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Betty Miller: An Older Female with Right Shoulder Pain

Betty Miller is a 77-year-old female who has had right shoulder pain for 4 weeks. Through the case study, you will follow Betty through a visit to her primary care provider and pharmacist; a home health services for nursing, social services and physical therapy; and a primary care provider follow-up visit.

Catherine: Chronic Pain with Multiple Co-Morbidities, Using Measurement-Based Tools

Catherine is a 46-year-old woman with Chronic Low Back Pain (CLBP), obesity, poorly controlled diabetes with peripheral neuropathy, and ankle pain on high dose opioids for past 4 years.

Christine: Orofacial Pain

Christine is a 30-year-old woman referred by her local ENT doctor. She says she's experiencing excruciating pain in her jaw.

Devon: Sickle Cell Disease and Pain

‘Devon’s Disparate Dealings: Sickle Cell Disease and Pain’ presents the case of a 15-year-old black male with sickle cell disease who presents to the emergency department in severe pain.

Edna: An Older Adult with Chronic Low Back Pain

Edna is a 70-year-old woman with chronic low back pain.  After completing the course, you should be able to differentiate the weak link and the treatment targets in older adults with chronic low back pain, articulate realistic treatment expectations for chronic non-cancer pain, and describe a rational stepped care treatment approach for older patients with chronic low back pain.

Eric: Acute Pain Management in Patients with Opioid Use Disorder

Eric is a 23-year-old man actively using IV heroin. He presents with right leg pain and swelling after injecting heroin into the muscle. 

Harold: Trauma Pain

Harold is an adult male with pain from trauma experienced in a car accident. This case covers assessing the aspects of the pain experience in a trauma patient with substance use disorder by integrating the health history into the treatment decision-making process, examining multimodal approaches to treat acute trauma across transitions of care, recognizing the biopsychosocial impact of the treatment of acute pain in patients with substance use disorder, and designing an appropriate treatment plan using case-based learning to address acute trauma related pain in patient with substance use disorder.

Interprofessional Management of Acute to Chronic Leg Pain

CA is a 48-year-old female patient who is status post left total knee replacement arthroplasty under a general anesthetic. Patient controlled analgesia was initiated in the post-anesthesia care unit. After transfer to the regular ward, the patient complains of worsening acute post-surgical pain coupled with chronic pain from inflammatory degenerative joint disease.

Maeve: Ear Pain

Maeve, a 28-year-old female with limited access to dental care and no dental insurance, is seen with a chief complaint of right temporomandibular pain causing pain in the right ear.

Marty: Perioperative Pain Management

Marty James is a 55-year-old African American female with a 10 year history of left knee pain.

Mary: Pain in a Patient with Metastatic Cancer

Mary is a 74 year old woman with a history of breast cancer metastatic to the ribs, hypertension, and osteoarthritis. She complains of newly developed right-sided hip pain.

Melissa: Medication Overuse Headache

Recognizing medication overuse headache in patients presenting with chronic migraine. In this case study, we present a 39-year-old woman who has been experiencing near daily headache for the last 4 months and her successful treatment.

Mr. Lane: Acute Farm Injury with Chronic Pain

This case presentation follows a 43-year-old farmer named Mr. Lane who injured his right arm after it got stuck in a combine. He was then air lifted to a tertiary care center. The case includes Mr. Lane's initial injury, acute pain, and the development of chronic pain and acute on chronic pain.

Mr. Wakefield: Wounded Warrier

Mr. Wakefield is a young Army veteran with chronic low back pain and depression. His physical exam demonstrates musculoskeletal pain and lumbar facet arthropathy (joint pain in his lower back).

Mrs. Farley: Chronic Temporomandibular Joint and Fibromyalgia Pain

Mrs. Christine Farley has been suffering from temporomandibular joint (jaw) and myofascial (muscular) pain, and you are asked to be part of her inter-professional team to advise on how to best help manage her pain.

Mrs. Johnson: Geriatric Low Back Pain from the Perspective of the Medical Home Model

Mrs. Johnson is an 80-year-old obese woman with progressively incapacitating low back pain for 1 year.

Ms. Rhodes: Chronic Pelvic Pain

Ms. Rhodes is a 46-year-old woman with CPP: Stage IV endometriosis (cyclic component of pain treated with continuous oral contraceptives), abdominal and pelvic floor muscle pain, vestibulodynia, IBS with constipation, possible IC, anxiety and depression and sexual dysfunction.

Owen: Opioid Overdose Risk and Naloxone

Owen Jones is a 46-year-old man who presents for followup of low back pain with intermittent radicular symptoms and numbness which started ~ 2 years ago following a lifting related injury. He describes the pain as, "Sharp, pinching, and sore."

Peter James: A Veteran with Phantom Limb Pain

Peter James is a 49-year-old veteran with phantom limb pain. While in the reserves he was injured by an IED in Afghanistan. His lower left leg was amputated at Walter Reed. He  wants to better control his phantom limb pain so he can take on a farm management opportunity.

Sarah: Widespread Pain and Fibromyalgia

Sarah suffers whiplash following a car accident. She then goes on to develop widespread pain and associated fatigue. Her pain interferes with work and daily activities.