Anatomy Case Study

Case Study 1 – Nicole Nixon

ASSESSMENT:

Chief Complaints/Symptoms:

* Double Vision

* Fatigue

* Weakness in legs

* Hand tremors (occasional)

* Trouble remembering things

Patient Information:

* Name: Brent Brachmann

* Age: 22

* Gender: Male

Other Pertinent Information:

* He is an athlete and played three sports in high school. He currently runs and competes in road races.

* Stressed out with school work

Onset of injury:

* No injury, symptoms began one month ago.

Diagnosis (several options in order of severity):

* Anemia

* Chronic Fatigue Syndrome

* Lupus

Tests:

* Anemia:

* CBC test to check iron and B12 levels.

* Chronic Fatigue Syndrome:

* Since CFS is hard to diagnose you would run tests for many other diseases such as:

* Blood Glucose Level - Diabetes

* Thyroid-Simulating Hormone - Thyroid Disorders

* CBC/Chemistry Panel/Urinalysis – Check general health

* Lupus:

* CBC – Focus on ANA levels

* Erythrocyte sedimentation rate

* Kidney and liver assessment

* Urinalysis

Treatments and Prognosis:

* Anemia:

* Iron Supplements

* Vitamin B12 injections

* Change diet to add more B12 and Folate

* Chronic Fatigue Syndrome:

* More sleep

* Change exercise routine (less exercise)

* Antidepressants

* Cognitive-Behavioral Therapy

* Lupus:

* Acetaminophen

* Antimalarial Drugs

* Low-Dose Corticosteroids

* Cyclophosphamide

* Antidepressants or Antianxiety drugs

* Change in diet

* More sleep

* Change in exercise routine (swimming or walking)

Prognosis:

* Anemia:

* Curable in most instances.

* Chronic Fatigue Syndrome:

* Outlook varies. In some cases people’s symptoms can clear up completely while others experience periodic symptoms. In severe cases, symptoms never...