YOUR FITNESS YOUR HEALTH

Medical History Mrs X is a 30-year-old personnel officer. She has had recurrent back pain since the age of 18.At that time she had an awkward fall while playing basketball in school. She was taken to health center inside the school, where she was given the diagnosis of muscle strain and treated with pain killers and muscle relaxants. Although her back improved very quickly, she feels that the pain never completely resolved. As she continued through her university days she had continuing periods of pain they seemed to be less severe when she was physically active. At age 24 ,she experienced another acute episode of back pain that began suddenly when she sat down on a couch. This time she did not seek medical help but treated herself with over the counter pain medication. The pain slowly resolved over several months and finally joined fitness exercise programme from my side. Diagnosis 6 months ago, she was playing basketball with her husband and she had a sudden onset of severe...

GUIDED EXERCISE PROGRAMME FOR ASTHMATIC PATIENT DURING COVID-19 PANDEMIC Medical History Ms. X is a 18 years old young lady. Throughout secondary school she was active in competitive sports in her school. On occasion throughout secondary school she would develop an increase in shortness of breath and a cough. Her doctor told her that she had bronchitis and that she should not worry about this. After a year she started with another symptoms of chest tightness, abdominal pain and shortness of breath. Her doctor prescribed medication for her and to monitor her to recognise another signs. After two months she was directed to me to give guided regular exercise that can help the lungs to work more efficiently. Diagnosis and Test Results A simple lung test called peak flow measurement and spirometry was conducted immediately measures the amount of air in lungs and how fast they can blow it out. I told her parents to go for X-ray, blood tests, skin test and test for allergies in or...

EXERCISE FOR DIABETICS PATIENT Medical history and diagnosis Mr X is 65 years old and was diagnosed with type 2 diabetes 6 years ago. Medication :Glucophage taken two times per day, captopril (for blood pressure control and protection of kidneys) and Lipitor for control of hyperlipidemia. Laboratory values : Last Hb 8.9%,cholesterol 201mg. dl, low density lipoproteins cholesterol 130mg. dl, high density lipoproteins cholesterol 36mg. dl, triglycerides 161mg. dl, Physical exam :blood pressure 132/82mmHg,resting heart rate 72 beats per minute, hight 5ft 12 inc, weight 232lb with 28‰ body fat Complications history :Acute periodic episodes of diabetes out of control but has never experienced hyperosmolar nonketotic syndrome or diabetic ketoacidosis. Chronic two vessels bypass surgery 6 years ago, moderate peripheral neuropathy, and early stage 3 diabetic nephropathy. Exercise Test Result No abnormal electrocardiogram changes, maximum blood pressure 179/82mmHg,maximum he...

Medical History and Diagnosis. Mrs x a 45 years old has been discharged from isolation center after tested negative for covid-19. She has been referred to an exercise programme for mental health risk reduction following a recent medical examination. She has a family history of depression and stress disorder. She is 5 ft 8 in. and weighs 200Ib, and her medical history is unremarkable. A fasting blood lipid profile was obtained during her medical examination and revealed the following : Total cholesterol is 226mg. dI-1 HDL is 30mg. dl-1 LDL is 164mg. dl-1 Triglycerides is 300mg. dl-1 She has a resting heart rate of 72 beats per minute and resting blood pressure of 130/90 Exercise prescription Initial exercise programme Frequency =2 days per week Intensity =100-12obeats/mi Rating of perceived exertion =5-10 Duration =5-10min Mode=walking Exercise progression (over first 6-12weeks) Frequency =3 days/ week Intensity =progress towards the upper end of intensity rang...

Exercise for Myocardial infarction during covid-19 Lockdown       Medical History    Mr x is a 46 year old who had an unremarkable medical history. He is sedentary and has been for most of his adult life. He works with ministry of budget and planning. He has smoked three packs of cigarettes a day for 22 years and his body mass index is 28.6.His total cholesterol is 276mg. dl-l, LDL is 146mg. dl-l and HDL is 26mg. dl-l. He does not know his typical blood pressure value.         Diagnosis      Mr x presented to the emergency department with substernal and left arm discomfort and diaphoresis. Mr x was immediately given morphine on arrival at the hospital. His blood pressure was 185/117mmHg. An ECG     Demonstrated ST-segment elevation and tall T waves in leads VI through V6 and ll, III, and avf. Blood was drawn and analyzed for creatine phosphokinase and lactate dehydrogenas...

EXERCISE PRESCRIPTION FOR HYPERLIPIDEMIA AND DYSLIPIDEMIA PATIENT DURING COVID-19 Hello my dear students, hope the ease of lockdown is having positive effect on your life and while carrying out your legitimate business or work, please ensure that you keep to the NCDC guidelines on COVID-19 in order to keep safe.       Medical History and Diagnosis       Mr. X, a 47- year old banker, has been referred to an exercise programme for cardio vascular disease risk reduction following a recent medical examination. He has a family history of heart disease and stroke. His Parent had a nonfatal myocardial infarction at 55 and his grandmother a fatal stroke at 72. He is 5 ft 9 in. and weighs 202lb,  and his medical history is unremarkable. He currently lack exercise but he was involved in exercise some years ago. He smokes and drinks a lot and self report of moderate amount of stress on the job. A fasting blood lipid profile wa...

Theories and Models of physical activity promotion Mrs x is a 47 years old, married with three children. She is employed as a senior officer in ministry of budget and planning and reports experiencing an above average level of tension and stress. She presents at the referral of her primary care physician, who has observed that the client has elevated blood pressure and cholesterol levels that may be attributed to her stressful and highly sedentary job. In addition, the client admitted that she would like to lose 20 to 30 kg and improve her fitness so that she can walk with her husband in their street. The client is average tall and weighs 120kg with a corresponding body mass index of 35.2 she has a resting heart rate of 87 beats per minute and a resting blood pressure of 137/90 mmHg. Her total cholesterol is 199mg. dl-1 untreated and her high -density lipoproteins are 36mg. dl-1. Her graded treadmill stress test reveals that she has a vo2 Max of 22.5 my. kg-1.min-1,...