Case Study #6a Neurologic System: Multiple Sclerosis
Patient: Myrtle
Newly Diagnosed, (25 years old), Social History: Homeless, Unemployed, Single,
Nonsmoker; no ETOH (ETOH is an acronym for ethyl alcohol); no illicit drugs
On line college student-struggles to understand material
RRMS (Relapse-Remitting Multiple Sclerosis)
Symptoms
2006: blurred & double vision
2013: Double vision; urinary urgency; poor attention
2012: Numbness in both legs
Diagnosis: RRMS - Relapse-Remitting Multiple Sclerosis
(2 episodes of neurological symptoms referable to the CNS, separated in space and in time)
Memory problems past 6 months; fatigue; heat intolerance; problems with balance
Prevalence by Cognitive Domains
Memory 40%
Information Processing 35%
Attention/concentration 30%
Problem Solving 20%
Visuospastial Abilities 20%
Verbal fluency 10%
Multiple domains (average)22%
Supporting the Diagnosis
–Multiple enhancing white matter lesions
–High T2 signal in the right optic nerve
–Rim enhancing lesion at T6-7
–Bands notes in CSF and not in serum
Medications
Discussion Case Study #6a.
1. What is the effect of the demyelization on the nerves of an individual who has Multiple Sclerosis?
2. Why are the medications appropriate?
3. Why do you think females are at greater risk for MS?.
1.The demyelization refers to affecting the myelin sheath and making it to shed and lead to symptoms in patients.Somo of the effects which can be observed in a patient who has demyelination are
2.The interferon helps to reduce the inflammation occurs g in the neurons and controlling the symptoms
The gabapentin can reduce mody of the neurological symptoms and the pain in patients
The anticholinergic effect of Oxybutynin controls all involuntary movements
Hence the above mentioned medications are appropriate for the patient
3.The female are at risk for MS due to
Neurologic System: Multiple Sclerosis Discussion Assignment: What is the effect of the demyelization on the nerves of an individual who has Multiple Sclerosis? Why are the medications appropriate? Why do you think females are at greater risk for MS? Case Study: Patient: Myrtle, Newly Diagnosed, (25 years old) Social History: Homeless, Unemployed, Single, Nonsmoker; no ETOH (ETOH is an acronym for ethyl alcohol); no illicit drugs On line college student-struggles to understand material Symptoms 2006: blurred & double vision 2013:...
Neurologic System: Multiple Sclerosis Discussion Assignment: What is the effect of the demyelization on the nerves of an individual who has Multiple Sclerosis? Why are the medications appropriate? Why do you think females are at greater risk for MS? Case Study: Patient: Myrtle, Newly Diagnosed, (25 years old) Social History: Homeless, Unemployed, Single, Nonsmoker; no ETOH (ETOH is an acronym for ethyl alcohol); no illicit drugs On line college student-struggles to understand material Symptoms 2006: blurred & double vision 2013:...
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