There is no one single test to diagnose Amyotrophic Lateral Sclerosis (ALS); rather ALL observations and assessment of systems assist to conclude the diagnosis EXCEPT: Family History O Cognitive Impairment O Muscle Spasticity O Muscle Weakness
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- What are the major differences between ALS and MS, physiologically? Describe any pathological differences you find in your researchA 35 year old male presents to the ER with left side facial droop. His symptoms started 5 hours ago and were noticed by his coworkers. He reports no significant personal or family history. He was sick with flu like symptoms two week previous but has since recovered without any lasting deficit. As a clinician you need to quickly assess your patient for a stroke or possibly a Bell’s palsy. To determine a differential diagnosis, what would be the best question to ask this patient to get a preliminary idea of what we are looking at? raise and lower your eyebrows stick out your tongue smile wide (show your teeth) puff out your cheeks Select your answer and give your reasoning.Pretend that you have a mobility impairment (i.e., you haveto use crutches or a walker, cane, or wheelchair), and attempt to perform your usual daily activities, ideally including visit-ing a public place, such as a school or mall. How did you feel about the restriction of your movement? How can nurses bestassist patients who are coping with these restrictions? Howdid the public respond to your impairment, and what effectsmight such responses have on individuals with mobilityimpairments? Are public spaces adequately adapted to meetthe needs of those with mobility impairments? What measuresare needed to address any deficiencies? Did you identify anysafety needs?
- Mr. Wright is recovering from abdominal surgery. When thenurse assists him to walk, she observes that he grimaces, moves stiffly, and becomes pale. She is aware that he hasconsistently refused his pain medication. What would be apriority nursing diagnosis for this patient? a. Acute Pain related to fear of taking prescribed post-operative medications b. Impaired Physical Mobility related to surgical procedurec. Anxiety related to outcome of surgeryd. Risk for Infection related to surgical incisionAs the SLP in an acute rehab facility, you are given a referral to assess a new patient s/p CVA with dysarthria. The case report indicates that the patient has a lower motor neuron lesion, weak and breathy vocal quality, and right-sided facial droop. What type of dysarthria would MOST LIKELY be the diagnosis? A: Flaccid B : Spastic C : HyperkineticThese are useful tests for peripheral neuropathy. Select ALL that apply. Blood tests Nerve conduction tests Electromyograms Ultrasound Quantitative sensory testing Biospy CT scan
- How can I advocate for a patient with full blown eclampsiaExplain three (3) signs and symptoms of MSA 24-year-old female visits her GP after having been in an automobile accident three days prior. She reports that while driving in slippery conditions she rear-ended the car in front of her and she was then rear-ended by the car behind her. She was traveling at about 30 mph and her airbags did employ. She reports first responders found no injuries but advised her to follow up with her GP if she developed any unusual symptoms.The woman reports that she seemed fine after the accident but did wake the morning after with a bit of a stiff neck and a headache; she didn't feel this was unusual given the accident and went on about her day. At the end of the next day she had to carry heavy bags up two flights of stairs to her apartment and when almost to her door she felt a zing all the way down her right arm. She immediately put the bags down. When she lifted the bags again her right arm felt numb. She woke this morning with a very stiff neck, stiffness in her upper arm, and “tingles” in her…
- A 24-year-old female visits her GP after having been in an automobile accident three days prior. She reports that while driving in slippery conditions she rear-ended the car in front of her and she was then rear-ended by the car behind her. She was traveling at about 30 mph and her airbags did employ. She reports first responders found no injuries but advised her to follow up with her GP if she developed any unusual symptoms.The woman reports that she seemed fine after the accident but did wake the morning after with a bit of a stiff neck and a headache; she didn't feel this was unusual given the accident and went on about her day. At the end of the next day she had to carry heavy bags up two flights of stairs to her apartment and when almost to her door she felt a zing all the way down her right arm. She immediately put the bags down. When she lifted the bags again her right arm felt numb. She woke this morning with a very stiff neck, stiffness in her upper arm, and “tingles” in her…A 24-year-old female visits her GP after having been in an automobile accident three days prior. She reports that while driving in slippery conditions she rear-ended the car in front of her and she was then rear-ended by the car behind her. She was traveling at about 30 mph and her airbags did employ. She reports first responders found no injuries but advised her to follow up with her GP if she developed any unusual symptoms.The woman reports that she seemed fine after the accident but did wake the morning after with a bit of a stiff neck and a headache; she didn't feel this was unusual given the accident and went on about her day. At the end of the next day she had to carry heavy bags up two flights of stairs to her apartment and when almost to her door she felt a zing all the way down her right arm. She immediately put the bags down. When she lifted the bags again her right arm felt numb. She woke this morning with a very stiff neck, stiffness in her upper arm, and “tingles” in her…A nurse is preparing a patient for a cesarean section and teachesher the effects of the regional anesthesia she will be receiving.Which effects would the nurse expect? Select all that apply.a. Loss of consciousnessb. Relaxation of skeletal musclesc. Reduction or loss of reflex actiond. Localized loss of sensatione. Prolonged pain relief after other anesthesia wears offf. Infiltrates the underlying tissues in an operative area