ANATOMY and physiology

3 COMMON TREATMENT, DIAGNOSIS, SYMPTOMS, LUMBAR PUNCTURE, EVOKED POTENTIAL TEST, MRI, DECRIPTION OF CONDITION, PROGNOSIS, Background Patient X is a 35 year old woman. She visits a neurologist after being referred by an ophthalmologist. This is the history she shares with the neurologist. • At age 25, during her first pregnancy, patient noted that her fingers felt numb and tingly and this sensation traveled up her arm to her face. Because symptoms were short lived, patient did not seek medical advice at the time nor a year later, when patient experienced similar symptoms. • At age 34, patient woke up feeling nauseated. Patient noted that her eyes would not focus and that she had double vision in the right eye. When vision did not improve after 24h, the patient scheduled an appointment with an ophthalmologist. The ophthalmologist found decreased visual acuity, decreased right visual field, and nystagmus in the right eye. The ophthalmologist referred the patient to the neurologist. • In the 8 weeks that it took to get an appointment, the patient began to experience trouble urinating, tingling from her waist to her feet, and she began to have trouble walking. Based on the patient’s symptoms and history, the neurologist orders a lumbar puncture, evoked potential testing, and an MRI. Assignment Write a case study paper in which you • Identify a diagnosis for the patient. Justify your response with evidence that support the diagnosis. Describe the diagnosis in terms of the symptom presentation/progression and what the three tests reveal that would support your diagnosis. • Fully describe the medical condition. What causes it? What is the effect at the cellular and system level? What are common symptoms? Include a drawing of a nerve from a “healthy” individual and a nerve from an individual with the diagnosis. • Describe the prognosis for someone with this diagnosis. How will the condition progress? • Describe treatment options for the diagnosis. What treatments are available? How will the treatment help the patient?

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