Transverse Myelitis Treatment Plan Assignment

This paper is based on an assessment of a patient. The assessment underlines the nutritional health status of the patient, by indicating that he is malnourished. This patient has few chronic diseases including hypertension, pernicious anemia, and depression. The mini nutritional assessment finding, labs, and interventions will be further discussed.

Dermatomyositis is an uncommon inflammatory muscular disease, which involves the degeneration of collagen, discoloration and swelling of the skin and underlying muscle. Dermatomyositis is known by it’s distinctive skin rash and muscle weakness. Dermatomyositis affects children and adults, but it usually affects children between the ages of five and fifteen, and it occurs in adults in their late forties through sixties. Dermatomyositis is also more commonly found in females than males.

From lifting weights or using performance enhancing drugs; high school athletes, professional athletes, and bodybuilders wants to get bigger and stronger. From using drugs such as creatine and anabolic steroids. Creatine is an increases the body’s ability to produce energy rapidly according to Risher. Anabolic steroids, an organic compound with four rings arranged in a specific configuration. Both substances are being abused by high school and professional athletes that want to gain muscle in a short period of time.

Steroid use in baseball has been a massive problem over the years. Steroids have been on the banned substance list since 1991 but testing did not begin until 2003. Players have been taking performance enhancing drugs (PEDs) since the nineties, but it was not until recently when players started getting tested and caught. The use of steroids has negatively effected the sport overall, the community of fans and children, and also the players; moreover, there are some major consequences if a player tests positive for performance enhancing drugs.

Raynaud’s syndrome affects the blood vessels in the hands and/or feet normally. The blood vessels in the affected areas will contract or narrow when the patient is feeling stressed or cold. It has two forms; primary and secondary. The two forms differ in their causes. Raynaud’s syndrome will affect the quality of a patient’s life, but it is not a debilitating or life threatening disease. (Mayo Clinic, “Raynaud’s Disease”)

Myasthenia gravis is a chronic autoimmune neuromuscular disease characterized by varying degrees of weakness of the skeletal muscles of the body. It occurs when communication between nerve cells and muscles becomes impaired. This impairment prevents crucial muscle contractions from occurring, resulting in muscle weakness. Normally when impulses travel down the nerve, the nerve endings release a neurotransmitter substance called acetylcholine. Acetylcholine travels from the neuromuscular junction and binds to acetylcholine receptors which are activated and generate a muscle contraction. In myasthenia gravis, antibodies block, alter, or destroy the receptors for acetylcholine at the neuromuscular junction, which prevents the muscle contraction

For the unknown phase two project, I was assigned unknown number one. After many tests, I came to the conclusion that my unknown was Acinetobacter baumannii. It had cultural characteristics of yellow or clear colony pigmentation, smooth and translucent surface, circular form, smooth margin, and flat elevation. The unknown’s broth properties included a ring, turbidity, and sediment.

“In the morning when a large number of bodies were found in the pit, they took

Multiple Sclerosis is primarily a T-cell mediated immune inflammatory disease that disrupts the regular functions of our central nervous system. Our central nervous system, the brain and the spine, are responsible for many of our voluntary and involuntary movements. However, in patients with Multiple Sclerosis, the immune system attacks the myelin sheaths that protect the nerves of the CNS. After repeated attacks, the myelin sheath will fall apart, and the immune cells will continue to attack the nerves themselves, which can be irreversibly damaged. Symptoms of Multiple Sclerosis include fatigue, numbness, weakness, vision problems, depression, and walking difficulties. In the United States, more than 350,000 patients

What are emotions? According to dictionary.com, an emotion is, "any strong agitation of the feelings actuated by experiencing love, hate, fear, etc., and usually accompanied by certain physiological changes, as increased heartbeat or respiration, and often overt manifestation, as crying or shaking" (Emotions). It is also defined by the Oxford Dictionary as "a natural instinctive state of mind deriving from one 's circumstances, mood, or relationships with others" (Emotion). Emotions are a chemical reaction in the brain that causes a person to feel a certain way. For example, when the brain releases dopamine, the "pleasure chemical," it causes happiness and can also create a natural high (Hunter). Another chemical that can cause someone

Lyme disease is a bacterial infection caused by the bacterium Borrelia burgdorferi. The disease is spread through the bite of a deer tick. The ticks are carried by several different animals that live in wooded areas. They range from deer, raccoons, skunks, to chipmunks and squirrels. (WebMD). Lyme disease is virtually only found in the northeast and upper Midwest of the United States. The states that Lyme disease is found in include, Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, and Wisconsin. In 2014, 96 percent of all cases came out of these states. Upwards of 30,000 people a year are diagnosed a year with Lyme disease. This is only a fraction

Hyperacusis is found to be associated with both peripheral and central factors. Hyperacusis is often accompanied by a cochlear hearing loss, and this usually involves damage to cochlear hair cells and subsequent auditory nerve degeneration. However, annoyance, fear, and pain hyperacusis must involve central mechanisms.

Rocky Mountain Spotted Fever (RMSF) is a tick born potentially fatal disease. It is caused by the bacterium Rickettsia Rickettsii. The CDC has record counts of RMSF since as early as the 1920’s in the US. Most of the cases of RMSF are reported in North and South America. Although it is most common in the Southeastern US, it has also been found in Canada, Mexico, and Central America. Early treatment with the antibiotics Doxycycline and Tetracycline is the key in preventing a fatal outcome. Treatment is most effective if started with five days of onset of symptoms. Early symptoms include high fever and rash. The rash will appear as small, flat, pink and non-itchy spots between two to five days after symptoms have begun and about 90% will develop this. The rash first appears on the wrist and the ankles then spreads in either directions up or down the legs and arms. Other symptoms may include nausea, vomiting, abdominal pain that mimics appendicitis, deep muscle pain, lack of appetite, or red eyes.

In the few cases that are not recognized by CT the health care practitioner may consider performing a lumbar puncture to identify blood in the cerebrospinal fluid that runs in the subarachnoid space.