TAILIEUCHUNG - Ebook The pain center manual: Part 2

Part 2 book “The pain center manual” has contents: Billing and coding, notes and templates, scales and other reference materials, adult learning in pain medicine, ACGME training standards, sample reading assignments, sample reading assignments, and other contents. | Follow-Up Visit Template  83 Follow-Up Visit Template (Continued) Sensation is [intact/diminished] to pinprick in all dermatomes: from C5 to T2 bilaterally. Sensation is [intact/diminished] to pinprick in all dermatomes: from L1 to S2 bilaterally. Spurling test is [negative/positive] bilaterally. Straight leg raising is [negative/positive] at [X] degrees bilaterally. (Reverse straight leg raising is [negative/positive] bilaterally.) (Slump testing is [negative/positive] bilaterally.) Gait evaluation reveals [that the patient is able to heel, toe, and tandem walk appropriately without difficulties]. Signs of aberrant behavior are [absent]. Impression: 1. [diagnosis] 2. [diagnosis] Plan: Mr/Mrs/Ms. [patient name] is a XX old [male/female] who is followed in our clinic for [chief complaint] . To this effect, we currently recommend [interventions/medications with exact dose/therapy/rehab/follow-up] Rx Given: [medication/dose/sig/max per day/#dispensed] Interventional Procedure Templates Trigger Point Injection Patient Name: MR#: Date of Procedure: Preoperative Diagnosis: Myalgia/Myositis Postoperative Diagnosis: Myalgia/Myositis Operation Title: 1)  Trigger Point Injection Attending Physician: Assistant Physician: Anesthesia: Local Indications: The patient is a [age] old [male/female] with a diagnosis of myalgia/myositis. This is the [x] injection of [#]. [The patient had [X]% relief from the previous injection.] The patient’s history and physical exam have been reviewed. The risks, benefits, and alternatives to the procedure have been discussed, and all questions have been answered to the patient’s satisfaction. The patient agreed to proceed and a written informed consent was obtained. Procedure in Detail: The patient was placed in a [sitting/standing/ prone/ supine] position. The area(s) of myofascial tightness was/were marked with the patient’s assistance to localize the trigger points. The trigger points(s) was/were noted to be in the .

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• The pain center manual
• Reference materials
• ACGME training standards
• Sample reading assignments
• Sample reading assignments
• Medical management
• Narcotic conversions
• Systemic effects
• Pain management
• Diagnostic pearls