Trouble With Balance Case Study

He said he looked up on WebMD and has been using cool baths and calamine lotion, which he does think is helpful. He has not had any fevers, chills, or body aches. No nausea, vomiting, or diarrhea and he is otherwise feeling well. The patient was last seen in the office in July 2013 by my colleague, when he was ill.

Followup in one year to make sure he is not having any worsening of the strength or sensation of his extremities. I have advised him to contact me soon than this, though, should he have worsening of the strength or sensation of his extremities, especially of his distal lower extremities or other neurological difficulties before then. Thank you for allowing me to participate in this patient 's care, Craig Johnson,

If either of these medications are unsuccessful the patient needs to be transferred to a higher level of care. There

The next morning when the doctor check on him they realized something was quite wrong as his condition had gotten worse. He had also now become delirious and had tremors throughout his limbs, not violent but very shaky and , was constantly going

But the staff understood and Dr. Westwood got an ambulance and reached to ED. He presented with diaphoresis, motor dysfunction, paresthesia, nausea, and ascending paralysis from his leg to the upper body, arms, face and head. He became cyanotic and hyperventilating and it turned to be bradycardiac with a BP 90/50mmHg. After five hour long clinical treatment procedures were followed for tetrodotoxin poisoning, his vital signs were

Chief Complaint Seizure. History Patient is a 41-year-old right-hand white female who previously followed with me, but was lost to follow up in 2011. She was seeing me for combination of seizures and pseudoseizures. She was on Keppra 500 in the morning, 1000 at night.

The patient appears to be alert, engaging, and oriented. There was no evidence of

He had coughing fits (54) that were quite normal at first

Head to toe assessment completed. A&OX1. Vital sign T 98.8 F left ear tympanic, P 78, R28, BP 120/80 and O2 94 RA. Pt denies any pain and rated 0 on scale of 0 to 10. No sign of discomfort presented.

His appetite is much better. Mr. Liwak said he really doesn’t have much pain other than the arthritis pain he has in his left knee. He normally has an injection with Dr. Wilson to the left knee every 90 days. He is supposed to have one at the appointment with Dr. Telehowski on 2/27/17. This helps with his pain.

CURES report was reviewed. Last urine drug screen on 12/04/14 was appropriate. On examination, there is tenderness upon palpation over right medial knee joint line. Mild atrophy of right medial quadriceps muscle is noted.

In the serious stage the patient is step by step decreased to a vegetative state. Discourse gets to be nonfluent, dull, and to a great extent non-open. Sound-related perception is exceedingly constrained, with numerous patients showing fractional or complete mutism. Late over the span of the sickness numerous neuropsychological capacities can never again be measured. Additionally primitive reflexes, for example, handle and suck develop.

• Changes in the shape of the skull or other bones. • Hearing loss, if the bones of the skull are affected. In some cases, there are no symptoms. DIAGNOSIS This condition may be diagnosed based on: • A physical exam and medical history.

The note reports that the patient continued to have back spasms. His medication regimen had been continued at that time. The note states that Valium was prescribed as a short-acting pain medication. In this case, muscle spams have been noted that interfere with the function. Medication dependence or abuse issues have not been noted.

Her only regular medication is Atacand. On examination today, oxygen saturation was 97% and blood pressure was 130/75. Chest auscultation was clear and two heart sounds