Hillcrest Case 6 HP Essay - 602 Words

HISTORY AND PHYSICAL EXAMINATION (HP) Patient Name: Deanna Martinez ID No.: 117232 Room No.: 425 Date of Admission: 05/26/---- Admitting Physician: Sheila Goodman, MD Neurosurgery Admitting Diagnosis: Questionable herniated disk Chief Complaint: low back pain, right leg pain. HISOTRY OF PRESENT ILLNESS: This 40-year-old Latin female presents with complaints of low back and right leg pain she said that she hurt her back in a motor vehicle accident three years ago and she has had a history of intermittent low back pain since that time. Last December she started a job where she had to lift boxes that weighed approximately 40 pounds. Around the first of January this year she began to complain of back pain that†¦show more content†¦Breasts: no masses, no nipple retraction, no discharge. Heart: S1 and S2, no gallops, rubs, or murmurs appreciated. Abdomen is scaphoid, soft and non-tender with positive bubble sounds. Pelvic/ Rectal: deferred as patient has recently visited her GYN for a routine Pap smear. Neurologic exam reveals normal motor strength in all muscle HISTORY AND PHYSICAL EXAMINATION Patient Name: Deanna Martinez ID No.: 117232 Date of Admission: 05/26/---- Page 2 groups of her lower extremities bilaterally. Sensory exam is normal to pin prick and light touch throughout her lower extremities bilaterally. She has 2+ knee and angle jerks bilaterally. Straight leg raising is accomplished at 90 ° on the left, however on the right patient complains of low back and leg pain at 60 °. IMPRESSION: This patient has a long history of low back pain which seems to have become radicular in January of this year. She did have a CT scan that showed what appeared to be a small disk herniation at L5-S1. She also has a considerable amount of facet arthropathy. I’m not 100% certain that what we see on the CT scan is the etiology of her present symptoms. I would like to have a myelogram prior recommending surgical intervention. PLAN: 1. Admit patient to neurosurgery services 2. Obtain a lumbar myelogram. If the myelogram confirms the disk herniation procedure with discectomy the following day. 3. Plan was discussed with the patient and her husband; there were no barriers toShow MoreRelatedProject on Company Formation17295 Words   |  70 PagesAct) Characteristics of a company:- A company registered under the Companies Act has the following features: - (1) separate legal entity; (2) incorporated body; (3) artificial legal person; (4) perpetual succession; (5) limited liability; (6) common seal; (7) right to own property; (8) right to sue; (9) right to enter into contracts; (10) flexibility of investment; (11) separation of control from the ownership. Company is a Juristic person and it can file a suit as an indigent