You have two very ill patients this week, and each of them presents a very compl

Question

You have two very ill patients this week, and each of them presents a very complicated case. First, you have a patient with an ongoing problem that has resisted diagnosis. He was enroute to an evaluation with a neurologist, but on the way to the hospital suddenly fell into a coma (a state of involuntary unconsciousness due to illness or injury) and had to be brought in to your medical facility by ambulance.

You will use at least 10 medical terms to describe this patient, and to refer to the original underlying problem the patient had in the first place. Use the nervous system medical word elements chart and the medical, surgical, and diagnostic terms chart on from your textbook to get you started on the medical terms you will need. You can include specific drugs used in neurological disease as you list at least 3 tests and procedures used.

Your second patient this week is also quite ill and is presenting a number of problems. This patient is diabetic, and also has another Endocrine System disorder (of your choice). Consult the endocrine medical word elements chart as you develop medical terms—include at least 10 that would be appropriate in this case. You should consult medical, surgical, and diagnostic procedures in your textbook as you select at least 3 tests and procedures for this patient. .

Explanation / Answer

1.PATIENT WITH BRAIN TUMOR
-Describing the patient-Common clinical manifestations Headache, Vomiting,Papilledema,Personality changes and a variety of focal de?cits
-for Localized Symptoms includes Tumors of the cerebellum: dizziness; an ataxic or staggering gait, with tendency to fall toward side of lesion;
-for Tumors of the cerebellopontine angle: usually originate in sheath of acoustic nerve; tinnitus and vertigo, then progressive nerve deafness
*Medical Management -A variety of medical treatments,including chemotherapy and external-beam radiation therapy, are used alone or in combination with surgical resection.
*Surgical Management -decompression
*Other Therapies -Radiation therapy ,Brachytherapy ,IV autologous bone marrow transplantation for marrow toxicity associated with high doses of drugs and radiation ,Gene-transfer therapy.
*Diagnostic procedures-neurologic exam,imaging tests-MRI,CT SCAN,PET(positron emission tomgraphy),biopsy
*Drugs used in chemotherapy-Tempzolomide(Temodar).

2.Diabetis
-describing the patient-Polyuria, polydipsia, and polyphagia,Fatigue and weakness, sudden vision changes, tingling or numbness in hands or feet, dry skin, skin lesions or wounds.
-Diagnostic Methods -High blood glucose levels: fasting plasma glucose levels 126 mg/dL or more, or random plasma glucose or 2-hour postload glucose levels more than 200 mg/dL.
-Medical Management - Primary treatment of type 1 diabetes is insulin.

HYPOTHYROIDISM-(another endocrine disorder)
-Describing patients-Extreme fatigue ,Hair loss, brittle nails, dry skin, and numbness and tingling of ?ngers ,Husky voice and hoarseness ,Thickened skin, thinning hair or alopecia; expressionless and masklike facial features,Slowed speech; enlarged tongue, hands, and feet; constipation; possibly deafness , Sensation of cold in a warm environment ,Hypothermia
-Medical Management - Synthetic levothyroxine ,External heat application
-tests and procedures-TSH,T4 and T3 levels,ABG values.

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