Myelin’s disease

Topics: Meninges, Brain, Nervous system Pages: 5 (1052 words) Published: September 3, 2013
Associate Level Material
Appendix F

Review the following two case studies. Each patient is being referred to a specialist for further evaluation of a nervous system disorder. Outline characteristics of the disease each patient is suffering from by answering the questions associated with each case study. Answer in your own words.

Case Study 1
|Name |Myelin S. Heath | |Patient # |12312312 |DOB: |03/05/1986 | |Physician |Dr. Delgadillo |Date: |02/16/20XX |

Interoffice Referral Form

Ray D. Ology, M.D.
A Doctor’s Office, North Campus
1515 N. Medical Plaza #151
Anytown, Anywhere 12345

Dear Ray,

Myelin visited my office yesterday complaining of numbness in his right leg and face. He has also been experiencing muscle weakness and mild depression. I noticed a delay in his visual response in both eyes. I have referred Myelin to your facility because of possible multiple sclerosis, and I am requesting an MRI of the brain and spine. Please fax the results to me as soon as possible.

Regards,
Ruben Delgadillo, M.D.

Answer the following questions.

1. What could have caused Myelin’s disease?

If Myelin does have multiple sclerosis, there is nothing he could have done to stop it since the cause is unknown. Myelin's family history may be a contributor to his disease but not much is known about the disease to say for certain. It is possible that Myelin has multiple sclerosis (MS) because of his numbness, muscle weakness and depression. The disease effects the nerves so his depression or fatigue could be caused by it. As for his vision, patients with MS have the potential of losing their central vision, which is accompanied with pain during eye movement ("Mayo Clinic", 2013).

2. What structure(s) and function(s) of the nervous system are affected by multiple sclerosis?

When a person has multiple sclerosis, their own immune system attacks its tissue ("Mayo Clinic", 2013). The patients name is Myelin, which I guess has some significance since a fatty substance that coats nerves known as myelin is destroyed by the disease("Medical News", 2013) . This an electrically insulating material that surrounds the axon of a neuron; it is necessary for the proper function of the nervous system ("Medical News", 2013).  When myelin is destroyed, it affects the entire nervous system causing important messages to become slow or blocked entirely ("Medical News", 2013).  So in a patient with MS , this would cause them to experience muscle spasms or complete lack of movement.

3. What can be done to treat this disease?

There is no cure for multiple sclerosis but it can be managed using medication ("Mayo Clinic", 2013). Corticosteroids may be injected or taken orally; it is a medication that the patient must weigh out the pros and cons because it has the potential of causing serious side effects such as seizures. This type of medication is used to treat attacks but other types may slow the progression of the disease such as beta interferons ("Mayo Clinic", 2013). Sometimes a person with multiple sclerosis does not need treatment because the effects are so mild but in Myelin's case, he may need to take medication. It is important to think about taking these types of medications before committing because they can cause several side effects. Blood count may need to be monitored while taking certain types of medications like beta interferons as it could cause liver problems ("Mayo Clinic", 2013). For those who do not wish to take medication can change their lifestyle to include a different type of treatment such as physical therapy.

Case Study 2
|Name |Jimmy Schwimmer | |Patient # |45645645 |DOB: |11/03/2002 | |Physician |Dr. Raychee |Date: |04/21/20XX |

Interoffice Referral Form...

References: Mayo clinic. (2013). Retrieved from http://www.mayoclinic.com/health/multiple-sclerosis/DS00188/DSECTION=symptoms
Mayo clinic2. (2013). Retrieved from http://www.mayoclinic.com/health/meningitis/DS00118/DSECTION=treatments-and-drugs
Medical news. (2013). Retrieved from http://www.news-medical.net/health/What-is-Myelin.aspx
MNT. (2013). Retrieved from http://www.medicalnewstoday.com/articles/9276.php
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