David Tang

[David Tang @DavidTangSPT]

Worked with a patient yesterday who had an hearing impairment. Had to find different methods of communication as he was not able to speak. Used the computer to type our conversations and some visual cues. Patient was appreciative of we took for him.

[David Tang @DavidTangSPT]

Pt. is a 15 y/o male who presents to PT s/p L ACL reconstruction 2 years ago. Noticeable quad atrophy. Focused on varying exercises to increase quad strength, motor control, and balance

[David Tang @DavidTangSPT]

Patient is a 16 y/o female who is on varsity cross-country team. Presents with R anterior hip pain following competition. Focused on improving pelvic asymmetries and SL balance to target pelvic control and glute activation.

[David Tang @DavidTangSPT]

Pt. is a 62 y/o male who presents to PT s/p L TKA 2 weeks ago. Did not have home PT prior to outpatient. Focused on improving ROM and sxs management through manual therapy. Heavy focus on education of understanding sxs and limitations.

[David Tang @DavidTangSPT]

Pt. is a 41 y/o male who presents to PT with LBP and radic sxs into L calf which increased with L/S AROM. Provided a L/S flexion rotational gapping technique that eliminated his L calf sxs. Feels good!

[David Tang @DavidTangSPT]

Pt. is a 76 y/o female who presented to PT with partial RCT. Initiated therex to strengthen the protector and pivoter muscles. Patient saw significant improvement in ROM and is able to start gardening again.

[David Tang @DavidTangSPT]

62 y/o female who presents to PT with insidious R shoulder pain. Demos full R shoulder ROM, but painful arc, and poor posture. Provided postural exercises to treat the body environment.

[David Tang @DavidTangSPT]

38 y/o deaf male who presents to PT with structural scoliosis and primary R convexity at lower T/S. Main goals are to reduce pain and to be able to stand up straight. What can physical therapy do for him and will we be able to help him achieve his goals?

[David Tang @DavidTangSPT]

@jdnguyenPT There is so much you can do with hand therapy!

[David Tang @DavidTangSPT]

Pt. is a 43 y/o male s/p C3-C7 fusion. One goal is he wants to be able to turn his head so he can drive safely. What manual techniques have we learned to help him achieve this goal? Hmmm. 😉

[David Tang @DavidTangSPT]

3.7 million individuals with dementia in the US. So remember:

4 Pillars of Dementia Care
1) Treat the disease
2) Treat the symptoms
3) Support the patient
4) Support the caregivers

#PT546week13
@manjiridahdul
@juliehershberg

[David Tang @DavidTangSPT]

51 yo patient demonstrates progressive signs/sxs consistent with affected cranial nerves. MRI brain imaging shows compressive tumor onto the cerebellum.

Compression + progressive = meningioma

#PT546week12
@juliehershberg

[David Tang @DavidTangSPT]

Concussion: watch for progressive neurological signs and refer to imaging if the mom wants it

Chronic subdural hematoma: crescent shaped hematoma in imaging
Epidural hematoma: bulging shaped hematoma in imaging

#PT546week11
@juliehershberg

[David Tang @DavidTangSPT]

Migraine Headache Key Notes:
-Check for effect of routine physical activity
-Check for sensitivity to light or sound

#PT546week10
@juliehershberg

[David Tang @DavidTangSPT]

Neuroanatomy = very important!

Knowing the locations of neuroanatomical structures is important. Depending on where the lesions are located we can determine what signs and sxs we should expect from the patient and how to treat!

#PT546week9
@juliehershberg

[David Tang @DavidTangSPT]

Children who are autistic have persistent deficit in social communication/interaction that will persist throughout their lifespan. However, it is good to think of Autism as cats and that sometimes they are just happy being cats.
#PT546week8
@bsargent_usc
@juliehershberg

[David Tang @DavidTangSPT]

So apparently that imaging class in the first semester of PT school was really important!

Using MRI is great to look for old lesions or new lesions within the brain to help differentiate multiple sclerosis!

#PT546Week7 @juliehershberg

[David Tang @DavidTangSPT]

Bradykinesia, resting tremor, freezing gait, postural instability, and rigidity are cardinal signs of idiopathic Parkinson's Disease.

Fun Fact: B12 vitamin deficiency may also present with PD symptoms!

#PT546Week6 @juliehershberg @NoraDarakDPT

[David Tang @DavidTangSPT]

Why have all of our patient cases been initially misdiagnosed? 🤔

Bell's Palsy = facial weakness
Ramsay Hunt = herpes zoster of the ear

@PT546week5
@juliehershberg
@LibbyKrauseDPT

[David Tang @DavidTangSPT]

It's so great learning about ASIA. It's fun, informative, and not confusing. I'm talking about the continent. Not the neurological classification scale.

Sensory: look for 2s
Motor: look for >3/5 and 5/5

#pt546week4 @juliehershberg @manjiridahdul