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the shoulder has felt stiff since last week especially when reaching overhead pain six out of ten

on examination I measure active abduction at one hundred thirty degrees with pain at end range

mobility is improving my assessment is that the symptoms still fit subacromial irritation

build up exercises gradually and in two weeks review again

the ankle was sprained in July while running pain on the outer side three out of ten on stairs

slight swelling on the lateral side dorsiflexion fifteen degrees ankle ligament test done

my assessment is a recovering mild lateral ankle sprain

load as symptoms allow walk first, then jog follow-up in two weeks

first session today the tension around the work presentation is seven out of ten when opening

she wants to be able to keep standing at the moment she freezes

we did the breathing exercise and practised the opening line out loud in two rounds

I can see the tension drop once the opening line is out my assessment is that this works

practise at home twice a week and continue in two weeks

morning round on the ward abdominal pain six out of ten when turning three out of ten at rest nauseous since this morning

temperature thirty-seven point eight blood pressure taken wound calm, no leakage

changed position together pain medication given as agreed

after the position change less pressure on the wound she is lying more comfortably

temperature again in an hour call the doctor if it rises