Nick's Story Essay

20.The part of the ANS that is responsible for reacting to stressful events and bodily arousal is called the  sympathetic division of the nervous system.

Patient is a 50-year-old-year-old left-handed white male who presents with his wife for evaluation of multiple symptoms that have been present since an MVA in 02/2013. At that time, he was T. boned and his car was totaled. He has amnesia for the event and is unaware whether or not he hit his head. The airbag did deploy. Afterwards, he was confused and noted significant pain in his neck and upper back. Since then, he has had multiple symptoms. He does have involuntary twitching on the right, more than left, both hands, legs, and sometimes feet. He demonstrates one of these twitches and it looks like a focal myoclonic jerk of a limb. These occur on a daily basis. He also has problems with his left thumb and index finger locking up. When he is fatigued, especially when his neck gets tight, he has some problems with word finding, paraphasic errors, and syntax errors. He did see Anthony P. Knox,

Neuropathic pain is described as burning, shooting, and tingling. Nociceptive pain originating from visceral sites is described as aching if localized and cramping if poorly localized; from somatic sites, it is described as throbbing/aching.

This operation did not stop the pain, even after many months of rest, more infiltrations and thermos coagulation burning of the nerve roots . He then tried acupuncture which did not calm the pain. He is now using homeopathy for the nerve system, and this helps enormously and has allowed him to start working again. Do you think there could be any connection between the shingles as a boy and these stabbing pains that he has been having overall these years Could the nerve have been damaged Answer The location of the pain certainly makes one think of shingles. Since the virus that causes shingles remains permanently in those nerves, it seems possible to me that some kind of chronic neuritis is possible. There is no true cure for this virus, though outbreaks can sometimes be helped by gamma globulin or immune sera from people with chickenpox or some antiviral drugs. If the homeopathic cure is helping, that is a blessing. Hopefully it will continue to work and whatever the cause, your husband will at least feel some

5. If Zachary’s only normal digestive enzymes come back from his mouth, what substances will he be able to digest?

Importantly, in any patients with neuropathy and specifically patients with a severe form,it is essential to rule out any other causes apart from diabetes such as ,drug induced neuropathy (e.g. isoniazid) , alcohol abuse, nutritional deficiency like vitamin B12 deficiency(Wile DJ,et al 2010),vasculitis , inherited neuropathies, and renal disease (Freeman R.2009)

H. Sannu has experienced two devastating events: loss of my elination of peripheral nerves and below-the-knee amputation of a leg. Sannu has been experiencing sensations in a limb that had no sensation prior to the amputation. How might this be possible?

They may develop alone or in combination, but as the disease progresses, all are usually present. There is no true paralysis. The symptoms are always bilateral but usually involve one side early in the illness. Because the onset is insidious, the beginning of symptoms is difficult to document. Early in the disease, reflex status, sensory status, and mental status usually are normal. Postural abnormalities (flexed, forward leaning), difficulty walking, and weakness develop. Speech may be slurred. Autonomic-neuroendocrine symptoms include inappropriate diaphoresis, orthostatic hypotension, drooling, gastric retention, constipation, and urinary retention. Depression is also prevalent.

The patient is an 80-year-old right-handed white female, who presents with her male partner for evaluation of left lower extremity symptoms. She did present for an EMG nerve conduction study in May. At that time, she gave a history of intermittent numbness into the anterior lateral thigh. The numbness rarely extended below the knee at that time, and it rarely occurred on the right. There was no clear radicular component. Her exam was normal. Her EMG of the left lower extremity was limited because she is on Pradaxa, but it was normal and CBs were consistent with a mild motor neuropathy. The diagnosis was possible meralgia paresthetica. The patient now states that the numbness is intermittent. It is on the anterior thigh, but now it goes down into the calf anteriorly and

O: Slow but normal gait, sitting upright on the examination table without any support, able to get up and down without any assistance on the exam table; no grimace on his face, limited lumbar spine range of motion (per TM); no muscle spasm; no impairment of NVS; no muscle atrophy noted; intact reflexes, + 5 strength to lower and upper extremities, peripheral pulses +3, sensation intact; Straight leg test was negative.

The doctor found that Steve was having what seemed to be stroke like symptoms. The entire left side of Steve’s face was drooping, he lost control of his extremities on that side of his body, and his hands had turn blue as if he had lost circulation. Doctor administered an ANITPLATELET AGENT immediately in case Steve was having a stroke. They also sent him for a brain computerized tomography and an antinuclear antibody test. It took a couple hours for the doctor to receive all the results, but when they came back Steve did not have a stroke. Steve was diagnosed with RAYNAUD’S PHENOMENON. The doctor had to decide his next course of

He has mysterious tingling numbness in his arms—all representative of his inability to feel in real life.

In most cases, the sympathetic nervous system and

Other symptoms involve the skeleton and connective

Peripheral neuropathy involves damage to the peripheral nervous system which serves as a major communication network for the brain, the spinal cord other parts of the body. Peripheral nerves are responsible for sending sensory information such as “cold feet” back to the brain. It is also responsible for sending signals from the brain and spinal cord to the muscles to elicit movement. There are more than 100 types of peripheral neuropathy and each is classified based on the type of damage on the nerve. Some peripheral neuropathies are due to damage to the myelin sheath which is the fatty protein that coats and insulate the axon. This myelin sheath is important for increasing the speed at which impulses propagate down a myelinated nerve fiber.