Date 3lo18 Case 1-Neurotransmitters A 47-year-old Caucasian woman presents with
ID: 205781 • Letter: D
Question
Date 3lo18 Case 1-Neurotransmitters A 47-year-old Caucasian woman presents with chronic back pain, and says that she has been on disability for her back pain for the past two years She says that the pain began after an accident at work, and that she has had many procedures and tried various medications over the past few years During the visit she seems vary calm and slow to speak, and you notice her pin-point pupils. She described a past addiction to heroin, but says that she is now taking nothing but ibuprofen, although she smokes a pack of cigarettes a day and drinks socially She also complains of a constant ringing in her ears (tinnitus) You do not observe any needle tracts on her arms 1. Is the patient telling the truth? If not, what do you suspect? yes belie ar mptms ere from excess usa buprofen Which would be a good next course of action - an MRI of the back or a urine toxicology test? Explain. 2. 3. Why may the patient's past use of heroin be relevant in this case? 4. Treatment for this patient may include, ironically, a drug with some effects similar to heroin. What is this drug and how does it work to help such individuals?Explanation / Answer
Answer:
1) If the patient telling the truth? If not what do you suspect?
2) Which would be a good next course of action
3) Patient's past use of heroine may be relevant in this case because her symptoms of chronic back pain are usually correlated with consumption of opoid painkillers and are more likely to use illicit drugs
4) Drug with similar effect to heroine is Suboxone which is given to patients for treatment of opioid dependence and to relieve chronic pain. It helps such individuals by reducing symptoms of opiate addiction and withdrawal.
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