Despite both standing and lying down, I was unable to demonstrate a hernia. The patient had a trial of Prozac on which he became violet. Examination of the remaining hand is within normal limits. The wound is doing fine, without complaints. She is not clear on why she has seen me in the past, but states that whatever I treated her for had cleared up with whatever treatment I had given her.
Exam demonstrates a chile who is modestly febrile.
Basically what happened is she hit her right knee against her chin, biting her tongue causing her neck to be thrust to the left. Now she has pain in her left arm. He is employed as electrician but does not really remember any specific incidence which could have precipitated his hemorrhoidal problems. The patient has chest pain if she lies on her left side for over a year. On the second day the knee was better and on the third day it had completely disappeared.