Kaitlin,+Carmen+NCS+4


 * **PMH **


 * Appendicitis with appendix removal 2003 || **VOCAB/ACRONYMS **


 * A&O x 3 – alert and oriented to person, place and time
 * t/o – throughout
 * B/L – bilateral
 * Romberg test – close eyes while standing. ||  ||
 * **OBSERVATIONS **

Her husband adds that she:
 * has been more clumsy recently
 * trips very often
 * has a very low energy level
 * complains of feeling fatigued ||^  ||   ||
 * ^  || **TESTS ORDERED AND RESULTS **


 * 1) Brain MRI – multiple diffuse plaques throughout the brain consistent with demyelination ||   ||
 * **SYMPTOMS/COMPLAINTS **


 * <span style="font-family: 'Californian FB','serif';">Tingling and “strange sensations” in both legs and both hands
 * <span style="font-family: 'Californian FB','serif';">Symptoms have started two days ago but have occurred a couple times before in a little over a year that disappeared.
 * <span style="font-family: 'Californian FB','serif';">Sensations do not feel normal in both legs below the knees (states that it feels as if she is wearing socks when she is touched.)
 * <span style="font-family: 'Californian FB','serif';">Triceps and patellar reflexes are slightly elevated bilateral.
 * <span style="font-family: 'Californian FB','serif';">Patient has 20/50 vision B/L. She does not wear any corrective lenses and states she has never needed to.
 * <span style="font-family: 'Californian FB','serif';">Romberg test is positive || **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">DIAGNOSIS **

<span style="display: block; font-family: 'Californian FB','serif'; margin: 0in 0in 0pt; text-align: center;">Multiple Sclerosis ||  || <span style="font-family: 'Times New Roman',Times,serif;">﻿ ||  ||
 * ^  || **<span style="font-family: 'Centaur','serif'; font-size: 11pt;">RATIONALE FOR DIAGNOSIS **
 * <span style="font-family: 'Times New Roman',Times,serif;">The patient's reoccuring tingling sensation in her hands and legs, her decrease capability in vision, and the MRI showing demyelination indicates that she has Multiple Sclerosis.

<span style="display: block; font-family: 'Centaur','serif'; font-size: 11pt; margin: 0in 0in 0pt; text-align: center;">Complete the following for the disease you diagnosed

**__<span style="font-family: 'Centaur','serif'; font-size: 11pt;">NAME OF DISEASE __**

<span style="font-family: 'Californian FB','serif'; margin: 0in 0in 0pt;">Multiple Sclerosis

**__<span style="font-family: 'Centaur','serif'; font-size: 11pt;">SIGNS AND SYMPTOMS OF DISEASE __**


 * <span style="font-family: 'Californian FB','serif';">Tingling and “strange sensations” in both legs and both hands
 * <span style="font-family: 'Californian FB','serif';">Symptoms have started two days ago but have occurred a couple times before in a little over a year that disappeared.
 * <span style="font-family: 'Californian FB','serif';">Patient has 20/50 vision B/L. She does not wear any corrective lenses and states she has never needed to.

**__<span style="font-family: 'Centaur','serif'; font-size: 11pt;">HOW DISEASE IS DIAGNOSED (WHAT DIAGNOSTIC TESTS AND WHAT THEY WOULD SHOW) __**

<span style="background: white; font-family: 'Californian FB','serif'; margin: 0.25in 0in;">Magnetic Resonance Imaging ( MRI) Scan - MRIs use computer generated radio waves and powerful magnetic waves to produce images of the body structures including tissues, organs, bones, and nerve. In this case, the brain and spinal cord of the patient was targeted for tests.

**__<span style="font-family: 'Centaur','serif'; font-size: 11pt;">TREATMENT __**

<span style="font-family: 'Californian FB','serif'; margin: 0in 0in 0pt;">Although a cure for multiple sclerosis does not yet exist, by coping with multiple sclerosis and its symptoms, those affected should still try to stay well.


 * <span style="font-family: 'Californian FB','serif';">Maintain proper physical fitness and diet.
 * <span style="font-family: 'Californian FB','serif';">Medication
 * **<span style="font-family: 'Californian FB','serif';">Corticosteroids **<span style="font-family: 'Californian FB','serif';">: These affect immunologic actions, such as inflammation (swelling) and immune responses associated with multiple sclerosis may help expedite the recovery (but not necessarily reduce the severity) from multiple sclerosis attacks.
 * **<span style="font-family: 'Californian FB','serif';">Immune-modulating drugs **<span style="font-family: 'Californian FB','serif';">: These decrease the ability of the immune cells to cause inflammation.
 * **<span style="font-family: 'Californian FB','serif';">Immunosuppressants **<span style="font-family: 'Californian FB','serif';">: These are stronger medications that also interfere with the function of the immune system and can reduce inflammation.
 * <span style="font-family: 'Californian FB','serif';">Acupuncture
 * <span style="font-family: 'Californian FB','serif';">Vitamin Supplements
 * <span style="font-family: 'Californian FB','serif';">Rehabilitation if necessary
 * <span style="font-family: 'Californian FB','serif';">Manage stress and emotions efficiently

**__<span style="font-family: 'Centaur','serif'; font-size: 11pt;">PROGNOSIS AND COURSE OF DISEASE __**

<span style="font-family: 'Times New Roman',Times,serif;">The average life expectancy for someone with MS is 35 years after the symptoms begin. This represents a life expectancy of 95 percent of someone who does not have multiple sclerosis.

<span style="font-family: 'Times New Roman',Times,serif;">Most people with the disease can function effectively; however, a rare form of acute MS can be fatal within weeks.

**__<span style="font-family: 'Centaur','serif'; font-size: 11pt;">WHAT IT’S LIKE TO LIVE WITH IT (FIND PICTURES AND VIDEOS FOR YOUR WIKI PAGE) __** <span style="font-family: 'Centaur','serif'; font-size: 11pt; margin: 0in 0in 0pt;">media type="youtube" key="qgySDmRRzxY?fs=1" height="385" width="480"

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