Cushing's Syndrome Case Study

Author/s

Chris Hartlage, Braden Hurst, Lee Janasek, Michael Porter and Jordan Thomas from the Bellarmine University Physical Therapy Program's Pathophysiology of Complex Patient Problems Project.

Abstract

100 word limit, non-structured description

Patient Characteristics

• Demographic Information: (occupation/vocation, gender, age, etc.)
• Medical diagnosis if applicable
• Co-morbidities
• Previous care or treatment

Examination

• Subjective: Tracey Smith reports to Function First for general muscle weakness and low back pain. She has been having low back pain for a little over 4 months now. On a scale of 1-10, her pain at best is a 3 and at worst is a 7. The general muscle weakness has been getting progressively worse over the past month and is beginning to concern her. Mrs. Smith also reports having trouble making it through her Zumba class on Tuesday’s and Thursday’s. She says lately she has little interest in her regular activities and has been experiencing fatigue without physical exertion. Patient was diagnosed with type II Diabetes in her late 20’s and has been taking insulin regularly since her diagnosis. Mrs. Smith has also been experiencing headaches more frequently at night over the past few weeks. She was treated at Function First in 2013 for hip pain secondary to bursitis. After 4 weeks of conservative treatment, Mrs. Smith’s pain was still present and she was referred to her back to her primary care physician where he administered multiple corticosteroid injections. Patient also reports she has been taking inhaled corticosteroids for the past 10 years. Lastly, Mrs. Smith reports having irregular menstrual cycles for the past 2 years accompanied by unexplained weight gain in her abdomen.
• Goals: Patient would like to have little to no back pain. Patient also would like to be able to increase her strength and endurance in able to resume her normal Zumba classes twice a week.
• Self Report Outcome Measures: ODI, FABQ, SANE
• Physical Performance Measures: 6 min walk

Summarization of Examination Findings

Working Diagnosis and Targeted Interventions

Intervention

• Phases of Interventions (e.g. protective phase, mobility phase, etc.)
• Dosage and Parameters
• Rationale for Progression
• Co-interventions if applicable (e.g. injection therapy, medications)

Outcomes

Findings Over time

Discussion

Summary Statement which should include related findings in the literature, potential impact on clinical practices

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