The clinic sees a 32-year old woman who presents with 6-months of increasing tiredness, tingling, and numbness in the left leg. She also has impaired vision. The 32-year-old woman states that her symptoms have worsened and that she is now unable to walk. A rash has developed on her skin. According to a physical examination, she is suffering from bilateral lower extremity weakness as well as severe numbness/tingling in her left foot. Additionally, her eyesight is impaired and she displays a visible rash.
Subjective:
ENT: Refuses to treat any discharge from the nose
Cardiovascular: Does not deny any abnormalities or palpitations
Breathing problems can be rescinded by the respiratory system
Musculoskeletal: Upper and Lower Extremity Pain, Leg Numbness
Objective:
Observation: A friend supported the patient and escorted him to the facility.
Neurological examination: There is a bilateral paleo of the optic disc that shows significant AV nicking. The pupils’ reaction to light appears abnormal. Extraocular tests reveal no nystagmus. Other signals from the cranial nerves are indicative of optimal performance.
It is located in the upper right hand limb. The deltoid strength has decreased to 2/5.
Because of the decreased muscular strength (3/5), paresis in the lower right extremity can be quite evident.
Vibrational senses in the distal extremities are slightly impaired; the lower extremities have severe vibrational loss.
Romberg’s Gait Test Is Positive
Cognitive: A partial orientation towards time, place and/or person. A mild perplexity may be apparent
Negative effects of family ancestry on neurological conditions
Reported that there were no chronic diseases in their family’s medical records. No allergy to medication or food
Social history: Refusal to use alcohol, smoke, or recreational drugs; denial about a prior collapse.
Multiple Sclerosis Primary Diagnosis
Differentials – Neoplasms in the spinal cord, acute disseminated and encephalomyelitis
Treatment plan
Interferon-beta is a drug that reduces the likelihood of MS patients relapsing.
Glatiramer Acetate: This medicine reduces the likelihood of MS flare-ups.
A functional electrical stimulation (FES), or an ankle-foot orthosis, is recommended to reduce falls and improve movement patterns. It also helps with waking effort (Hanse et al., 2018).
Exercise to improve somatic performance
Motor functions can be dramatically improved by upper limb exercises (Kaisey and co., 2018).
Training for gait and equilibrium coordination
Education in health education. Two weeks later, a date was set for the return to review.
The clinic sees a 32-year old woman who presents with 6-months of increasing tiredness, tingling, and numbness in the left leg. She also has impaired vision. The 32-year-old woman states that her symptoms have worsened and she is now unable to walk. A rash has developed on her skin. A physical exam revealed that she has severe bilateral lower extremity weakness, numbness in her left leg and tingling. She also has impaired vision and noticeable skin rash.
Subjective:
ENT: Refuses to treat any discharge from the nose
Cardiovascular: Rejects any abnormalities, palpitations, or other symptoms
Breathing problems can be rescinded by the respiratory system
Musculoskeletal: Upper and Lower Extremity Pain, Leg Numbness
Objective:
Observation: A friend supported the patient and escorted him to the facility.
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