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Skeletal Disorders Case Summary

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Skeletal Disorders Case Summary
DOI: 06/05/2010. Patient is a 69-year-old female registered nurse who fractured her right fibula when the bicycle she was riding slid onto gravel throwing her to the ground. Per OMNI, PQME Dr. Litoff indicated on 09/10/12 that the IW has a 16% permanent disability with future medical care of injections and possible surgery for the left shoulder and home exercise for the right wrist and lumbar spine.
Based on the progress report dated 02/02/16, the patient presents for follow up for left shoulder and right wrist pain. She has had constant shoulder pain and wrist pain with exacerbation of symptoms recently with movements. Patient would like to have MRI done to see what is causing pain. She has had one shoulder injection which helped but wants

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