Case summary:
Jimmy chin is immobilized on a rigid stretcher so that he cannot move his head or trunk. He was alert and in his senses after his accident but unable to get up due to a ‘wicked headache’. After few days of surgery on one day Jimmy suffered from a massive headache and the blood pressure exceeds much far than the normal.
Characters in the case:
Jimmy chin (10-year-old boy).
Adequate information:
Some kind of bruises on got his back and scalp was observed. The body got insensitive to the painful stimuli below the nipples. After 2 days of surgery, the brain injury was healed but still showed the swelling and damage at the T4. Physical examination shows that below the level of injury reflex activity was not shown by the Jimmy and his blood pressure was also low. After few days of the surgery the exaggerated reflexes was observed in the lower limbs. He also got incontinent.
To determine:
The reason for hyper-reflexiveness and incontinency of the patient.
Want to see the full answer?
Check out a sample textbook solutionChapter 14 Solutions
Anatomy & Physiology (6th Edition)
- An adult patient was born with cerebral palsy. Which term would describe this condition?arrow_forwardWhy do epidural, subdural, and intracerebral hematomas act like expanding masses?arrow_forwardA 21-year-old male medical student is taken to the ER by his roommates complaining of progressive weakness. The history reveals that this student had an intestinal virus with diarrhea and vomiting that resolve over 2 days. About 10 days later, he noticed tingling sensations and numbness in his feet, followed by progressive weakness. Over the last 8 days it has gotten so bad that he is having trouble standing, and walking. His physical examination shows normal cranial nerves, distal weakness of the lower extremities (about 3+/5), absent reflexes over the lower extremities, and mild decreased vibration and position sense loss. 1. What is your differential diagnosis? 2. Where is the lesion? 3. Which diagnostic test would you perform first and why? 4. What is the most likely diagnosis and why?arrow_forward
- Meet Mr. Bergen Mr. Bergen, a 72-year-old man, is admitted to the hospital due to an acute onset of a right facial droop, right arm weakness, and difficulty speaking coherently. His symptoms started 6 hours prior while sitting at his kitchen table. He had no headache, loss of consciousness, and no abnormal motor movements. His medical history includes high blood pressure and a heart attack five years ago. His medications include a daily aspirin, and he has been a lifelong smoker. His temperature is normal, his heart rate is 62 beats per minute, and his blood pressure is 135/87. The rest of his neurological and physical exam is normal his heart rhythm is normal, and his blood tests all come back normal. Overview When first trying to put together the factors involved in making a diagnosis from a medical case study, a good place to start is making a set of general observations about the patient. These observations include the patient's history, set of symptoms, general appearance and…arrow_forwardSomeone asks Sara, "Why are you so cranky lately?" This is the third time this week that someone has asked Sara that question. When she stops to think about it, Sara realizes that she's been upset over what should be minor issues. I just need more sleep, he thinks. But that doesn't make sense either. She has been sleeping about 9 hours each night, but can barely keep her eyes open through dinner. You remember that your annual checkup is due in a few days, and you decide to ask your doctor about your symptoms. The day of the appointment arrives, and back at the doctor's office, Sara fills out the usual paperwork and lists any symptoms she's noticed recently: fatigue, increased urination, irritability, back pain. 1. Increased urination (frequent urination) is a symptom associated with which endocrine disorder? to. Mellitus diabetesb. Acromegalyc. Cretinismd. hyperthyroidism The nurse calls Sara to take her vital signs and her weight. Sara is surprised to learn that she has gained several…arrow_forwardA patient presents with paralysis of the right side of the body. A) You know that this patient has suffered brain damage. Explain how you know the damage is to the brain, not the spinal cord. B) What region of the brain is most likely affected? Explain your answer.arrow_forward
- When their second child was born, Kiko and Taka were told their baby had spina bifida and would be kept in intensive care for a week. After that time, a “shunt” would be put in. Also, immediately after the birth, an operation was performed on the infant’s lower back. The parents were told that this operation went well but that their son would always be a “little weak in the ankles.” Explain the statements in quotation marks in more informative and precise language.arrow_forwardMaddie is a 6-year-old female with no prior history of major medical issues. She complained of right ear pain after an awkward head-first fall from a diving board yesterday. She landed in the pool and did not seem to have any apparent physical injuries, so her parents assumed she had headache from the impact and gave her acetaminophen. However, the pain persisted for a full day, so her parents have taken her to her pediatrician. Her parents have noticed that she is less responsive when speaking to her from her right side and are worried that she has suffered hearing loss from the fall. Maddie’s physician explains that there are different types of hearing loss. Damage to which of the following structures would cause conductive hearing loss? Vestibule Semicircular canals Tympanic membrane Cochleaarrow_forwardPrimary conn's syndrome explainarrow_forward
- You have a cold, sinusitis, and you talk funny. What is happening? How do you explain it?arrow_forward2(1) Answer these questions well detailed in paragraphs and explained please. A) What are the five sensory organs? B) What are the nerve centers? What is each person's role? C) What factors could disturb the nervous system?arrow_forwardSeventeen-year-old Brian has suffered with nonstop headaches for as long as he can remember. When he was 14, he was diagnosed with Lyme disease and treated, and although many symptoms improved, his headaches and overall fatigue did not. When his headaches worsened, he was sent for an extensive battery of blood tests. Signs and SymptomsWhen asked about other symptoms, Brian described a constant ringing in his ears and frequent red eyes that sometimes caused vision problems. Despite his ongoing physical problems, until recently he had been able to maintain high grades in school (although there were times when he needed to be tutored at home) and had achieved Eagle Scout status. TestingBlood smears were prepared and stained with Wright-Giemsa stain for a "differential" count of different types of white blood cells. The technologist who viewed the slide noted several purple-stained, crescent-shaped objects that appeared to be cells with a nucleus. Red blood cells are generally 7–8 µm in…arrow_forward
- Human Biology (MindTap Course List)BiologyISBN:9781305112100Author:Cecie Starr, Beverly McMillanPublisher:Cengage LearningUnderstanding Health Insurance: A Guide to Billin...Health & NutritionISBN:9781337679480Author:GREENPublisher:Cengage
- Surgical Tech For Surgical Tech Pos CareHealth & NutritionISBN:9781337648868Author:AssociationPublisher:Cengage