Neurology

 

 

Patrick,72 yo male presenting to your office today stating he has back pain. Sometimes the pains hoots down his leg, other times it is burning pain. This has
been occurring for several months. See the following info. below:
Ht.: 56
Wt. 260lbs.
BMI: 30
BP: 136/78
HR: 96
Smokes 1pack per day for 50 years
H/O back surgery to repair herniated disc 4 years ago. MI with CABG 5 years ago
Patrick tells you for the last several months he stumbles because he cannot lift his foot high when walking. Sometimes when standing flat, he feels like he
is standing on a rock. His foot feels also feels like it has needles sticking intuit on the bottom.
Develop this case study identifying at least 3 differential diagnoses and one definitive diagnosis and a follow-up/further investigation plan. Use 7thedition APA
format and limit this paper to no more than 6 pages. This is a formal paper and will include a title and reference page. Resources should include your assigned
textbook. Please include the following information in this assignment:
What additional questions would you want to ask this patient regarding his signs and symptoms prior to your diagnosis?
What do you suspect the patients diagnosis is? List at least three differential diagnoses and one definitive diagnosis. Discuss how you derived
these diagnoses.
What are the associated risk factors for this disease? Specifically, what risk factors does this patient exhibit?
What is the underlying pathophysiology of this disease process (your definitive diagnosis)?
Discuss potential complications of this disease and why it is so important to treat.
What can you teach this patient about lifestyle changes (discuss at least five) that could help reduce the frequency or severity of symptoms? Elaborate on why
each of your lifestyle recommendations could be helpful.
List and discuss 3 over the counter (OTC) medications patients may use to alleviate these type of symptoms.

 

 

 

 

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