Amyotrophic Lateral Sclerosis Case Study On December 1, 2012, a patient by the name of John Dough walks into the medical assistant’s office. The patient is five foot 11 inches tall, currently he is 70 years old and weighs approximately 211 pounds. The patient has no known allergies does not smoke and has a relatively clean health record. After filling out the patient medical history forms, the patient is seen by the doctor. The patient explains to the doctor that lately he has had trouble
HIGHER MENTAL FUNCTION Examination of the higher mental function constitutes an integral part of the clinical evaluation of cortical function. However, a detailed assessment is time consuming and not routine performed. For all practical purposes, one needs to have a simple instrument for screening cognitive dysfunction. It is extremely unlikely that higher mental function assessment is assessed in the MRCPCH exam. In the section below, we have given modified mental assessment questions, which is
Electroconvulsive therapy (ECT) is a widely practiced intervention used to treat psychiatric disorders in specific groups of mental health patients.(1-3) A small electrical current is applied via electrodes attached to the patients head to induce a generalised cerebral seizure whilst the patient is sedated under a general anaesthetic.(4) The induction of seizures to treat psychiatric disorders originated from the historical observation that schizophrenic patients improved temporarily after a spontaneous
Theoretical Basis “Rafi did very well for his ‘A’ Levels and, although he did not gain admission into the teacher training programme due to health and mobility concerns, he is pursuing his dream of teaching by giving home tuition.” (Lim, 2004) Rafi, a student with Duchenne muscular dystrophy (DMD), a degenerative physical disability is most likely difficult to treat by teacher with anxiety. However, his teachers play a really big role in guiding Rafi to his general outlook on life and success. This
Rabies: Microbiology Structure Rabies virus belongs to Lyssavirus genus, Rhadboviridae family. It is a negative-sense, non-segmented, single-strand RNA and 180 nm long* 75 nm wide bullet-shape virus. All rhabdoviruses have two main structural components: a helical ribonucleoprotein (RNP) complex and a surrounding viral envelope. The rabies virus genome encodes five functional proteins: L (transcriptase), N (nucleoprotein), and NS (transcriptase-associated) protein with viral RNA are composed of the
Chemical Warfare is not the same as nuclear warfare, or the same as biological warfare. Chemical warfare involves using the deadly properties of chemical substances as weapons.Most weapons used in chemical warfare are considered to be“weapons of mass destruction” or, WMDs, and are not considered to be conventional weapons. Chemical warfare does not depend upon explosive force to neutralize targets; it depends on the chemical properties of a chemical agent weaponized. Defoliants are an example.They
Amyotrophic lateral sclerosis, also known as ALS or Lou Gehrig's disease, is a disease of the nerve cells in the brain and spinal cord that control voluntary muscle movement. Jean-Marie Charcot was the first to recognize ALS as a distinct neurological disease with its own unique pathology. In ALS, nerve cells degenerate and deteriorate, and are unable to transmit messages to muscles. In around 90% of the cases of ALS, the cause remains unknown. Studies have concentrated on the responsibility of glutamate
The plan for any movement originates in the brain. The major part of the brain involved in the initiation and control of voluntary movement is the primary motor cortex. Motor neurons in the brain are called upper motor neurons (UMNs), whereas motor neurons in the brain stem and spinal cord are called lower motor neurons (LMNs). UMNs are unable to leave the CNS; therefore they must synapse with LMNs whose axons can leave the CNS, which allows them to synapse with muscles throughout the body. Thus
such as Guilian-Barre syndrome and myotonic muscular dystrophy can also lead to flaccid dysarthria (Pena-Brookes & Hedge, 2007). The lower motor neuron lesion results in loss of voluntary muscle control, and an inability to maintain muscle tone. Fasciculations, or twitching movements, may occur if the cell body is involved in the lesion (Seikel et. al., 2010). The primary speech characteristics of flaccid dysarthria include imprecise consonant production, hypernasal resonance, breathiness, and harsh
Objective Data/Physical Assessment of Patient B.P. Vital Signs: Pulse 68 beats per minute, 2+, regular, steady; Respirations 14 beats per minute, relaxed, even, and unlabored; B/P 118/78 mmHg, left arm, sitting; Temperature is 98.9 F°. Measurements: Ht: 6 '1" Wt. 165 lbs. BMI 21.8. General Survey: B.P. 21 y.o. Well nourished Caucasian male that is awake, alert, and orientated times 3. He appears to be stated age and gender. Body build and facial features are symmetrical on both sides with an alert