Muscle Weakness In The Face Case Study Assignment

Muscle Weakness In The Face Case Study Assignment

Muscle Weakness In The Face Case Study Assignment

APA format, three references, at least 300 words

Don't use plagiarized sources. Get Your Custom Essay on
Muscle Weakness In The Face Case Study Assignment
From $10/Page
Order Essay

Review the following case study:

Permalink:  ‎

Chief Complaint:

A 23-year-old woman presents with complaints of muscle weakness in the face.

History:

The patient is a 23-year-old administrative assistant who complains of intermittent muscle weakness in her face that has been getting worse over the past 3 months. She also states that as she chews, her jaws feel tired. Swallowing has also become difficult. She reports episodes of double vision (diplopia), which seems to occur after reading for a few minutes in the late evening. With certain strenuous activities or after typing for long periods of time at work, she reports problems with bilateral arm weakness.

Muscle Weakness In The Face Case Study Assignment

Physical Examination:

Notable ptosis (drooping) of the eyelids after repeated blinking exercises. When asked to smile, she appears to be snarling. Reflexes and sensation are normal in both upper and lower extremities. There is considerable weakness of the arms noted bilaterally after exercise.

Case Questions:

  1. Is the patient’s condition neurological, musculoskeletal, or both? Explain why and support your thoughts with evidence-based literature. What would be a possible neurologic or musculoskeletal condition causing the symptoms?
  2. Explain the pathophysiology behind the condition.
  3. What pharmacological agent(s) are commonly used to treat the disorder and how do the agent(s) alter the pathophysiology of the condition?
  4. What would be your educational plan for the patient?

CASE STUDY: Chief Complaint: A 26-year-old woman with muscle weakness in the face.

History: Jill Rothman, a 26-year-old gymnastics instructor, presents with complaints of muscle weakness in her face that comes and goes, but has been getting worse over the past two months. Most notably, she complains that her “jaw gets tired” as she chews and that swallowing has become difficult. She also notes diplopia (“double vision”) which seems to come on late in the evening, particularly after reading for a few minutes. At work, it has become increasingly difficult to “spot” her gymnasts during acrobatic moves because of upper arm weakness.

On physical examination, she has notable ptosis (“drooping”) of both eyelids after repeated blinking exercises. When smiling, she appears to be snarling. Electromyographic testing revealed progressive weakness and decreased amplitude of contraction of the distal arm muscles upon repeated mild shocks (5 shocks per second) of the ulnar and median nerves. Both her symptoms and electromyographic findings were reversed within 40 seconds of intravenous administration of edrophonium (Tensilon), an acetylcholinesterase inhibitor (i.e. an “anticholinesterase”). Blood testing revealed high levels of an anti-acetylcholine receptor antibody in her plasma, and a diagnosis of myasthenia gravis was made.

Jill was treated with pyridostigmine bromide, which is a long-acting anticholinesterase drug, and was also started on prednisone, which is a corticosteroid drug. She also underwent occasional plasmapheresis when her symptoms became especially severe. She was given a prescription of atropine as needed to reduce the nausea, abdominal cramps, diarrhea, and excessive salivation she experienced as side effects of the anticholinesterase drug.

Case Study Critical Thinking Questions

1.Why is this young woman experiencing difficulty chewing and double vision? In your answer, state the name of the disease and provide its definition.

2. How are the anti-acetylcholine receptor antibodies interfering with her normal skeletal muscle activity? In your answer, describe the NORMAL mechanism beginning with the presynaptic motor neuron and contrast this to the PATHOPHYSIOLOGY occurring in the MG patient.

3. How do the anticholinesterase drugs act to improve Jill’s skeletal muscle function? Describe the mechanism behind how pyridostigmine bromide functions and how this helps the MG patient.

Name of the disease is Myasthenia gravis, It is an autoimmune disease that causes chronic, progressive damage of the neuromuscular junction. It is caused, when immune system inappropriately produces antibodies that bind to and block acetylcholin………

Muscle Weakness In The Face Case Study Assignment

Muscle Weakness In The Face Case Study Assignment

 

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 20% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with My Course Writer
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 10k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Nursing
Good job. Thank you
Customer 452487, September 16th, 2021
Other
I appreciate the help.
Customer 452567, March 18th, 2022
Communications
came in earlier than I thought and has all the sources listed and cited in APA format, overall all perfect!
Customer 452461, May 24th, 2021
Psychology
Very clear, and complete information presented. I, thank you for all of your hard work, appreciate it!
Customer 452483, August 9th, 2021
Business and administrative studies
Great produce and on time!
Customer 452561, November 8th, 2022
Communications
Thank you so much!
Customer 452461, June 23rd, 2021
English 101
Thank you guys for always being there and helping me always get a 100% on my assignments!
Customer 452483, August 16th, 2021
English 101
I would like to thank you for the writing, it was a very busy week for me and had no time this week to do a writing. I would recommend you to others and would utilize you again.
Customer 452639, October 16th, 2022
Psychology
Thank you for all of your help and hard work, truly appreciate you guys always being there with my hectic schedule. Thank you again!
Customer 452483, September 20th, 2021
Communications
Thank you! It was great :)
Customer 452483, July 26th, 2021
Microbiology
Thank you so much for revising this paper for me. It looks great, truly appreciate it! You're awesome :)
Customer 452483, September 14th, 2021
Microbiology
Perfect! Thank you guys for all of your great help! :)
Customer 452483, August 23rd, 2021
1159
Customer reviews in total
96%
Current satisfaction rate
2 pages
Average paper length
47%
Customers referred by a friend
OUR GIFT TO YOU
20% OFF your first order
Use a coupon 20OFF and enjoy expert help with any task at the most affordable price.
Claim my 20% OFF Order in Chat