Amanda, a 20-year-old woman, realized that she had gotten on the wrong bus and was heading in the opposite direction from where she needed to go. She became so upset that she felt she could not breathe, got dizzy, and began sweating profusely. She is prone to attacks like these whenever she gets overly stressed.
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Read the folllowing Case stuies and Diagnosis each person with a disorder from this chapter and explain why you picked that diagnosis
Amanda, a 20-year-old woman, realized that she had gotten on the wrong bus and was heading in the opposite direction from where she needed to go. She became so upset that she felt she could not breathe, got dizzy, and began sweating profusely. She is prone to attacks like these whenever she gets overly stressed.
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- A 35 year old male presents to the ER with left side facial droop. His symptoms started 5 hours ago and were noticed by his coworkers. He reports no significant personal or family history. He was sick with flu like symptoms two week previous but has since recovered without any lasting deficit. As a clinician you need to quickly assess your patient for a stroke or possibly a Bell’s palsy. To determine a differential diagnosis, what would be the best question to ask this patient to get a preliminary idea of what we are looking at? raise and lower your eyebrows stick out your tongue smile wide (show your teeth) puff out your cheeks Select your answer and give your reasoning.A 32-year-old woman comes to the office with her 2-year-old son, whom you have been treating for spina bifida. The mother says that she would like to have another child, but she is concerned about the possibility that her future children may also have spina bifida. She currently takes a multivitamin containing 400 µg of folic acid. You advise her that to minimize the risk for having a second child with spina bifida she should do which of the following? ) Cantinue her current vitamin regimen, preconceptionally and during the first trimester Increase her dietary intake of folate-rich focs, preconceptionally and during the first trimester Take additional supplementary folic acid as soon as she becomes pregnant Take additional supplementary folic acid, preconceptionally and during the first trimester Take two multivitamins daily, preconceptionally and during the first trimesterA 24 year old woman with history of migraines, anxiety, depression, and structural epilepsy presents with a typical seizure episode. Her home medications consist of leviteracetam 1000 mg twice daily, propranolol 20 mg twice daily, amitriptyline 25 mg nightly, bupropion 300 mg daily, and escitalopram 20 mg daily. She has not added any new medications in the last month but she did adjust the doses of all medications in the last 6 months. Which medication is likely to lower her seizure threshold?
- A patient with a history of epilepsy comes in with seizures. Her mother says seizures have lasted 2–3 minutes each. Patient has three seizures in a row with no return to baseline. What is the next best step in immediate management?Read the following Case studies and Diagnosis each person with a disorder from this chapter and explain why you picked that diagnosis 1) Marcy, a 28-year-old woman, was offered a job promotion with a substantial raise; however, she declined it because she would have to move her office to the seventh floor. She will not consider buying a two-story house and she has never been outside the country she lives in because she refuses to fly on an airplane; also, she will never climb a tree or ladder. 2) Bud, a 50-year-old male, seems to always be sick. When he has a headache, he fears it is a brain tumor. When he has indigestion problems, he fears it is an ulcer. He interpreted bruising as the first sign of AIDS. He has been to the doctor but tested negative for HIV.For a paraphillic disorder to be diagnosed per the DSM 5 the presence of paraphilia must also include personal distress or impairment in important areas of daily functioning or
- Jane, a 22 year old, single Caucasian college freshman, had been in the emergency room for a reaction to alcohol. She had a blood alcohol level of .30 and was almost comatose. They were able to stabilize her in the ER. She had been binge drinking (over 4 drinks per night) for the last 2 weeks. She was admitted to the hospital for observation and stayed in the hospital for the next few days. When the alcohol was out of her system, she admitted to the counselor that she had been "hearing voices" belittling her for the last six months. She had been feeling people were talking about her on TV and on the radio and felt her professors and her roomate were conspiring against her. She stated she had felt this way for the past 7 months. She had become more and more socially isolated because of her mistrust of others and her grades had dropped. Jane said she started drinking to "drown out the voices" so she could sleep. She wanted the counselor to get the professors and her roomate to stop…Sgt. Eddie Johns leaned back against the chair in the outpatient... Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn't sure which was worse, the "morning after" headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn't know what that was and really didn't believe them anyway. He was still thinking just fine. His friend Joe wasn't so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie…Jane, a 22 year old, single Caucasian college freshman, had been in the emergency room for a reaction to alcohol. She had a blood alcohol level of .30 and was almost comatose. They were able to stabilize her in the ER. She had been binge drinking (over 4 drinks per night) for the last 2 weeks. She was admitted to the hospital for observation and stayed in the hospital for the next few days. When the alcohol was out of her system, she admitted to the counselor that she had been "hearing voices" belittling her for the last six months. She had been feeling people were talking about her on TV and on the radio and felt her professors and her roomate were conspiring against her. She stated she had felt this way for the past 7 months. She had become more and more socially isolated because of her mistrust of others and her grades had dropped. Jane said she started drinking to "drown out the voices" so she could sleep. She wanted the counselor to get the professors and her roomate to stop…
- 10-year-old female was admitted due to episodes of generalized seizure-like activity that started a day prior to admission. 14 days prior to admission(PTA), she was playing with friends in their backyard when an object cut her leg. Despite having a deep cut, she continued on her game. 10 days PTA, she experienced stiffness of the neck, difficulty of swallowing and chewing. the signa and symptoms persisted until 7 days PTA, when she experienced abdominal rigidity, sweating, fever and tachycardia. the patient condition worsened until admission. Questions: discuss the significance of soluble NSF (Nephrogenic Systemic Fibrosis) attachment receptor protein (SNARES) in the release of neurotransmitters Discuss the different of EPSP and IPSP, and its ionic basis explain the manifestation cited in the case to tetanus and its pathophysiology Differentiate the type of paralysis that occur in tetanus and botulismIn five hundreds words, describe these concepts shock, heart failure, COPD, ABGs, tuberculosis, chest tubes, depression, suicide, and bipolar disorder. asap please and answer the question with your own wordsSally Conner is a 60-year-old who recently suffered a stroke at home. She has been moved into Real Nice Long Term Care facility for recovery. Her vital signs are normal but complains of intermittent mild headaches. She has left sided weakness in her arm and leg, and currently spends most of her time in bed. She suffered from CVA last month which has left her debilitated and dependent with self-care. She has difficulty with swallowing and requires assistance with feeding. You will assist her with brushing her teeth, provide a partial bed bath, help her change her gown, and change her bed while she is in it. Question: If patient has weakness on the left side, where should you best approach the patient and why?