'Medical Scenario\r'

'MEDICAL SCENARIO FOR separate 1 & 2 final examination PROJECT Assignment practice: 1. AMBULATORY CARE lay out SHEET Admit term: 7/8/20XX @ 20:22 Discharge take c be/Time: 7/9/20XX @ 10:10 perk up: M Age: 47 Disposition: Home Admitting diagnosis: Possible torn semilunar cartilage of the leave field genu joint. Discharge diagnosing: go forth human knee meniscectomy. Procedures: Laparoscopic performance to the Left Knee. CONSULTATION project of Consultation: 7/8/20XX This is a 47-year-old potent who was in his usual state of wellness until today entered the Emergency style with yucky inconvenience to his remaining knee and equal measuring rod of hydrops within the patellar area.This occurred after the tolerant omit at an angle on the odd knee during a game of football with friends. The forbearing was evaluated with L-Knee radiograph and Magnetic Radiograph Imaging (magnetic resonance imaging) for soft-tissue films. The L-Knee X-Ray revealed no fractures to the Femur, Patella, Tibia, or Fibula. The MRI revealed a large tear contact the meniscus of the leftover knee. The unhurried role was treated with a left knee splint and crutches with a prescription for Mobic 15mg daily and Tramadol/APAP 37. 5 mg every 4-6 hours for pain. The tolerant was referred to Orthopedics for surgical repair.He has no past history of baccy abuse, previous fractures, or surgeries. 2. late(prenominal) Medical memorial: eachergies: No known drug allergies. medicaments: no(prenominal). Surgeries: None Medical History: History of Chronic Otitis Externa Family History: Noncontributory. reassessment of Systems: No medical abnormalities. bodily Examination: Vital Signs: BP one hundred thirty/80, P 92, T 98. 5 General: This is a well-developed and well-fed anxious mordant male in mild distress. base on balls and neck are normocephalic and the oropharynx is clear. The left knee shows 5+ edema and patient is unable to faithful at knee pronounce connec tion.The patient’s left leg is not cargo bearing and the pain direct continues to be a 6 to 7 on the pain scale. The patient is using crutches and wheelchair for mobility. All other musculoskeletal joints are with free range of motion. neurologic with no focal deficits. touch: Inpatient laparoscopic surgery for replete(p) left knee meniscectomy. topical anaesthetic anesthetic append ingurgitate of the patellar region. 3. OPERATIVE authorship Date of Procedure: 7/8/20XX Procedure: Laparoscopic Meniscectomy of Left Knee Preoperative Medication: Demerol 50 mg IV, Robinal 3 mg IV, Xylocaine with 1% Epinephrine Preoperative diagnosing: . Total Left Knee Meniscus Tear. Postoperative diagnosing: Laparoscopic Meniscectomy of Left Knee clinical Note: This is a 47-year-old black male with a total meniscus tear of the left knee caused by a causal game of get across football. The patient felt a pop after falling on the left knee at an angle make severe pain and edema. The pat ient was taken to the emergency elbow room for x-rays of the left leg and MRI to the left patellar region. He was referred to the othropedics clinic for laparoscopic surgery to the left knee meniscus.Findings: After obtaining informed consent, he was premedicated with Demerol, Robinal, Xylocaine with 1% Epinephrine without any complications. The patients’ left knee was laparoscoped in the meniscus and the anterolateral and anteromedial parapatellar portholes. The synovium in the suprapatellar pouch showed moderate to severe inflammatory changes with villi formation and hyperemia. quasi(prenominal) changes were noted in the intercondylar groove. The patient tolerated the procedure well, and his post-procedure vital signs are stable. Recommendations: 1. Clear liquids for 24 hours. 2. reassessment in the office in 2 days.\r\n'