A 24-year-old patient was admitted to a psychiatric hospital with a diagnosis of Hysterical Neurosis. He had complains ofheadaches, irritability, nausea, poor sleep. During conversation with a doctor the patient demonstrated groans, sobs, the urge tovomit, the presentation of unsubstantiated claims to medical staff. On examination: signs of somatic and neurological pathology werenot detected. A day later, during a conversation with a doctor, the patient had an emotional "explosion" (shouting, crying, moans,chaotic movements), followed by a short loss of consciousness and the development of hysterical paralysis of the left hand.Questions:4. What locomotor (except paralysis) disorders are possible with this pathology.5. List the typical vegetative disorders in this pathology.

Hysterical neurosis is a typical neurotic disorder which is characterized by disturbances in sensory…

Answered: A 24-year-old patient was admitted to a…

Essentials of Pharmacology for Health Professions

7th Edition

ISBN:9781305441620

Author:WOODROW

Publisher:WOODROW

Chapter22: Anticonvulsants, Antiparkinsonian Drugs, And Agents For Alzheimer’s Disease

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A 24-year-old patient was admitted to a psychiatric hospital with a diagnosis of Hysterical Neurosis. He had complains of headaches, irritability, nausea, poor sleep. During conversation with a doctor the patient demonstrated groans, sobs, the urge to vomit, the presentation of unsubstantiated claims to medical staff. On examination: signs of somatic and neurological pathology were not detected. A day later, during a conversation with a doctor, the patient had an emotional "explosion" (shouting, crying, moans, chaotic movements), followed by a short loss of consciousness and the development of hysterical paralysis of the left hand. Questions: 6. What disorders of sensory sensitivity can develop in this disease? 7. What diseases risk factor is neurosis?
a 23-year-old male presented to the er with a 5-day history of fever, headache, sore throat, muscle pain, nausea, and diarrhea. he described his headache as a 10/10 on a pain scale, and was worsened by bright lights, movement, or noise. He had migraines in the past but stated this felt different. He said there was not a prior history of head injury, chest pain, or ear pain. He does not have abdominal pain, dysuria, or a skin rash. No recent alcohol or illicit drug use, travel, or exposure to ticks. Upon physical exam, he had right-sided tonsillar exudates and swelling. Even though neck pain was described with his headache, the neck was supple. Following lumbar puncture, 4 nucleated cells and 87% lymphocytes were shown. CSF protein and glucose were within normal limits. He had a normal white blood cell count but a low blood lymphocyte count of 720 cells/uL (normal is 1500 - 5000/uL). Chest radiograph came back normal. CSF was sent for herpes simplex virus (HSV) PCR and for bacterial…
A 24-year-old patient was admitted to a psychiatric hospital with a diagnosis of Hysterical Neurosis. He had complains of headaches, irritability, nausea, poor sleep. During conversation with a doctor the patient demonstrated groans, sobs, the urge to vomit, the presentation of unsubstantiated claims to medical staff. On examination: signs of somatic and neurological pathology were not detected. A day later, during a conversation with a doctor, the patient had an emotional "explosion" (shouting, crying, moans, chaotic movements), followed by a short loss of consciousness and the development of hysterical paralysis of the left hand. Questions: 1. List the signs of hysterical neurosis in a patient. 2. Describe the etiology of the disease. 3. Describe its pathogenesis
Patient is a 36 year old female with a chief complain of tingling and numbness in her first 3 fingers and thumb of both wrists, mild burning sensations heading proximally in her right arm, trouble grasping objects, and having issues making a fist. The patient has been working as a secretary for the last 10 years. Past medical history Herniated disc between C6-C7. Family history: Moher died of bladder cancer and father has coronary artery disease. Social History Social alcohol usage (a glass of wine every one-two weeks) with friends and family. No Tabaco or recreational drug history. Allergies None Medications Ibuprofen 400 mg when needed. Birth control pill Key Labs, images, or procedures performed in relation to current diagnosis. Nerve conduction study: Median nerve impulse were slower than normal Tinel’s test: Positive. Phalen’s test: Positive Key Physical Examination findings: Tenderness when the wrist was overextended. 1. Provide the diagnosis * 2.…
The patient is a 9-year old male, grade 2 student, managed as a case of Paraplegia sec to Spinal Cord Injury ASIA A (anatomic level: T10, sensory level: T10, motor level: T10, neurologic level: T10). Pertinent PE findings: Tightness B heelcordsHyporeflexive both LE, Hypotonic both LEsWeakness on B LEMyotomes- bilateral C5-T1 level MMT: 5/5, bilateral L2-S1 level MMT: 0/5Sensory deficit on B LEDermatomes- bilateral C2-T10 level 2/2, bilateral T11-S3 level 0/2Lax sphincter tone, (-) bladder filling sensationLimited Activity: moderate assist in bed mobility, transitions, transfers, moderate assist in ADLs What are two recommendations for this patient in order to minimize potential pressure sores from prolonged sitting?
A patient began noting inability to recognize the faces of family members. He described their faces as looking the same, like “looking at the faces of monkeys;they all appear similar.” His lesion is in the Both left and right area 1,2,3. Both left and right area 17 Parietal lobe Fusiform gyrus
A 38-year-old woman came in the outpatient department because of headache.She has no vomiting, fever, changes in sensorium and nuchal rigidity. Shedescribed the headache as ”band-like” and has been occurring intermittentlyespecially during stressful situations. Vital signs and physical examinations areall normal. The physician diagnosed her as having tension headache andprescribed Acetaminophen 1g/ tab PO q6H for 3 days. The pharmacy only hasthe 250mg tablet preparation. How many tablets does she need to take perdose? How many tablets should the pharmacist give her to complete the entiretreatment regimen?
A 65 year old man is brought to the emergency department after an episode of a transient ische
Alfred a 45 year-old African-Spanish male two days ago complained of awakening with severe, 8 out of 10 left knee pain, erythema, and swelling three days prior. He the pain was “in and all around the joint area.” he denied being able to ambulate without his wife’s assistance and stayed home from work as a teacher. He thought he “overdid it” playing with his kids. The pain persisted throughout the day despite taking two OTC NSAID tablets. The pain mostly subsided by the next morning. Peter also said that he had a similar episode of sudden onset pain upon waking in the morning in his right great toe, but thought he stubbed his toe. He denies injury, fever, rash, chills or decreased range of motion. Alfred’s History Height: 5’11’’; Weight: 239 lbs History of hypertension Takes 25 mg HCTZ a day Reports drinking beer on most weekends John’s Vitals upon examination Temp: 98.8°F HR: 79 bpm BP: 136/78 Resp: 17 Question: What are the parameters to confirm that it is therefore gout?
Intermittent Claudications evoke :- a- visceral painb- deep painc- cutaneous hyperalgesiad- colicky pain
'patient has cataract, dementia amd stroke cause immobile' Arrange the diagnosis in order of priority: Impaired physical mobility Disturbed sensory perception Altered thought processes
History of present illness: Patient is a 36 year old female with a chief complain of tingling and numbness in her first 3 fingers and thumb of both wrists, mild burning sensations heading proximally in her right arm, trouble grasping objects, and having issues making a fist. The patient has been working as a secretary for the last 10 years. Past medical history Herniated disc between C6-C7. Family history: Moher died of bladder cancer and father has coronary artery disease. Social History Social alcohol usage (a glass of wine every one-two weeks) with friends and family. No Tabaco or recreational drug history. Allergies None Medications Ibuprofen 400 mg when needed. Birth control pill Key Labs, images, or procedures performed in relation to current diagnosis. Nerve conduction study: Median nerve impulse were slower than normal Tinel’s test: Positive. Phalen’s test: Positive Key Physical Examination findings: Tenderness when the wrist was overextended. 5. Provide…

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