2 Case study patients with symtoms

see attachment

Appendix F

HCA/240

Version 4

1

Associate Level Material

Appendix F

Review the following two case studies. Each patient is being referred to a specialist for further evaluation of a nervous system disorder. Outline characteristics of the disease each patient is suffering from by answering the questions associated with each case study. Answer in your own words.

Case Study 1

	Name	Myelin S. Heath
	Patient #	12312312		DOB:	03/05/1986
	Physician	Dr. Delgadillo		Date:	02/16/20XX

Interoffice Referral Form

Ray D. Ology, M.D.

A Doctor’s Office, North Campus

1515 N. Medical Plaza #151

Anytown, Anywhere 12345

Dear Ray,

Myelin visited my office yesterday complaining of numbness in his right leg and face. He has also been experiencing muscle weakness and mild depression. I noticed a delay in his visual response in both eyes. I have referred Myelin to your facility because of possible multiple sclerosis, and I am requesting an MRI of the brain and spine. Please fax the results to me as soon as possible.

Regards,

Ruben Delgadillo, M.D.

Answer the following questions.

1. What could have caused Myelin’s disease?

2. What structure(s) and function(s) of the nervous system are affected by multiple sclerosis?

3. What can be done to treat this disease?

Case Study 2

Name

Patient #

DOB:

Physician

Date:

Jimmy Schwimmer
45645645	11/03/2002
Dr. Raychee	04/21/20XX

Interoffice Referral Form

Melissa Neidermayer, M.D.

A Doctor’s Office, North Campus

1515 N. Medical Plaza #203

Anytown, Anywhere 12345

Dear Melissa,

I’m sending Jimmy over for a stat spinal tap to evaluate suspected meningitis. He has had a fever for a couple of days, which increased to 102 degrees today. Since yesterday, he’s been complaining of a headache and stiff neck. His mother said last week he had gone swimming in the pond by their barn and started feeling ill a few days later. Fax results ASAP.

Best,

Terrie Raychee, M.D.

Answer the following questions in your own words.

1. What could have caused Jimmy’s disease?

2. What structures and functions of the nervous system are affected by meningitis?

3. What can be done to treat this disease?

HCA/240