Peripheral neuropathy

Case Summary Ms. Charles is a female who presented with a gradual onset of seemingly unrelated symptoms that progressively worsened throughout her life. As a child she developed multiple dental caries and periodontal disease. A few years later, she began having dry mouth symptoms; generalized myalgias and arthralgias; and chronic eye irritation and blepharitis, which did not respond to over-the-counter eye drops, allergy medications, or pain medications. She was evaluated by multiple physicians…

Chronic Renal Disease: J.H. and ESRD J. H. is a 55-year-old African American male who presented himself to the Emergency Department with a progressively worsening headache. He had a blood pressure (BP) of 233/134, with complaints of regular abdominal pain with nausea and vomiting and shortness of breath with exertion. Alert and oriented, he stated non-compliance with his BP medications and refusal to do dialysis since his initial diagnosis. Pathophysiology ESRD is the fifth and final stage…

Diabetes type 2 is a chronic condition in which insulin does not respond to high glucose levels in the blood. The insulin produced in the body has a resistance to the glucose. The pancreas may still produce insulin, but the insulin does not have the usual effect on cells. Diabetes affects people when there are high blood glucose levels, which lead to damage of blood vessels. This can lead to several complications including heart disease, kidney damage, nerve damage, eye damage and can cause…

A review of his medical record indicates a medical history of peripheral edema, chronic pain Seizures, Hypotension, Prostate cancer, bladder removal, sleep apnea, NIDDM, gout, kidney stones, neuropathy, pulmonary embolus-has filter, DVTin right leg, chronic edema in right leg and chronic pain syndrome. At today’s visit he is accompanied by his wife. He is homebound due to his immobility. His wife reports that his immobility started 8 years ago. He has not left his room in the last 3 years due…

alone are at a higher risk for falls. Repeated falls and instability are common precipitators of nursing home placement (Ham et.al., 2014). This patient has several chronic conditions that make her more likely to fall. She has osteoporosis and neuropathy. Both of these conditions can be linked to frequent falls. Also, she takes several…

Jessie Von Leer was seen in followup for Parkinson's disease. She states that she still feels somewhat slow on standing and walking. However, she is now able to walk without using a cane. Her main difficulty is each dose of Sinemet does not last until her next dose. She takes Sinemet 25/100 one and one half tablets at 9 AM and 3 PM then one tablet at 9 PM and 3 AM. She states that her Parkinsonian symptoms, including her gait ability seemed to have improved after taking each dose of Sinemet…

2.2 Risk Factors Genetics has a strong impact on atherosclerosis, however only a fraction of cases are due to Mendelian disorders, such as LDL receptor gene mutations. Familial traits that predispose an individual to atherosclerosis include conditions such as, hypertension and diabetes and inflammatory disorders (Crowther, 2005, Falk, 2006, Kumar, 2010). Age also plays a role, as individuals between 40 to 60 years of age are at elevated risk of manifesting atherosclerosis, whilst ischemic heart…

1. Do all plants contain gluten? Make a list of plants that contain gluten. (1 pt) Not all plants contain gluten, but some plants like wheat, rye, and barley are packed with the protein, gluten. Gluten is one of the “most heavily consumed proteins on earth, and is created when two molecules, glutenin and gliadin, come into contact and form a bond” (Specter). Plants that contain gluten include: ➢ Wheat ➢ Rye ➢ Barley ➢ Bulgur ➢ Seitan ➢ Triticale ➢ Mir 2. What are some known health issues…

There are about six major categories in the Type-2 Diabetes Mellitus complication; those are cardiovascular conditions, cerebrovascular conditions, nephropathy, ocular lesions, neuropathy, and diabetic foot problems. Hypertension, angina, chronic heart failure, myocardial infarction, other related heart diseases, and peripheral vascular disease are the major cases on cardiovascular conditions which follows the Type-2 Diabetes Mellitus. Next is the cerebrovascular condition such as stroke and…

Primary Care Physician: The primary care physician can help the patient by monitoring the blood sugar level, which can slow the progression of the diabetes and help with the patient peripheral neuropathy and her walking difficulty since her primary physician already knows Betsey’s medical history and is more affordable for Betsey than going to a specialist. Moreover, the primary care physician can treat Betsey’s deep vein thrombosis and pulmonary embolism, which caused pain, sores and swelling…