Scribd
Upload
12 views

CCE Unit 2

Cindy Brewkowski is a 65-year-old female presenting with constant low back pain and groin pain that has worsened over time. Her low back pain is aggravated by movement and relieved by laying down, while her groin pain is worse in the morning. Her medical history includes diabetes and skin cancer. On examination, she has limited range of motion in her back and hips with pain on palpation and motion. Tests were positive for sacroiliac and hip involvement contributing to her pain complaints.

Uploaded by

Raymond
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
12 views

CCE Unit 2

Cindy Brewkowski is a 65-year-old female presenting with constant low back pain and groin pain that has worsened over time. Her low back pain is aggravated by movement and relieved by laying down, while her groin pain is worse in the morning. Her medical history includes diabetes and skin cancer. On examination, she has limited range of motion in her back and hips with pain on palpation and motion. Tests were positive for sacroiliac and hip involvement contributing to her pain complaints.

Uploaded by

Raymond
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Unit #2

additional
Cindy Brewkowski

information in docs
and slides
65 Female

1. Back Pain

A. o:yesterday, no specific injury,

B. prior: lifted grandchildren

C. prior: just tylenol no MD or chiro

D. prov: any movement, standing bending

E. pall: laying down

F. prog- getting worse

G. persistance- constant

H. f and d ; constant

I. in: 4

J. q; sharp

K. s- low back lumbar paraspinals bilaterally

L. r-no

M. t-no spec

N. no pain with sneeze, cough, bear down

2. Groin pain

A. began five years ago, no trauma, no priors, prov-standing, pall- tylenol(only helps a
little), prog- getting worse, persist- before came and went and noe constant, int- 3,
deep achy, both groin area, butt, no raditation but some pain in buttock area, worse
in the morning, no sx of infection, no genito-urinary problems

3. Past History

A. surgeries- 35 an 37 C-sections

B. ill- diabetes

C. allergies- lactose and nuts

D. Rx; insulin

E. CA- skin cancer seen by dermatologist

4. Family History

A. mother died at 78 with pneumonia 2nd from hip fracture, maternal grandma died at
70 from cancer, brother 57 pancreatic cancer

5. Occupation

A. -head librarian- will retire this year

6. Spinal Exam

A. t2p b/l 8/10 lumbar paraspinals

B. anterior head carriage

C. left ant rolled shoulder

D. right high shoulder

E. hypolordotic at cervical and lumbar spine

F. Thoracolumbar AROM- pn of cc at ER flex

a. ext- pain CC

b. LLF/ RLF- stretching feeling in CC area

c. L and R Rot- pain at CC

G. Cervial compression- local pn at c1/c0

H. Palp

a. L rot restriction C1, PR t4,

b. tendernes b/L L1-L5

c. posterior L3

d. PI-R prominant ilium

7. Orthos

A. standing Kemps- positive for pain L and R

B. supported adams- pain stayed with support

C. seated kemps- less pain that the standing test L and R

D. Murohy;s kidney punch- pain local to area of punch

8. Hip

A. sti during gait increase lateral sway

B. pain with palpation at the mid inguinal line

C. AROM

a. felxion with knee fledion repro CC

b. no extension

c. adduction repro CC

d. ext rot repro CC

e. bony end feel with flex and int and ext rot

f. DECREASED BILATERALLY

1. ap glide

2. int rot

3. lat distraction of femue

4. long axis distraction in ext

D. Trendellenburg

a. B/L hikes up opposite hip

b. FABER- pain CC

c. Lagueres- no pn in SI but pn in groin B/L

9. Milgrams tesr- pain in LB

10. Schepelman- BL pain convex side

11. Anvil- pain in groin area BL

12. inversion stress test of ankle- positive on right ( from broken ankle at 12)

13. Homan;s- neg

You might also like