Wearing on Her Nerves: Exploring the Interrelation Between the Nervous and Muscular Systems

Paresthesia of the face, trunk, or limbs; weakness; visual disturbances; urinary incontinence. Because those are indicators that there is CNS involvement.

9. Which of the symptoms that Y.L. reported today led you to believe she has some form of neuropathy?

This activity is the critical driving force of muscle contraction. The stream of action potentials along the muscle fiber surface is terminated as Acetylcholine at the neuromuscular junction is broken down by acetyl cholinesterase. The release of Calcium ions is ceased. The action of the myosin molecule heads is obstructed because of the change in the configuration of troponin and tropomyosin due to the absence of calcium ions. This will eventually cause the contraction to be ceased. Together with these physical processes, an external stretching force such as gravity pulls the muscle back to its normal length.

health began to decline and she soon discovers that she has multiple conditions that “impact her

Susannah Cahalan, a 24 year old, healthy and successful journalist for the New York post, experienced an acute onset of psychosis. Symptoms ranged from paranoia to seizures, which eventually led to a catatonic state. The onset of the female’s symptoms occurred when she became paranoid of a bed bug infestation in her home, yet after having her home exterminated there was no indication of bedbugs. Concern arose from her nonexistent appetite and severe insomniac behaviors. She began noticing her own erratic behaviors and shortly after experienced her first seizure episode. In search of an answer to reoccurring seizures she went to a physician who put her on Keppra (an antiseizure medication) and warned her the symptoms were due to stress and heavy drinking. The increasing paranoia developed into hallucinations, people plotting against her or speaking poorly of her. EEG and MRI results exhibited normal results; further indicating stress and alcohol withdraw. After being admitted to the NYU medical school EEG monitoring floor, examination showed tangential, disorganized, and temperamental behaviors. Several escape attempts later, placed Susannah in the more difficult patients category. Doctors suggested conditions such as schizophrenia, bipolar disorder, and cancer. She exhibited abnormally high blood pressure pointing to extreme concern.

Karen has been ill with multiple sclerosis disease and has been going to hospital now and then for a long time with frequent short admissions. The author and some church members used to take care of her at her home.

The patient, a thirty-three year old female singer, is having difficulty sleeping, simple activities like getting groceries tire the patient easy, complains of neck pain, and cannot concentrate. The patient experiences worry and anxiety. However, when asked about what specifically, many things were brought up but none were more important than the other.

Read each case below and determine what psychological disorder each patient might have. In your own words, state your reasons why. Type your answer directly below each case.

At Care Springs, SSA visited with Kathy. Also present was Judy Baldwin and Kathy’s Aunt Jane. Jane is also a patient of Care Springs and is Kathy’s assigned roommate. We discussed that Kathy is doing well. Kathy shares details of her fall which resulted in her injury; sharing while walking up the ramp to her apartment she made a sudden stop and turned to greet the Maintenance Man for the complex, lost her footing because of the sudden stop and fell. She shares that the pain level of the injury is for the most part tolerable, while Judy shares that Kathy is currently on a routine dosage of pain medication for the injury. Judy explains the pain medication has been prescribed routinely because Kathy wasn’t requesting the medication when it was

She was for sure the that pests had attacked her studio even though the exterminator found no sign of bedbugs, but Cahalan insisted to spray for them just in case. She hid her bug bites from her co-workers. She had a fear that they would judge her if they thought she had bed bugs. She began to get scared and hallucinate. Susannah’s love ones all began to see Susannah that they didn’t know in the past, she had mental and emotional issues. As the disease worsen, her movements became awkward, her speech became slurred, and having seizures. Doctors kept on saying she was normal and no type of disease would show up on her results. A doctor admitted her into New York University medical school hospital. Cahalan was in the hospital about a month before the accurate diagnosis, prior to the other doctors thought of a plethora of conditions and a bipolar disease and schizophrenia to dire physical ailments including cancer. There was a doctor named Dr. Najjar who was known for solving medical mysteries and didn’t take long to figure out what was the problem. He gave her a simple clock test and ask her to draw a clock with all the numbers. When drew the full clock, he knew immediately that the

The autobiography, Over My Head, by Claudia Osborn, gave a glimpse into the life of a former Doctor. The book started by giving insight into Claudia’s life including her challenging career, whom she spent her days with and how she used her free time. Based on the title of the book I was expecting her to suffer from a traumatic brain injury, but I had not anticipated her reaction to it. Although I was aware of some disorientation after the incident, and even some memory loss, I was unaware of her disorientation to the life she once knew. Initially, when Claudia did not realize she had any memory deficits, I was convinced it was due to denial. She was a doctor, I would have thought she would understand her injury and recognize that her injury was as severe as it truly was. Later on in the book, I realized that she was not completely in denial, but truly thought there was nothing truly wrong with her. This could possibly be due to her perspective that nothing bad would happen to her. Every one sees something bad happen whether it is a car accident, cancer, or a traumatic brain injury and they think, “ It won’t happen to me.” In Claudia’s case, it is an extremely frightening and frustrating situation.

She craved minimal stimulation as her brain on overloaded with sensory processing. In the beginning, she would have to sleep for six hours to allow herself twenty minutes of energy. As time passed, her energy level increased significantly. Furthermore, she needed a calm atmosphere that her mother was more than happy to provide for her. Taylor’s mother monitored the visitation time, the sound of the television, and picked up the ever-ringing phone. When she could not remember what something was, her mother facilitated creating the new memory. For example, Jill could not recall what “a tuna” actually was, so her mother made it for lunch to help her know. The mother was such a help, as she was integral in generating new sensory input such as color and puzzles. Since it was her brain’s left hemisphere that received the damage, reading and math were two exceptionally difficult feats. Taylor’s mother helped her along with learning these abstract concepts. After the surgery to remove the remnants of the arteriovenous malformation, she prepared herself to perform a presentation at a college. She watched the videotape of one of her past presentations repeatedly to help regain public speaking skills. Although she did not understand some of what she was saying, she taught herself the words and the pronunciations of the most difficult ones. She presented the information with success. Months after the stroke, she allowed herself to return to working at the Brain Bank. She began with online tasks, which turned into driving to the hospital a few days a week. Then she attended her 20 year high school reunion, which helped her relearn lost memories. After that, she made the decision to step down from being on the NAMI Board of Directors. She, with the help of her guitar, presented her short speech to over 2,000 members. One year after her stroke, she moved to her hometown. It was there that she was

A review of her medical records indicates that she has not had any significant health events, such as falls or hospitalization since her last visit. She suffers from chronic stable hypothyroid, chronic DM which is mange with medication and chronic neuropathy.

She was referred to, see a neurology doctor. Client reported she is currently seeing Dr. Lempert/Neurology.

Although the patient is weak and debilitated, she is cognitively intact and is able to problem solve and make decision for herself. She