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CP02 Advance Pathophysiology case Study 1 _Neurological – South University | Advance Pathophysiology Case Study 1 _Neurological System

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CP02 Advance Pathophysiology case Study 1 _Neurological – South University Neurological Neurological System Case Study - #1 Mrs. Smith is an 85-year female with a history of Hypertension, diabetes and osteoarthritis. Her daughter who cares for her reports that she became suddenly confused beginning last night. She recognizes her daughter but has been unable to remember her grandchildren’s names. She continuously asks her daughter “What are those kids doing in our house?” Her mother was in and out of bed all night and slept very little. Her daughter does say that her mother seemed better this morning, but on the way to your office she became more confused again. Review of systems is significant for a dry cough for the past few days. She has not had a fever. Her appetite has been poor. Her exam is normal except for some fine crackles in her left lung base. Mrs. Smith’s daughter says, "My dad had Alzheimer’s and now it looks like I am going to have to go through that with my mother” What are the possibilities for change in Mrs. Smith’s current mental status? Her problems could stem from having a UTI, due to being up and down all night, this would attribute to her confusion as well. Another could be some sort of dementia such as Lewy body, this is a more rapid onset type of dementia. Or a Trans ischemic attack, this would explain in the confused thinking as well as not - - - - - - - - - - - - - -- - - - - - - In conclusion, while there are many types of seizures and different treatment is imperative for the proper diagnosis. For that reason, this practitioner would refer the patient and the family to the financial aid department and any funding body connected to the facilities to help offset the cost of needed test. Some of the medications used are benzodiazepine (Diazepam) or Gabapentin, Lacosamide, Carbamazepine or Phenobarbital. It is important for all the test results to be able to manage them correctly. References Johns Hopkins. (n.d.). Electroencephalogram. Retrieved March 4, 2020, from Lava MD, N. (2018, July 7). Epilepsy and Blood Test. WebMD. Retrieved March 4, 202, from Mayo Clinic. (2018, June 27). Delirium. Retrieved March 4, 2020, from Mayo Clinic. (2018, March 13). Pneumonia. Retrieved March 4, 2020, from


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January 28, 2021
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2020/2021
Type
Case
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Hopkins
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A
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