michelle a mick (nee wessely) bsc (chiro), dc, dacbr, dipmed … · 2019. 9. 11. · imaging case...

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8/11/2019 1 Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd [email protected] 4 legged friend who was involved in an accident 9 days ago, with a resultant limp

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Page 1: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

1

Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd

[email protected]

4 legged friend who was involved in an

accident 9 days ago, with a resultant limp

Page 2: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

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Page 3: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

3

46 year old male with query to rule out kidney

stones. Moderate to several LBP from lifting

and changing tires at work

Page 4: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

4

29 year old male. Pain in the wrist with

swelling and decreased ROM for one month

Page 5: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

5

54 years old female with shortness of breath.

Page 6: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

6

94 year old male with left hip and low back

pain

Page 7: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

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Page 8: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

8

Left SI joint pain in a 53 year old female, with

came on gradually

Page 9: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

9

12 year old female with clinical request to rule

out right appendicitis, right pelvic cancer or

abnormal soft tissue growth

Page 10: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

10

36 year old female from Latvia, now in the

UK, with chronic left low back, left hip and

right knee pain. Stiffness, weakness and

clicking. Clinical request to comment on the

lesion in the right femur

Page 11: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 12: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

12

73 year old female with LBP a few weeks ago,

after reaching across the bed to change the

sheets

Page 13: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

13

51 year old male with mid to low back pain.

Prior history of kidney stones

Page 14: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

14

67 year old male with bilateral wrist pain

Page 15: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 16: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

16

52 year old with bilateral knee pain

Page 17: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

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Left elbow pain after trauma

Page 18: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 19: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

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47 year old male with left knee pain

Page 20: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

20

Low back pain with radiation into the lower

extremities. Finding noted on the lumbar

views

Page 21: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 22: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

22

47 year old female with neck and low back

pain

Page 23: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

23

31 year old male who was snowmobiling

when his hand was smashed between his

handlebar and another snowmobile

Page 24: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 25: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Fell 2 days prior on the ice, and landed on the

hand/arm to catch herself with a sore left

wrist/radius

Page 26: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

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8 year old. Right knee pain, worse with

pressure applied. Injury 3 days prior at the

trampoline park

Page 27: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

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76 year old female with right shoulder pain

Page 28: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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69 year old with right knee pain

Page 29: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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71 year old male with back pain

Page 30: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

30

Long distance runner who rolled the ankle

laterally 6 days prior with immediate pain at

the proximal fifth metatarsal. Still limping but

reduced pain and swelling

Page 31: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 32: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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19 year old female with LBP, to her midback.

Page 33: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Sharp pain with walking, on the lateral side of

the right foot. Patient tripped and stepped

wrong on the right foot in the dark 5 to 6 days

ago with pain in the right fifth MT/phalanx

Page 34: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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31 year old male who was snowmobiling, fell

on to a railroad track, landed with the track

between his spine and right shoulder blade.

Pain on deep breathing, coughing and

sneezing

Page 35: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

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7 year old female with right hip pain anteriorly

with limited internal and external rotation of

the hip after falling off a horse

Page 36: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

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49 year old female. Chronic left shoulder

pain.

Page 37: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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73 year old female with a stiff neck, history of

flare ups and C5-C6 disc herniation

Page 38: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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38

58 year old male with acute onset of right knee

pain, lifting a bundle of Al at work.

Abdominal pain also.

Page 39: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

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54 year old male with left low back pain and

left thigh pain

Page 40: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Left hip pain with numbness into the left thigh

Page 41: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Recheck of the 5th MT injured with the patient

stepping wrong, in the dark

Page 42: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 43: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

43

68 year old female with acute flare up and

neck pain four days ago

Page 44: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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25 year old female who fell off a roof, 34 foot

fall with xrays taken of the lumbar spine,

minor fracture

Page 45: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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19 year old female

Page 46: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

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Pain in the lower back on and off for years.

Swelling in the feet. Tingling in the feet

sporadically. Clinical concern regarding the

radio-dense spherical density anterior to L2, to

the right of L1 and L2

Page 47: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Ongoing neck pain that will come and go.

Tingling in the right cheek

Page 48: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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71-year-old female with 5 year history of low

back pain and difficulty walking. History of

stomach cancer and diverticulitis

Page 49: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Right lateral knee pain over the fibular

head. No known injury. Doing yardwork.

Page 50: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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18-year-old male. Acute right sacroiliac and

right hip pain for three weeks. No history of

trauma or previous pain in this region

Page 51: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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One month history of wrist pain and limitation

of motion following a fall on the outstretched

hand. Extension is limited and painful, and the

snuff box is tender

Page 52: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 53: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

8/11/2019

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12 year old female with left wrist pain

Page 54: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Patient was riding Motocross in Oklahoma and crashed

head first off a jump, bending his spine, said he looked bent

like a scorpion.

He was taken to the hospital where many x-rays were done

and he said all were negative for fracture. He presented to

my office with mid-thoracic pain. Adjustments seemed to

reduce his pain to a manageable level.

He then raced in March at US Bank Stadium , no crashes,

but since that time his mid-back pain is unchanged with 1 to

2 adjustments per week. We have also started using cold

laser on his mid thoracic area.

Page 55: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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46 year old with AS diagnosed 7 years ago,

with limited mobility especially in the cervical

spine

Page 56: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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42 year old female with prominent mid-back

pain, previously diagnosed with scoliosis as an

adolescent

Page 57: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 58: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Injured the left hand, punched through the

wall. Dorsal hand pain at the 2nd to 4th MCP

with swelling.

Page 59: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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22 year old with occasional achy, stiff pain in

the cervical region, with numbness in the left

and right shoulders.

Page 60: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 61: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Five weeks ago, patient fell backwards onto

the left outstretched hand (female, born in

1958). Centralized pain in the wrist.

Page 62: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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13 year old female with chronic back pain,

from Sweden

Page 63: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 64: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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81-year-old female with left lower rib pain,

currently suffering from Mycobacterium avian

complex resulting in her coughing a lot.

Recently started wearing a vibrating chest

best. New medication causing her to cough

more. Intense pain last night after coughing a

lot

Page 65: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 66: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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30-year-old female with neck and upper back

pain radiating down to both left and right

hand. Also low back pain. MVC five years

ago. Hit by a car when she was 14 years old

with significant rehab work on the entire left

side of her body. On exam, significant leg

length difference of 1 inch short on the left

Page 67: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 68: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Left heel pain. The patient landed wrong on

the foot in gymnastics 2.5 weeks ago. The pain

is on the side of the ankle and bottom of the

heel

Page 69: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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81-year-old male with low back pain for about a

month.

Patient fell on the sidewalk month ago. Pain is

located along the left lumbar spine from L4 to the

left sacroiliac joint. Pain is at night with sleep

Page 70: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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48-year-old female. Burning pain from the

right hip to knee for two weeks. Patient is

always had pain mostly in the hips and low

back since she was pregnant with twins 16

years ago

Page 71: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 72: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Right shoulder pain with restricted range of

motion for external and elevation. Last fall, the

patient tweaked the shoulder putting on her jacket.

Two months ago, gradual stiffness in the joint

Page 73: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Right arm/hand pain with numbness and

tingling in the C7-T1 dermatomes. Since May

4, with lifting injury and neck pain

Page 74: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 75: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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76-year-old male. Bilateral hand pain

Page 76: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Page 77: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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71-year-old male. History of low back pain for

two years. Right shoulder pain/weakness

Page 78: Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd … · 2019. 9. 11. · Imaging case review Michelle A Mick (nee Wessely) BSc (Chiro), DC, DACBR, DipMEd ... 37 73 year

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Patient threw a 15 pound bowling ball and felt

cracking noises in the shoulder. Cannot raise

the arm to 90°. Sharp pain

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