Parkinson's Disease Case Study Essay

Abdomen: Obtuse with minimal bowel sounds, slightly distended. There is RLQ (right lower quadrant) tenderness with guarding and with pinpoint rebound. Positive McBurney and obturator signs with a negative psoas sign.

The patient was referred for a new itchy and tender bilateral groin lesions that the patient says will drain pus. He also has multiple other complaints. He gives a history of being allergic to DOXYCYCLINE. As previously stated, he has tender sites which can drain pus off and on in his groin for years. There is also history of facial acne and scalp acne since his late teens. He took Accutane during his 20s with improvement by history. He flared and repeated Accutane about one year after completing the first course by his history. He is bathing with unscented Dove and uses cocoa butter lotion. He also has a second problem of itching over his back, shoulders, and arms, and legs

Extraocular muscles are intact. Conjunctivae are without erythema. No drainage or discharge from the eyes. There is no involvement of the eyelid and the nearest lesion is approximately 1.5 to 2 cm lateral to the left eye. He does have multiple vesicular lesions, some of which he has rubbed and no longer have the vesicle and appear to be just almost shallow ulcerations. This extends along the temporal area, on the left side into the ear canal itself and I do see similar lesions in the ear. Again, many of which have been ruptured and there is dried blood all through the canal as well. There is no other abnormality noted. There is no wax. I can see the TM. It does not appear to be involved. There is no involvement behind the ear. No pain at the mastoid process. Mucous membranes are moist. There is no mucosal lesions. No

In this case study the patient’s regular physician referred her to a clinic to have a mole examined. The patient’s mole is located on the left upper quadrant of her abdomen. That means the mole is below her left breast. Given a more descriptive detail of the mole location; it is in the anterior truck position in the front of Mrs. Miller body. Mrs. Miller mole is inferior to the thoracic and superior to the pelvis in the abdominal region. Which means the mole is above her umbilical region. To examine the patient she must lie in a supine position laying face upward (Patton & Thibodeau, 2014, pg. 8-11). During the operation, the physician notices a similar mole in the occipital region of Mrs. Miller body. The occipital region is located on the back of lower skull. Mrs. Miller has to be placed in a prone position to be scanned. Mrs. Miller body will be laying face downward. (Patton & Tibodeau, 2014, pg 9&15).

PHYSICAL EXAMINATION: HEENT: Tympanic membranes and external auditory canals are within normal limits. Throat is clear with no gingival lesions. He is ______________. No obvious proliferate retinopoathy. NECK: No carotid bruit. No thyroid enlargement. LUNGS: Clear to auscultation. HEART: No S3, S4 or murmurs. ABDOMEN: Soft with no organomegaly. Normal bowel sounds. FEET: Good dorsalis and posterior tibial pulses bilaterally. Left foot has no abrasions, lesions, sores or ulcers. Right foot shows obvious deformity from previous break. He has an area located between his second and third metatarsal head that has clearly been an abscess that has broken through. He also has an obvious foot ulcer located over the instep of his right foot, full thickness. There is tracking to the broken foot, to which the ulcer area is connected and there is a question of osteomyelitis in this area.

Background: A 36year old Caucasian male who is a construction worker presented to his physician's office complaining of several moles on his scalp and face that were “changing.” The client noticed a color change on the moles and states "they've increased in size". The borders on the facial moles are irregular. In addition; he states "the mole on his scalp is the worst". One half does not look equal to the other half. The client states "the moles are very bothersome and they itch a lot".

This patient presented with a mass that has been progressively growing in size over the last year. After evaluating the patient, the provider felt that she most likely has a epidermoid cyst. Due to the location of the mass and the size she felt the patient needed a referral to general surgery for removal. The patient would need an ultrasound to help confirm the diagnose and rule out spinal cord involvement. The patient was started on Bactrim DS 800mg/160mg po BID for 10 days for infection. This antibiotic would cover for MRSA. I agree with the decision to refer this

John is a forty-five year old male who presented in the emergency room experiencing abdominal pain in the right lower quadrant of the ventral cavity. The pain is felt in the umbilical region, right iliac region, and right lumbar region. He is also experiencing pale skin and fatigue. John has a previous history of gastritis(inflammation of the stomach), gastroesophageal reflux disease(stomach acids coming into esophagus), and bradycardia (abnormally slow heart rate). After the laboratory drew blood, the doctor began examining John. Upon his examination, he discovered that John's epidermis was abnormally dry and flaky; this is also known as ichthyosis, proximal to the tibia and fibula. Once the blood work came back, the doctor found the source

A 25-year-old female presents to your clinic for evaluation of a mass in the vulvar area. This has been present for the last 1 week and tender to touch, there is no fever and no chills. Upon exam, you noticed that there is a medially protruding mass in the introitus area around a radius of 1.5 cm and tender to touch with some induration around the area. You advised the patient that the most likely diagnoses in this case are:

Tinea capitis (TC) is a fungal infection of the scalp mostly seen on the scalp of children. Tinea capitis is caused by a superficial fungal infection that affects the skin of the scalp, eyebrows, eyelashes but with the greatest tendency to affect the hair shafts and hair follicles (Rayala & Morrell, 2017). The hallmark feature of Tinea capitis is coma hairs and corkscrew hairs (Elghblawi, 2017). These were not seen on patient EM hence it is ruled out.

BB’s skin presents as pink, warm and dry. No obvious signs or symptoms of abnormal bruising or lesions present however, the patient states that the skin has of late has

The patient presents with hair loss that began 5 months ago. The problem is mild to moderate and has worsened. The initial location of hair loss was the diffuse scalp and temporal region that occurred gradually. Symptoms are associated with very low carbohydrate dieting and new medication within 3 - 6 months (Aleve). Symptoms are not associated with hair pulling, increased psychological stress, fever, recent illness, recent surgery or scalp rash. Relevant history positive for family history of hair thinning on both sides. Relevant history negative for anemia, hyperthyroidism, hypothyroidism,

Sarcoidosis was discovered by two dermatologists working in England and Norway. It was originally called Hutchinsons disease or Boecks disease. Sarcoidosis is the most misdiagnosed illness and is the least understood. It can occur in anybody organ, but mostly found in the lungs or lymph nodes. This disease can appear suddenly and disappear just as fast. It can also develop gradually and produce symptoms that come and go. No one yet, since it was first discovered over 100 years ago, knows what causes sarcoidosis.

Head and Neck: Patient skull is of normocephalic, atraumatic and without masses. The patient 's facial expression and facial contours are normal. The parotid glands are normal. The sinuses are non-tender. Palpation of the temporal and masseter muscles reveals normal strength of muscle contraction. There is symmetry of the nasolabial folds. There is no facial droop noted. Trachea midline. Thyroid is smooth, no goiter or

Parkinson’s Disease is known as one of the most common progressive and chronic neurodegenerative disorders. It belongs to a group of conditions known as movement disorders. Parkinson disease is a component of hypokinetic disorder because it causes a decreased in bodily movement. It affects people who are usually over the age of 50. It can impair an individual motor as well as non-motor function. Some of the primary symptoms of Parkinson’s disease are characterized by tremors or trembling in hands, legs and arms. In early symptoms the tremor can be unilateral, appearing in one side of body but progression in the disease can cause it to spread to both sides; rigidity or a resistant to movement affects most people with Parkinson’s disease,