Fall — Transcript

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1. 0:00[Music]
2. 0:18hello hi I'm Dr quiek nice to meet you
3. 0:21iscribe with me here today just going to
4. 0:23be taking some notes
5. 0:24okay that's kind of a nasty cut you got
6. 0:27there tell me what happened well um just
7. 0:29before before I got here I was riding my
8. 0:31bike and I I don't really know what
9. 0:33happened but something happened to the
10. 0:34gears and I fell off and landed on my
11. 0:37outet like arms and somehow this
12. 0:41happened okay and what uh surface did
13. 0:44you land on was the Street sidewalk
14. 0:46grass it was like on the curve of the
15. 0:47sidewalk onto the street it was pretty
16. 0:49hard did you heard anything else besides
17. 0:51it I don't think so maybe a few scrapes
18. 0:53and stuff but okay you can move your
19. 0:56wrists okay and um do you have any
20. 0:59medical problems I should be aware of
21. 1:00are you pretty healthy normally um none
22. 1:03that I can think of not on any
23. 1:05medications not on any blood thinners oh
24. 1:07I am on I do take a baby aspirin okay
25. 1:10that's important to know and um do you
26. 1:13have a headache a little bit all right
27. 1:17where's that at front it's yeah it's
28. 1:19mostly frontal okay how's your neck feel
29. 1:22um I think it's a little stiff but I
30. 1:24don't know if it's just cuz I'm holding
31. 1:25it weird trying not to I don't know move
32. 1:27too much okay last t shot I have no idea
33. 1:32that's probably too long we'll take care
34. 1:34of that today okay all right you're not
35. 1:36having trouble breathing no nausea or
36. 1:39vomiting I'm a little nauseous but I
37. 1:41think it's just cuz I'm worked up guess
38. 1:44okay and your knees and everything
39. 1:46they're okay yeah that's all fine how
40. 1:48about the bike um it's pretty much done
41. 1:51pretty much toast total it okay um
42. 1:57anything else about this accident you
43. 1:59think I should know that I
44. 2:00I don't think so okay you haven't been
45. 2:02sick with anything recently like recent
46. 2:04cough or cold or fever shortness of
47. 2:06breath or Ving diarrhea okay sounds good
48. 2:11let's take a look at it here well that's
49. 2:14a kind of a nasty
50. 2:16cut so um left cheek has a longitudinal
51. 2:21laceration slightly
52. 2:24irregular
53. 2:26approximately uh 6 cm in length
54. 2:30with minimal active bleeding are you
55. 2:32tender to touch up here yeah a little
56. 2:34bit okay anywhere else that's not soad
57. 2:38not so bad some mild frontal tenderness
58. 2:40without any obvious contusion go ahead
59. 2:42and push against me does that hurt your
60. 2:44neck no but if you push this way a
61. 2:48little bit that way not so bad okay so
62. 2:52some pain with motion against resistance
63. 2:55in the neck tell me where it's the most
64. 2:57tender in midline
65. 3:00or off to the sides um off to the side
66. 3:02like on the right okay so right
67. 3:05paracervical
68. 3:06tenderness and not saring the
69. 3:09chest
70. 3:14forward deep
71. 3:18breath not tendering the back at all no
72. 3:21over the kidneys nope no okay
73. 3:27back 2 over 6 did you not get a little
74. 3:30murmur
75. 3:32M that's probably nothing but certainly
76. 3:35not related to anything
77. 3:36today pelvis okay yeah okay move your
78. 3:40shoulders your elbows so no pain with
79. 3:43any of that M okay no pain with range of
80. 3:46motion either upper extremity but if I
81. 3:49rotate the hips with the knees no
82. 3:51problems no no pain with range of motion
83. 3:53lower extremity
84. 3:55either okay well um this is going to
85. 3:58take some suturing and uh since you're
86. 4:00on an aspirin and you whacked your head
87. 4:03and sounds like you hit concrete or
88. 4:06cement or something pretty hard we're
89. 4:08going to be getting a CAT scan of the
90. 4:10head no
91. 4:11contrast and um with the discomfort in
92. 4:14the neck we're just going to take a look
93. 4:15at that two so also CTC spine no
94. 4:19contrast and uh then I will be back and
95. 4:22we'll suture that and I'll let you know
96. 4:24what your CAT scan shows okay do you
97. 4:26need anything for pain right now or are
98. 4:27you okay um something pain would be good
99. 4:31okay well um since we don't have a line
100. 4:34we'll give you a little pain shot so
101. 4:37four of more sub
102. 4:39cute and then I'll get back with you and
103. 4:42we'll Sut you
104. 4:46okay well your CAT scans came back
105. 4:49they're all fine there's no bleeding in
106. 4:51the head the neck looks fine so um any
107. 4:55soreness you have there is more muscular
108. 4:57and probably cons just use some Tylenol
109. 4:59ibuprofen at home or something like that
110. 5:02um we uh sutured you up there and um for
111. 5:07the scribes benefit uh it was a um
112. 5:12uh what do we say 6 cm uh
113. 5:16lastation uh it
114. 5:18was U anesthetized with 1% Lidocaine
115. 5:22with
116. 5:24epinephrine uh 3
117. 5:26CC's and uh sutured with
118. 5:3060
119. 5:31nylon number 12 interrupted
120. 5:35sutures without any
121. 5:38complication and the Basset TRC and
122. 5:40dressing will be applied okay so those
123. 5:43sutures will need to stay in for about
124. 5:45five to seven days your doctor can take
125. 5:47them out and um thinking that you should
126. 5:50be okay with some ibuprofen at home that
127. 5:52you can just use over the C and we'll
128. 5:55give you some instructions on cleaning
129. 5:56that and taking care of it and you
130. 5:58should be good to go here here shortly
131. 6:00do you have any questions no okay very
132. 6:02good goodbye