Muscle Injury Case Study - opinion
The patient reports an injury to the left shoulder in a motor vehicle accident. The patient did not seek medical attention at the time of the injury. The patient describes the pain as severe in intensity and sharp in character. The pain is particularly bothersome at night and wakes her up from her sleep. The patient states NSAIDs help in decreasing the intensity of pain but lately, the medications have been ineffective. The left shoulder pain is not associated with swelling, bruising, numbness, tingling, radiating pain, weakness, bowel or bladder abnormality, gait problem, or limping, giving way, hand function difficulty. According to the patient activities such as walking, lifting, exercise, kneeling, making the symptoms worse. Intraoperative picture of arthroscopic shoulder surgery set up. The patient previously had cortisone injections in the left shoulder and the injections provided relief only for a few weeks. The patient also received physical therapy but had minimal relief from symptoms. Muscle Injury Case StudyLaRovere et al.
Now, a new report shows that a significant number of young people with the syndrome also develop neurological symptoms, including hallucinations, confusion, speech impairments, and problems with balance and coordination. The study of 46 children treated at Musce hospital in London found that just over half — 24 — experienced such neurological symptoms, which they had never had before. The syndrome is source, but can be very serious.
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The latest data from the Centers for Disease Control and Prevention reports 3, cases in 48 states, Puerto Rico and the District of Columbia, including 36 deaths. The new findings strengthen the theory that the syndrome is related to a surge of inflammation triggered by an immune response to the virus, Abdel-Mannan said.
For the children in the report, the neurological symptoms mostly resolved as the physical symptoms were treated. The data is also included in a preprint of a larger study that has not yet been peer-reviewed. Nearly two-thirds of the patients were male, and the median Muscle Injury Case Study was All 24 of the patients with neurological symptoms had headaches and 14 had encephalopathy, a general term that can involve confusion, problems with memory or attention and other types of altered mental function. Four had balance or coordination problems.
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One child had seizures and three children had peripheral nerve abnormalities including weakness in facial or shoulder muscles. Some of the patients underwent brain scans, nerve conduction tests or electroencephalograms EEGsincluding 14 who showed slower electrical activity in their brains, the study reported. Thirteen of the 24 with neurological symptoms needed to be placed on ventilators and 15 needed medication to improve their heart contractions, Abdel-Mannan said. By contrast, only three of the 22 children without neurological issues needed ventilators and seven needed such heart medication, Cas said.
None of the children with hallucinations needed psychotropic medications. Yael Hacohen, will be following patients who had the syndrome — both those who had neurological symptoms and those who did not. They will conduct brain scans and cognitive assessments to see if the children experience any long-term cognitive or psychological effects. This article originally appeared in The New York Times.]
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