Case summary:
Brian Rhen (42 age) was diagnosed with benign paroxysmal vertigo (BPPV). Head trauma can be responsible for the BPPV. The vertigo is experienced at greater scale with the movement of the head. Mr. Rehen reports his problem to a neurologistand recommends for a test called Dix-Hallpike maneuver. During this test, the neurologistchecks nystagmus as he makes specific rotations of his head.
Characters in the case:
Brian Rhen and a neurologist.
Adequate information:
Mr. Rhen was diagnosed with BPPV, which was caused by head trauma. He experienced vertigowhile rolling on the bed or turning his head from side to side while sitting. These movements provoke the sensations of a spinning wheel and lead to cause nausea.
To determine:
The ear is divided into three compartments and out of these three compartments one is involved in the Mr. Rhen’sBPPV.
Want to see the full answer?
Check out a sample textbook solutionChapter 15 Solutions
HUMAN ANATOMY+PHYSIOLOGY-ACCESS (NASTA)
- 10-year-old female was admitted due to episodes of generalized seizure-like activity that started a day prior to admission. 14 days prior to admission(PTA), she was playing with friends in their backyard when an object cut her leg. Despite having a deep cut, she continued on her game. 10 days PTA, she experienced stiffness of the neck, difficulty of swallowing and chewing. the signa and symptoms persisted until 7 days PTA, when she experienced abdominal rigidity, sweating, fever and tachycardia. the patient condition worsened until admission. Questions: discuss the significance of soluble NSF (Nephrogenic Systemic Fibrosis) attachment receptor protein (SNARES) in the release of neurotransmitters Discuss the different of EPSP and IPSP, and its ionic basis explain the manifestation cited in the case to tetanus and its pathophysiology Differentiate the type of paralysis that occur in tetanus and botulismarrow_forwardThis image shows the pathology associated with a chronic infective disease of the sensory afferents at the level of the L4 lumbar spinal cord. State three different signs and/or symptoms that the person would present with.arrow_forward35-year-old diagnosed with M.S. presents to clinic after experiencing intermittent generalized weakness and blurred vision. She also complains of feeling an “electric shock” down her spine and chronic fatigue. She reports feeling this way for around a year, but it appears to be getting gradually worse over time. All blood tests for M.S. are normal. MRI reveals small plaques throughout brain. A diagnosis of multiple sclerosis is made. What possible factors might triggers her condition, related to her MS?arrow_forward
- An existing method for the treatment of spinal abnormalities is the braces method. What change can we add to it and make a difference from the existing method.arrow_forwardAll of the following might be explanations for Joanne’s right hand symptoms, EXCEPT: Sleeping on her right shoulder, causing pressure on the brachial plexus Cervical disc herniation Lumbar disc herniation Carpal tunnel syndromearrow_forwardA 36-year-old woman presented with a history of seizures that began at age 16. Her seizures are described as generalized tonic-clonic. Originally, she received phenobarbital. The tonic-clonic seizures were controlled, but she began to have episodes of non-responsive staring (absence seizure). Her medication was changed to phenytoin (PHT). PHT controlled both the staring episodes and the tonic-clonic seizures, but severe gum hypertrophy occurred. She was changed to carbamazepine, but the episodes of staring became more frequent and she developed involuntary jerking of her upper extremities (myoclonic seizure). For the past 2 years, she had received 500 mg of valproate (VPA) three times per day. She reported no side effects, seizures, or other related events. At age 30, she suffered a miscarriage while taking PHT. She has a 3.5-year-old son. During the pregnancy, she remained seizure free. There was no history of birth defects. She is taking an oral contraceptive and has no other…arrow_forward
- Sgt. Eddie Johns leaned back against the chair in the outpatient... Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn't sure which was worse, the "morning after" headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn't know what that was and really didn't believe them anyway. He was still thinking just fine. His friend Joe wasn't so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie…arrow_forwardA physician has a patient who is experiencing facial and cheek pain, sometimes called trigeminal neuralgia. Describe this condition and the appropriate treatment.arrow_forwardArrange the meninges and additional protective features from superficial to deep. Drag and drop options into correct order and submit. cerebrospinal fluid dura mater epidural adipose tissue arachnoid mater pia mater ||| = ||| ||| ||| =arrow_forward
- These tumors cause hydrocephalus and increased intracranial pressure by blocking CSF pathways and by oversecreting CSF. They affect mostly children and young adults and have a papillary basic structure. They are seen in Aicardi syndrome characterized by agenesis of the corpus callosum, chorioretinal lacunae, and infantile spasms. a Ependymoma b Ganglioglioma c Juvenile pilocytic astrocytoma d Choroid plexus papillomaarrow_forwardCharlotte is a 24 y/o female who is feeling a deep, constant pain in her cheekbones, forehead, and bridge of her nose. The pain usually gets stronger when she moves her head suddenly or strains in any way. She also has a watery eyes and a runny nose. Identify the headache type. a. Cluster headache b. Sinus headache c. Tension headache d. Migraine headachearrow_forwardA 15-year-old girl complains of stress headaches. For the last few years, about one time a week, she develops a mild left-sided neck tightness that, after several hours, can spread to the left temporal area with moderate intensity and of a pounding quality. There is light and noise sensitivity and, sometimes, nausea. The headaches last about 8 hours and are minimally reduced by ibuprofen or sleep. The headaches often occur in the late afternoon as she comes home from school. a migraine b tension-type headache c brain tumor headache d temporal arteritisarrow_forward
- Medical Terminology for Health Professions, Spira...Health & NutritionISBN:9781305634350Author:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. SchroederPublisher:Cengage Learning