Medicine High School

Michael is an 18 y/o male who presented with dyspnea and back pain. Michael states that when he was younger he would fall frequently and had trouble running and jumping, but just recently ℅ decreased ROM, amb and quadriparesis. Deglutition has also been hard for Michael. He was told at his last physical that he had scoliosis and that he may have a difficult time with kinesia and flexion. He also states that his father has a hx of the same problems that began in his 30’s. You start off by sending Michael to get an x-ray and then to get genetic testing done. CT is N/A at this time.

What are the-
Body System:
Function:
Signs and Symptoms:
Diagnosis:
Professional(s) required:
Treatments/Procedures:
Abbreviations defined:(you only need to unabbreviate)

Answers

Answer 1

Body System: The Muscular System

Function: The muscles are responsible for facilitating movement and maintaining posture, as well as producing heat through the process of thermogenesis.

Signs and Symptoms: Dyspnea, back pain, decreased range of motion, difficulty with ambulation and quadriparesis, difficulty with deglutition.

Diagnosis: Michael has a progressive neuromuscular disorder that is most likely inherited. Based on his symptoms, the diagnosis could be Muscular Dystrophy or a similar condition.

Professional(s) required: A specialist in neuromuscular disorders would be required to make an accurate diagnosis. A physical therapist could also be helpful in managing Michael's symptoms.

Treatments/Procedures: Michael would benefit from a combination of physical therapy and medications to help manage his symptoms and improve his quality of life. There is no known cure for Muscular Dystrophy, so treatment is focused on symptom management.

Abbreviations defined: ROM - Range of motion N/A - Not applicable CT - Computed Tomography

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Answer 2

The body system involved in this case is the Musculoskeletal System. It includes the bones, muscles, joints, and other connective tissues that provide support, allow movement, and protect vital organs.

What is the diagnosis?

Organ System: skeletal system of muscles

Function: Enables the body to move, sustain itself, and be protected.

Symptoms and signs: Dysphagia (trouble eating), dyspnea (difficulty breathing), back pain, decreased range of motion (ROM), difficulty ambulating, quadriparesis (weakness in all four limbs), and scoliosis (abnormal curvature of the spine)

In order to determine the underlying reason of Michael's problems, genetic testing and x-ray imaging are being carried out. However, the diagnosis is not stated in the information provided.

Medical doctors, radiologists, geneticists, and other specialists may be required.

Treatments/Procedures: The underlying diagnosis, which is unknown at this time, will determine the course of treatment. Depending on the particular disease detected, it may require physical therapy, pain management, orthopedic procedures, or other specialized therapies.

Definitions of acronyms

N/A: Not Applicable ROM: Range of Motion

CT: Calculated

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A client who is at 40-weeks gestation is brought to the labor and delivery unit via wheelchair from the emergency
center. The client reports that her membranes are ruptured and her contractions are 5 minutes apart. When the practical
nurse (PN) assists the client from the wheelchair to the labor bed, the PN notes that she is sitting in a large pool of fresh
blood. What should the PN do first?

A. Obtain maternal vital signs and fetal heart rate.
B. Pull the call bell and summon the RN to assess the client.
C. Apply the external fetal monitor to record contractions.
D. Move the wheelchair so the client does not see the blood.

Answers

A. Obtain maternal vital signs and fetal heart rate.
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