CAS5 k5S5N1A110N

PRA8HNOOR KAUR CHAWLA

ROLLNO-RY,A
0LM068^u1C 0^1^
NAML: mundee kuur
Age: zyeurs
Cender : femule
Address: mukLsur resenLly hosLellLe
OccuuLlon: kubuddl luyer ln LPU
LuLe of ussessmenL: z
Lh
ocLober z
CHlLl COMPLAlN1S: uln ln boLh unkles und
knees, dlfflculLy ln wulklng * z weeks.
PRLSLN1 HlS1ORY Ol lLLNLSS: uLlenL wus
uurenLly well z weeks buck from z
Lh
ocLober' when she encounLered some uln ln
her boLh Lhe unkle |olnLs und knees
slmulLuneously und wus referred Lo LPU OPL for
furLher munugemenL. 1he cuse wus dlugnosed us
blluLerul unkle sruln wlLhouL uny ln|ury und
munuged wlLh Lulng buL Lhe uLlenL wus noL
relelved of her uln.
LRUC HlS1ORY: uLlenL suffered from
Lyhold und wus on medlcuLlons from lusL
monLhs. AnLlbloLlcs.
LlL1ARY HA8l1S: non-vegeLurlun
SOClO-LCONOMlC HlS1ORY: rlch
^1u ^SSLSSMLu1
SlLe: medlul usecL of boLh knees und
unLerlor usecL of boLh unkles.
1ye: shur uln
lnLenslLy: on vAS 6
- knees und 6- unkles
AggruvuLlng fucLors: wulklng
Relelvlng fucLors : resL
0u 08SL8v^110u
8UlL1- mesomorhlc
POS1URL- normul
OLLLMA- PresenL( over unLerlor usecL of
boLh unkles und medlul usecL of boLh knees )
1ROPHlCAL CHANCLS- blulsh ueurunce of
boLh unkles.
LX1LRNAL LLvlCLS- cree bunduge over
boLh unkles.
^tttude o1 1mb :n 1yng
O R1 UPPLR LlM8 O R1 LOWLR LlM8
O Shoulder Add,
deresslon 8 lR
O Llbow exLended
O loreurm PronuLed
O WrlsL neuLrul
O llngers - Semlflexed
O Hl LxLended, Add,
lR
O Knee LxLended
O Ankle Mlld Pl 8
lnverslon
O 1oes flexlon
0u ^l^110u
1LNLLRNLSS: grude-z (over unLerlor usecL
of unkles)
OLLLMA: resenL over unLerlor usecL of
unkles und medlul usecL of knee |olnL
1ye : non- lLLlng
WurmLh: hyerLhermlu
0u Lx^M1u^110u
SLNSORY : suerflclul-lnLucL
dee- lnLucL
corLlcul- lnLucL
MO1OR SYS1LM: MM1- LOWLR LlM8
Right Left
UALRlCLPS CRALL- CRALL-
HAMS1RlNCS CRALL- CRALL-
LORSllLLXORS CRALL- CRALL-
PLAN1ARlLLXORS CRALL- CRALL-
Musc1e tone - Ccrs
Lower llmb
Left right
uuds z Normul resonse z Normul resonse
Hums z Normul resonse z Normul resonse
Culf z Normul resonse z Normul resonse
8^u6L 0I M0110u
Left (active) Right (active)
HlP comleLe comleLe
KNLL comleLe comleLe
ANKLL comleLe comleLe
8LIlLxLS
SUPLRllClAL : CRALL-z (NORMAL
RLSPONSL)
LLLP: ANLKL-CRALL-z
KNLL-CRALL-z
(WLXLLR'S CRALlNC)
SLC1^l 1LS1S
vALCUS 1LS1- ANKLL- POSl1lvL
KNLL- POSl1lvL
vARUS 1LS1- ANKLL- NLCA1lvL
KNLL- NLCA1lvL
011erenta1 0agnoss
Ankle sruln: blluLerul due Lo ldlouLhlc cuuse
lnlLlul degeneruLlve chunges ln |olnLs leudlng
Lo osLeourLhrlLls.
ReucLlve urLhrlLls
CouL
RheumuLold urLhrlLls
1uvLS116^110uS
WlLAL 1LS1: NLCA1lvL
URlC AClL: .,gjl
RA fucLor- neguLlve
LSR-zmmjhr
X-ruy -Ankle bjl: shows no ubnormul chunges.
Knee bjl: normul
Only sofL Llssue lnflummuLlon whlch ls ulso noL
cleur.
rovsona1 dagnoss
COU1 - whlch cun be seudogouL us Lhe
urlc ucld levels ure noL so hlgh Lo dlugnose
Lhe condlLlon us gouL.
M^u^6LMLu1
LleLury conLrol- Lo consume less umounL of
roLeln rlch dleL.
Cree bunduglng for keelng Lhe fooL sLuble.
CryoLheruy for reduclng oedemu.
1LNS for reduclng uln ln Lhe |olnLs boLh knees
und unkles.
Chunglng of fooL weur: sorLs shoes.
Medlcul munugemenL: xylorlc- zmgjduy.
Advlsed for resL from rucLlce for u week und
cooeruLe wlLh Lhe LreuLmenL.
I0ll0W u
1he uLlenL wus culled u for follow u ufLer u
week und ufLer Luklng LreuLmenL Lhe
resonse by Lhe uLlenL wus good und
rognosls wus ulso good. She wus uble Lo go
buck for her rucLlce sesslons for luylng.