2. READMISSION DATE: 2/18/2004 ADMISSION DATE: 01/15/2004 DISCHARGE DATE: 02/16/2004

3. 8/26 Pt continues to have problems With living area not being handicap accessible. 9/2 Pt environment is very difficult because it isn’t set up for handicapped. Pt needs boots due to foot dropping while in bed. 9/25 Bowel system has changed. Pt unsure If it’s because of meds or not. Living area still not equipped for situation.

4. …poor scaffold erection procedures and would be unsafe to work on.

5. SYMPTOMS/SIGNS OF RSD Pain History of Injury (Traumatic-Right Knee Fracture) Temperature Change/Aymmetry Response to Sympathetic Block Cutaneous Hypersensitivity/Allodynia Hair/Nail Change Tremor Joint Stiffness Bone Scan Positive for RSD Color Change Swelling/Edema Atrophy Termographic Changes Sweating Change Weakness/Fatigue Limitation of Use Local Osteoporosis (X-Ray Examination) YES NO Cite: Reflex? Sympathetic? Dystrophy? Paradigm Shift?, The Clinical Journal of Pain; Vol.8, No.4, 1992: 281-84.

6. Interpretation: <3 RSD unlikely 3-5 RSD possible >6 RSD probable Number of Criteria Met: 17 SYMPTOMS/SIGNS OF RSD Pain History of Injury (Traumatic-Right Knee Fracture) Temperature Change/Aymmetry Response to Sympathetic Block Cutaneous Hypersensitivity/Allodynia Hair/Nail Change Tremor Joint Stiffness Bone Scan Positive for RSD Color Change Swelling/Edema Atrophy Termographic Changes Sweating Change Weakness/Fatigue Limitation of Use Local Osteoporosis (X-Ray Examination) YES NO Cite: Reflex? Sympathetic? Dystrophy? Paradigm Shift?, Peter R. Wilson, MD, The Clinical Journal of Pain; Vol.8, No.4, 1992: 281-84.