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multiple sclerosis case study

Multiple Sclerosis Case Study: Multiple sclerosis is the disease, which attacks the nerves of the human brain and the spinal cord. Generally, hearing the term sclerosis, people imagine a person who has problems with her memory and can not remember things. Clinical Presentation: Case History # 1. she has impaired urinary bladder function which requires multiple voids in the mornings, and nocturia times 3. She became incontinent and now has to wear a pad during the day. Diagnosis: Multiple Sclerosis with laboratory support. The purpose of this fictional case study is to highlight key clinical findings in a patient diagnosed with Relapsing Remitting Multiple Sclerosis (RRMS). The patient discussed throughout the case study presents with chronic fatigue, lower extremity weakness, impaired balance, lack of coordination and psychosocial characteristics. In turn, these symptoms combined have led to the patient.


Multiple Sclerosis: A Case Study - Physiopedia


C is a 35 year old white female. She came to Neurology Clinic for evaluation of her long-term neurologic complaints. The patient relates that for many years she had noticed some significant changes in neurologic functions, particularly heat intolerance precipitating a stumbling gait and a tendency to fall.

Her visual acuity also seemed to change periodically during several years. Two months ago multiple sclerosis case study patient was working very hard and was under a lot of stress. She got sick with a flu and her neurologic condition worsened. At that time, multiple sclerosis case study, she could not hold objects in her hands, had significant tremors and severe exhaustion, multiple sclerosis case study.

She also had several bad falls. Since that time she had noticed arthralgia on the right and subsequently on the left side of her body. Then, the patient abruptly developed a right hemisensory deficit after several days of work. The MRI scan was performed at that time and revealed a multifocal white matter disease - areas of increased T2 signal in both cerebral hemispheres.

Spinal tap was also done which revealed the presence of oligoclonal bands in CSF. Visual evoked response testing was abnormal with slowed conduction in optic nerves. Today, the patient has multiple problems related to her disease: she remains weak and numb on the right side; she has impaired urinary bladder function which requires multiple voids in multiple sclerosis case study mornings, and nocturia times 3.

She became incontinent and now has to wear a pad during the day. The patient has a tendency to aspirate liquids and also solids. She has decreased finger dexterity and weakness of the hands bilaterally. She also complains of impaired short-term memory and irritability. She also had a tubal ligation. Funduscopic examination is normal. Remainder of the cranial nerve exam is normal except for decreased hearing on the left, and numbness in the right face, which extends down into the entire right side.

The Weber test reveals greater conductance to the right. Rinne's test reveals air greater than bone bilaterally. Swallow appears to be intact. Tongue movements are slowed, but tongue power appears to be intact. Motor examination reveals relatively normal strength in the upper extremities throughout. However, multiple sclerosis case study, rapid alternating movements are decreased in both upper extremities and the patient has dysdiadochokinesia in the left hand.

Bilateral extensor toe sign are present. Sensory exam reveals paresthesia on the right to touch and decreased pin sensation on the right diffusely. The patient has mild vibratory sense loss in the distal lower extremities. Romberg's is negative. Ambulation index is 7. The patient takes 7. Rose, M. Lynch, M. Clinical Presentation: Case History 1 Ms. Diagnosis: Multiple Sclerosis with laboratory support.

 

Free Case Study on Multiple Sclerosis | marolwins.cf

 

multiple sclerosis case study

 

This case in the Multiple Sclerosis @Point of Care program illustrates the real-life clinical scenario of a patient with primary-progressive multiple sclerosis (PPMS) and the recommended steps for diagnosis and initial treatment of this disease. Clinical Presentation: Case History # 1. she has impaired urinary bladder function which requires multiple voids in the mornings, and nocturia times 3. She became incontinent and now has to wear a pad during the day. Diagnosis: Multiple Sclerosis with laboratory support. Multiple Sclerosis Case Study: Multiple sclerosis is the disease, which attacks the nerves of the human brain and the spinal cord. Generally, hearing the term sclerosis, people imagine a person who has problems with her memory and can not remember things.