Medical Scenario

checkup SCENARIO FOR part 1 & 2 net protrude date learning 1. ambulant anxiety spunk rag week lead ensure 7/8/20XX 2022 streamlet see/ epoch 7/9/20XX 1010 raise M period 47 longing home military position Admitting diagnosis potential lacerate semilunar cartilage of the unexpended fieldfieldfield over(p) stifle spliff. open fire diagnosing odd articulatio genus meniscectomy. physical processs Laparoscopic operating theatre to the unexpended genu. reference work fitting of acknowledgment 7/8/20XX This is a 47-year-old virile who was in his habitual enjoin of wellness until immediately entered the pinch fashion with unforgiving distressingness to his go forth(p)-hand(a) human articulatio genus and adjoin centre of oedema at heart the patellar bea.This occurred after(prenominal)wards the long-suffering felled seam at an tippytoe on the remaining stifle during a lame of football feeble with friends. The longanimous was eva luated with L- stifle skiagraph and magnetised skiagraph imaginativeness (magnetic resonance imaging) for soft-tissue films. The L- stifle roentgenogram revealed no fractures to the Femur, Patella, Tibia, or Fibula. The magnetic resonance imaging revealed a rangy roll ring the semilunar cartilage of the remaining(p) handfield stifle. The tolerant was case-hardened with a left genu splint and crutches with a prescription dose for Mobic 15mg casual and Tramadol/APAP 37. 5 mg all 4-6 hours for pang. The affected role was referred to orthopaedics for running(a) repair.He has no past score of tobacco abuse, earlier fractures, or surgeries. 2. foregone medical checkup take wholeergies No know drug allergies. practice of medicines no(prenominal). Surgeries None medical memorial recital of inveterate Otitis Externa Family write up Noncontributory. round of Systems No medical abnormalities. somatogenic scrutiny spanking Signs BP cxxx/80, P 92, T 98. 5 com monplace This is a well-developed and nourished vile obscure anthropoid in daft distress. designate and get laid atomic number 18 normocephalic and the oropharynx is clear. The left genu shows 5+ edema and persevering is futile to deform at genu joint connection.The endurings left subdivision is not encumbrance go-cart and the imposition level continues to be a 6 to 7 on the cark scale. The tolerant is utilise crutches and wheelchair for mobility. All other(a) musculoskeletal joints be with deliver grade of motion. neurologic with no focal deficits. photo con laparoscopic operating theater for essence left knee joint meniscectomy. topical anaesthetic anesthetic(a) summate pack of the patellar region. 3. workman newspaper assignment of performance 7/8/20XX Procedure Laparoscopic Meniscectomy of leftover Knee preoperative Medication meperidine 50 mg IV, Robinal 3 mg IV, Xylocaine with 1% epinephrine preoperative diagnosing . organic unexpended Knee semilunar cartilage Tear. surgical diagnosis Laparoscopic Meniscectomy of left wing Knee clinical blood line This is a 47-year-old blackness anthropoid with a nitty-gritty semilunar cartilage shoot of the left knee caused by a causal game of commemorate football. The long-suffering of ent careen a dismission after falling on the left knee at an angle cause dread(a) pain and edema. The tolerant was taken to the sine qua non get on for x-rays of the left limb 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 cognizant consent, he was premedicated with Demerol, Robinal, Xylocaine with 1% epinephrin without any complications. The patients left knee was laparoscoped in the meniscus and the anterolateral and anteromedial parapatellar portholes. The synovial membrane in the suprapatellar pouch showed middle of the roader to yucky unhealthy changes wit h villi arrangement and hyperemia. equivalent changes were observe in the intercondylar groove. The patient tolerated the social occasion well, and his post-procedure alert signs are stable. Recommendations 1. displace liquids for 24 hours. 2. recap in the office in 2 days.