especially if i move it or spend too much time walking i i find myself walking on my heel just to keep that toe from bending
[patient] okay sorry i got a text and
[doctor] well that's okay you know what i i you know i what i really you know i love to ride bikes have you you ride bike at all
[patient] no i hate riding a bike i'm more of a runner
[doctor] my gosh i love to ride i ride the lot of rails the trails i mean i go all the last year i put in over eight hundred miles on rails the trails
[patient] yeah those those are nice
[doctor] yeah
[patient] does it does riding your bike bother your big toe
[doctor] no because i i kinda pedal with the the back of my feet you know on that side
[patient] okay do do you wear clips or are you just wearing a regular shoe and on a regular pedal
[doctor] i'm on a regular shoe some most of the time i'm in my flip flops
[patient] okay okay the how is there anything that you were doing out of the ordinary when this started
[doctor] no i do n't that's the thing i do n't remember an injury if it was something that i injured i think i would have just ignored it and would n't have showed up here but when it got red and warm to touch that's when i i was really concerned
[patient] okay do does even light pressure to it bother it like at night when you're laying in bed do the sheets bother
[doctor] absolutely i was just gon na say when i'm in bed at night and those sheets come down on it or i roll over yeah that hurts a lot
[patient] okay have you done anything to try to get it to feel better any soaks or taking any medicine
[doctor] i take you know like a two ibuprofen a day and that does n't seem to help
[patient] okay
[doctor] alrighty
[patient] let me see your your foot here and let me take your big toe through a range of motion if i push your top to bottom
[doctor] yeah ouch
[patient] big toe joint that okay and let me move it up where as i bend it up does that hurt
[doctor] it hurts but not as much as when you moved it down
[patient] okay so i'm moving it down here and it i've got about ten degrees of plantar flexion does that hurt
[doctor] yeah it a little when you take it a little further
[patient] if i go a little bit further to twenty degrees does that hurt
[doctor] that hurts more yeah
[patient] okay if i push in on your big toe and move it back and forth does that hurt
[doctor] yes it does and it it's almost like those joints that when you push it back it's almost like it's grinding a little bit too
[patient] okay if i push in between your big toe and your second toe here does that hurt
[doctor] a little bit but not terrible
[patient] okay what about if i push on the other side here
[doctor] yeah yeah right there on the outside of it absolutely
[patient] okay
[doctor] yep
[patient] okay and i'm feeling a little bit of bone spur here as well let me let me get an x-ray
[doctor] okay
[patient] and after we take a peek at that we'll develop a plan
[doctor] okay
[patient] so at this point what would i do if i'm going out of the room and then coming back
[doctor] you could hit pause or hit the stop button and just restart it the next time you come in
[patient] okay alrighty so taking a look at your x-ray and you do have you you have a large spur there on the top of your big toe joint
[doctor] oh
[patient] and you've lost a lot of the cartilage
[doctor] oh
[patient] and so you you've got some arthritis in there we we call this hallux rigidus and treatment for this to start off with we we put an insert in your shoe called an orthotic and we give you a little bit of anti-inflammatory medication or like a drug called meloxicam you only have to take it once a day
[doctor] okay
[patient] it's usually pretty well tolerated have you ever had any trouble with your stomach
[doctor] no never never had any problems with my stomach i love the i love the mexican's food the hotter the better so i hope i never get a problem with my stomach
[patient] i hope you do n't either one of the things that we get concerned about with an anti-inflammatory like that is that it can irritate the stomach so if you do start to notice that you're getting heartburn or pain right there
[doctor] yeah
[patient] below your your sternum you would need to stop taking the medicine and give me a call
[doctor] okay
[patient] okay
[doctor] okay
[patient] and i wan na see you back in two weeks to see how you're doing with that if you're not seeing significant improvement then we may have to talk about doing things that are a little more invasive like doing a shot
[doctor] okay
[patient] or even surgery to clean out the joint sometimes
[doctor] is that surgery
[patient] i have to
[doctor] would that be
[patient] i'm sorry
[doctor] would that be surgery clean out the joint
[patient] yeah that would
[doctor] okay
[patient] that would be surgery if if we went in and cleaned out the joint sometimes in really severe cases we even just have to fuse the big toe joint we put it in a position of optimal function and we fuse it there and then your pain goes away you lose some motion but you've already lost quite a bit of motion and and the pain goes away so that that surgery really is very effective but let's try to run from my knife a little bit longer
[doctor] okay well you know i do n't think i'm gon na be able to do my work job i'm on my feet every day and i it's and and quite frankly it's fishing season so do you think you can give me a couple weeks off so i can get out and get some fishing done
[patient] no i want you to be doing your regular activities i want to know how this because if i put you out of work can you come back in and say it feels better well is was it because of the treatment or because of the rest so no i want you to keep working i want you to do your regular activities and i really want you to put these orthotics to the test and this medicine to the test and we will see how you're doing in two weeks
[doctor] okay where i really like catching blue going croppy so okay we'll we'll i'll i'll keep working then i'll find time to do that later
[patient] very good we will see you in two weeks
[doctor] okay thank you

CHIEF COMPLAINT

Right great toe pain.

HISTORY OF PRESENT ILLNESS

Joseph Walker is a pleasant 58-year-old male who presents to the clinic today for the evaluation of right great toe pain. The onset of his pain began 2 weeks ago, however it worsened last week. He noticed the pain worsening when he was at a trade show convention and he could not ambulate as he was forced to stand there as the pain was there the whole time. He denies any specific injury. The patient describes his pain usually as throbbing and burning, but notes it occasionally changes to sharp, stabbing pain especially with movement or prolonged ambulation. His symptoms also include redness to the right great toe. The patient states that he has been ambulating on his heel to keep his toe from bending. He reports that his pain is present even with the slightest of pressure, which he notes is worse at night when his sheet is touching his right toe. He adds that he has been taking 2 ibuprofen per day, which does not provide him with relief.

SOCIAL HISTORY

Patient reports that he likes to bicycle ride.

REVIEW OF SYSTEMS

Musculoskeletal: Reports right great toe pain.
Skin: Reports redness.

PHYSICAL EXAM

MSK: Examination of the right great toe reveals 10 degrees of plantar flexion with pain. Pain to palpation of the right great toe, between the big toe and 2nd toe. Palpated a bone spur on the right great toe.

RESULTS

X-ray of the right great toe taken today in office reveals a large bone spur on the anterior aspect of the right great toe joint. There is a loss of cartilage with some arthritis present.

ASSESSMENT

Right foot hallux rigidus.

PLAN

After reviewing the patient's examination and radiographic findings today, I have had a lengthy discussion with the patient in regards to his current symptoms. I have explained to him that his x-rays revealed hallux rigidus. We discussed treatment options for this and I have recommended that we begin with conservative treatment in the form of custom orthotics. I have also prescribed the patient meloxicam once a day to treat the pain. The patient was instructed to discontinue use and contact the office if gastrointestinal issues develop. I advised the patient that I want him to continue his regular activities.

INSTRUCTIONS

The patient will follow up with me in 2 weeks to check on his progress. If his pain does not improve with the orthotics, I will recommend a cortisone injection or surgical intervention.


[doctor] hey elijah how are you
[patient] i'm doing okay
[doctor] so i see here that your primary care provider sent you over it looks like you were doing some yard work yesterday and dropped a landscape brick on your foot can what so what's going on with your right foot today
[patient] it's a little sore today but you know i hurt my foot before but this is the first time where i'm actually being seen for it
[doctor] okay so you say you've injured your right foot before tell me a little bit about that injury
[patient] twenty years ago i broke my ankle i had to put in a cast but that seems to be okay but you know sometimes it'll give me trouble once in a while it feels a little sore it swells up at times
[doctor] okay
[patient] and my other ankle too is sore sometimes and i've had surgery for that too and you know one of those things where you know it might give out once in a while but i'm not sure that's related to what the you know break dropping on my foot but you know either way my foot's a little sore
[doctor] okay alright so when you dropped that brick on your foot were you able to get up and keep working or did you have to get off your you know not stop weightbearing and and get off that foot can you tell me a little bit about after the traumatic incident
[patient] i you know it was a little sore i called a few names you know god damn why is this in my foot but you know i kept working putting it around a little bit but now it's got swollen so i got to see my doctor he told me i had to go see you here i am so tell me what's going on with it
[doctor] so what have you been doing for the pain since the initial insult
[patient] lucken it up
[doctor] okay have you taken any medications safe for example tylenol or ibuprofen for the pain
[patient] no i feel like taking the medicine
[doctor] okay and then just out of curiosity you said you were doing some landscaping have you been over to landscapes warehouse new here in town my wife and i were just over there this last weekend and picked up a whole bunch of stuff you had a chance to make it over there yet
[patient] no not yet i heard about it though i might have to make a trip once my foot heals
[doctor] alright that sounds good now just out of curiosity can you rate your pain for me right now zero being none ten being the worst pain you've ever been in your life
[patient] eleven out of ten
[doctor] okay and then have you experienced any numbness or tingling of that foot since the incident
[patient] yeah the whole foot is numb
[doctor] okay
[patient] but been now for a long time
[doctor] okay i'm gon na do a quick physical exam now your vitals look good and i would like to do a focused exam of your right foot the there is some bruising on the bottom part of your foot and on the top part as well and i do appreciate the associated swelling and i also recognize that you do have tenderness to palpation for midfoot now for your neurovascular exam of your right foot your capillary refill is brisk in less than three seconds i do note a strong bounding dorsalis pedis pulse with motor and sensation is intact for that foot i also like to call out the fact that it matches bilaterally which is important i'm gon na go ahead and review the diagnostic imaging results so we did a x-ray of that right foot and i do notice dorsal displacement of the base of the second metatarsal with a three millimeter separation of the first and second metatarsal bases and presence of bony fragments so let me tell you a little bit about my assessment and plan now your right foot pain is due to a lisfranc fracture which is a fracture to your second metatarsal bone and the top of your foot this is where the metatarsals meet those cuboids okay so it where the bones come together in your foot now there are a lot of ligaments in your foot so i do want to order an mri just to assess if there is any injuries to those ligaments now based on your exam and looking at the x-ray you're most likely going to need surgery now the reason why this is important is if we have poor bone alignment or ligament healing you can this can lead to losing the arch in your foot you could becoming flat-footed and also developing arthritis now what's gon na be key here is the surgery is going to allow those bones and ligaments to heal properly we are going to put them back into place using plates and screws now the key thing is going to be it's going to be outpatient surgery so it's going to be same day i'll see you in the morning and then you'll be discharged home that evening and we will do a follow-up i wan na see you in twenty four hours post procedure but then i'll see you again in two weeks you're gon na be in a cast and i'm gon na have you use crutches you're not gon na be able to weight-bear on that foot for six to eight weeks what we'll do is we'll advance your ambulating gradually based on how you heal and based on how you tolerate the procedure i know i have covered a lot of material quickly but this is really gon na be the best course of action for you to have a good outcome now do you have any questions come answers concerns before i have the nurse come in finish the paperwork and get you set up for your procedure which we are going to do tomorrow if you're agreeable to that
[patient] what about putting in a cast can i just stay in the cast
[doctor] you could but what we found is the best outcome is aligning those bones with plates and screws to make sure that they heal properly so you have the best outcome possible
[patient] so if the surgery is going to be tomorrow when am i going to get my mri
[doctor] so what what we will do is the good news is we have an outpatient mri facility downstairs and i'm going to send the order down and we'll get you your mri this afternoon
[patient] can i think about it and we have some time
[doctor] sure
[patient] okay
[doctor] alright thanks elijah

CHIEF COMPLAINT

Right foot pain.

HISTORY OF PRESENT ILLNESS

Elijah Reyes is a pleasant 45-year-old male who presents to the clinic today for the evaluation of right foot pain. The patient was referred by his primary care physician. He sustained an injury yesterday when he dropped a landscape brick on his right foot while doing yard work. He was able to get up and continue working after the injury. He rates his pain level as an 11 out of 10. The patient also reports numbness in his entire right foot, which has been present for a long time. The patient denies taking any medication for pain.

The patient reports he fractured his right ankle 20 years ago. He received non-operative treatment with casting. He has experienced intermittent soreness and swelling in his right ankle since then.

The patient reports surgical history of his left ankle. He continues to experience soreness and occasional giving way of the left ankle.

MEDICAL HISTORY

Patient reports history of a right ankle fracture 20 years ago.

SURGICAL HISTORY

Patient reports history of left ankle surgery.

REVIEW OF SYSTEMS

Musculoskeletal: Reports right foot pain, right ankle soreness and swelling, and left ankle soreness and instability.
Neurological: Reports right foot numbness.

VITALS

All vital signs are within the normal limits.

PHYSICAL EXAM

CV: Capillary refill is brisk in less than 3 seconds in the right foot. Strong bounding dorsalis pedis pulse.
NEURO: Normal sensation. Right foot motor and sensation are intact and equal to the contralateral side.
MSK: Examination of the right foot: Bruising on the plantar and dorsal aspects of the foot. I do appreciate associated swelling. Tenderness to palpation over the midfoot.

RESULTS

An x-ray of the right foot was obtained and reviewed today. It demonstrates dorsal displacement of the base of the 2nd metatarsal with a 3 mm separation of the 1st and 2nd metatarsal bases and presence of bony fragments.

ASSESSMENT

Right foot pain, due to a Lisfranc fracture.

PLAN

After reviewing the patient's examination and radiographic findings today, I have had a lengthy discussion with him regarding his current symptoms. We discussed treatment options and I have recommended that we proceed with a right foot ORIF and all indicated procedures. We reviewed the risks, benefits, and alternatives of the surgery. I advised him that this procedure will be performed in an outpatient setting and he will be discharged home that same evening. He will then follow up with me 24 hours post procedure, and again 2 weeks later. I explained that he will be placed in a cast and will remain non-weight-bearing for 6 to 8 weeks. He will use crutches while ambulating and we will advance his weight-bearing gradually based on how he tolerates the procedure.

I have also recommended that we obtain an MRI of the right foot to further assess the ligaments. I explained to him that if he has poor bone alignment or ligament healing, this can lead to losing the arch in his foot causing pes planus and developing arthritis. I will send an order to the outpatient MRI facility downstairs for him to obtain the MRI this afternoon.

The patient wishes to think over his options before proceeding with the operation.


[doctor] hi wayne how're you today
[patient] i'm doing okay aside from this left shoulder pain that i've been having
[doctor] okay and how long have you had this pain
[patient] about i want to say a few weeks i think it's been about three weeks now
[doctor] okay and do you remember what you were doing when the pain started
[patient] honestly i've been trying to recall if i had any specific injury and i ca n't think of that
[doctor] okay
[patient] of anything the only thing i can think of is that i you know i am active and we've just been doing a lot of work in our basement so if i do n't know if i did something while doing that
[doctor] okay alright tell me have you ever had pain in that shoulder before
[patient] you know i i'm really active and so i i will get some aches and pains here and there but nothing that tylenol ca n't take care of
[doctor] okay good but now are you able to move your arm
[patient] you know i have trouble when i'm trying to reach for something or lift any objects and i do n't even try to reach it for anything over my head because then it'll really hurt
[doctor] okay alright and and now are you having the pain all the time or does it come and go
[patient] the pain is always there and then it gets worse like if i try to put any pressure on it it gets worse so if i'm laying at night if i try to even lay on that shoulder it's unbearable
[doctor] okay and then tell me what have you taken for your pain
[patient] i've been taking two extra strength tylenol every six to eight hours
[doctor] alright and and did that help
[patient] it does take the edge off but i still have some pain
[doctor] okay well i'm sorry to hear that you know you know renovating the basement it can be quite a task and it can take a toll on you
[patient] yeah i mean it's been fun but yeah i think it really did take a toll on me
[doctor] yeah what what are you doing with your basement are you are you doing like a a man cave or
[patient] yeah yeah that's exactly right
[doctor] that is awesome great well that sounds like fun i hope you get to set it up just the way you you would like for your man cave to be so congratulations to you there so tell me have you experienced any kind of numbness in your arms or in your hands
[patient] no no numbness or tingling
[doctor] okay alright so let's just go ahead and do a quick physical exam on you here i did review your vitals everything here looks good now lem me take a look at your shoulder alright now on your left shoulder exam you have limited active and passive range of motion and how does that feel here
[patient] that hurts
[doctor] okay sorry there is tenderness of the greater tuberosity of the humerus but there is no tenderness at the sternoclavicular or acromioclavicular joints you have good hand grips alright and then now on your neurovascular exam of your left arm your capillary refill is less than three seconds and your sensation is intact to light touch alright so what does that all mean well firstly lem me go ahead and take a look at your results of your shoulder x-ray here now i reviewed the results and there are no fractures so that's good so let's go ahead and talk about my assessment and plan here wayne so for your problem of left shoulder pain your symptoms are most likely due to a rotator cuff tendinopathy so this means that you injured the tendons of the muscles that help make up your shoulder muscles so i will be ordering an mri for your left shoulder to be sure that there is nothing else going on with your shoulder okay
[patient] okay
[doctor] now i'm also going to refer you to physical therapy for approximately six to eight weeks and during that time you may also continue to take tylenol now if your symptoms do n't improve we can consider a steroid injection for your shoulder which can provide some relief do you have any questions about your plan at all
[patient] so do you think this pain will ever go away
[doctor] now well many patients are very successful with the physical therapy those will those help strengthen you know they do a lot of strengthening exercises with you to help strengthen you know your muscles so that it's not your movements not always relying on those joints predominantly so we're gon na go ahead and start with that and then see how you do okay
[patient] okay okay
[doctor] alright okay well do you have any other questions for me
[patient] no i think that's it
[doctor] okay well i'm gon na have the nurse check you out and she's also gon na give you some educational materials on the physical therapy and what to expect and and then go ahead and schedule a follow-up visit with me as well after you you do your physical therapy okay
[patient] okay
[doctor] alright well have a good day
[patient] okay you too
[doctor] thanks
[patient] okay bye

CHIEF COMPLAINT

Left shoulder pain.

HISTORY OF PRESENT ILLNESS

Wayne Taylor is a pleasant 66-year-old male who presents to the clinic today for the evaluation of left shoulder pain. The onset of his pain began 3 weeks ago. He denies any specific injury. The patient states he is active and has been renovating his basement. He reports a history of intermittent aches and pains in his left shoulder. He has difficulty reaching for or lifting any objects. He adds that he avoids reaching overhead secondary to the pain. The patient describes his pain as constant and worsening. He notes his pain is unbearable when lying on his left shoulder at night. He denies any numbness or tingling in the bilateral upper extremities. He has been taking 2 Extra Strength Tylenol every 6 to 8 hours, which provides some relief.

REVIEW OF SYSTEMS

Musculoskeletal: Reports left shoulder pain. Neurological: Denies numbness or tingling in the bilateral upper extremities.

VITALS

All vital signs are within the normal limits.

PHYSICAL EXAM

Capillary refill is less than 3 seconds.

NEURO: Normal sensation. Sensation is intact to light touch in the left upper extremity.
MSK: Examination of the left shoulder: Limited active and passive ROM. Tenderness over the greater tuberosity of the humerus. No tenderness at the sternoclavicular or acromioclavicular joints. Good hand grip.

RESULTS

X-rays of the left shoulder were obtained and are reviewed today. These reveal there are no fractures.

ASSESSMENT

Left shoulder pain, most likely due to rotator cuff tendinopathy.

PLAN

After reviewing the patient's examination and radiographic findings today, I have had a lengthy discussion with the patient in regard to his current symptoms. I have explained to him that his symptoms are most likely due to rotator cuff tendinopathy. I recommend obtaining an MRI of the left shoulder to further assess the rotator cuff. I will also refer him to formal physical therapy to strengthen his left shoulder for approximately 6 to 8 weeks. The patient was provided with educational materials regarding expectations related to his physical therapy. He may continue to take Tylenol as needed. If his symptoms do not improve with physical therapy, we will consider a steroid injection to the left shoulder. All questions were answered.

INSTRUCTIONS

The patient will follow up with me after he has completed his course of physical therapy.