Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Why did kathy experience the altered sensation

03/12/2021 Client: muhammad11 Deadline: 2 Day

Case Study

Kathleen G. Brown, Nursing Department Sharon S. Ellerton, Biological Sciences and Geology Queensborough Community College, City University of New York

NATIONAAL CENTER FOR CASE STUDY TEACHING INNN S SCIICIENNENE CECECE

Part I – Rise and Shine? Kathy, a 20-year-old woman, awakens one morning to a tingling, numb sensation covering both of her feet. Th is has happened to her a number of times throughout the year. In the past, when experiencing this sensation, within a couple of days to a week the numbness would subside, and so she is not too concerned. About a week later, she notices that the numbness and tingling not only persists, but has also spread up to her knees. Again, she ignores the abnormal sensation. By the end of a month’s time, the numbness spreads to the midline of her body. At this point, she becomes alarmed.

Kathy sees the nurse at her college who tells her that she should see a doctor. Kathy calls her doctor’s offi ce to schedule an appointment, but the soonest slot is in two weeks. She makes the appointment and goes about her daily routine.

Th e next morning, Kathy wakes, but when she attempts to get out of bed, she comes crashing to the fl oor. Because she is still groggy from sleep, she doesn’t really understand what has just happened. As she tries to stand up, the muscles of her left leg engage, but as she also attempts pushing up with her right leg, she again falls to the fl oor. She sits in bewilderment as she tries to make sense of what has just happened and realizes that she has seriously scraped her knee in her fall. She does not feel the pain from her wound.

Kathy thinks about how odd this year has been. She remembers another medical issue she had earlier in the year when she had lost hearing in her right ear and wonders if there is a connection to her current condition. At that time, Kathy underwent extensive testing, but the ear, nose, and throat specialist remained baffl ed. He thought that a severe inner ear infection could have destroyed her ability to hear on that side, but there was no conclusive evidence to support this. In an attempt to recover any hearing he could, the doctor prescribed very high dosages of steroids; he told Kathy that she probably wouldn’t see a change, but there were rare occurrences where steroids helped. To both Kathy and her doctor’s surprise, after about a week of steroids, she completely regained hearing in her right ear. It was a “miracle.”

Kathy wonders whether she can count on a new miracle to heal her current medical issues.

Questions 1. What components of the nervous system are involved in physical sensation? How does sensory impulse move

throughout the body? 2. What components of the nervous system are involved in skeletal muscle movement? How does motor impulse

move throughout the body? What is a “motor unit”? 3. What movements are involved in the action of standing up? What muscles need to contract to perform these

actions?

Wearing on Her Nerves: Exploring the Interrelation between the Nervous and Muscular Systems

NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE

Page 2“Wearing on Her Nerves” by Brown and Ellerton

4. What are the diff erent levels of organization of a muscle down to myofi laments? What is a “sarcomere” and how are its proteins organized?

5. Starting from the release of acetylcholine by the motor neuron, what are the steps in muscle contraction? How is contraction ended?

6. Are Kathy’s medical problems related to her sensory neurons, motor neurons, or both? What in Kathy’s medical history supports your answer?

NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE

Page 3“Wearing on Her Nerves” by Brown and Ellerton

Photo in title block © Piotr Marcinski | Dreamstime.com. Case copyright held by the Nationaal Centeer for Case Study Teaching in SSciience, University at Buff alo, State University of New York. Originally published May 23, 2011. Please see our usage guidelines, which outline our policy concerning permissible reproduction of this work.

Part II – Diagnosis and Treatment Kathy realizes that she cannot wait until her appointment to receive medical care; she quickly goes to the emergency room. After a mountain of questions about Kathy’s symptoms and medical history, the doctors decide to admit her for further testing. She is transferred to the neurology unit and the doctors request she undergo a series of laboratory tests, including an MRI and a spinal tap. In the meantime, the doctors prescribe high dosages of steroids to help alleviate the symptoms.

Upon reviewing Kathy’s medical history and the results of the various laboratory tests, the neurologists diagnose her with Multiple Sclerosis (MS). Th ey explain to Kathy that MS is an autoimmune disease and that her own immune system has been attacking the myelin sheath that surrounds the nerves of her central nervous system. She remains in the hospital for a week until sensation is fully recovered in her lower body and strength is restored in her legs. She is discharged from the hospital and schedules a follow up appointment with the neurologist.

When she returns to the neurologist, they discuss Kathy’s diff erent options for treatment. Because there is no cure for the disease, options in medication vary greatly. She decides to try daily injections of Copaxone, a medication that is similar in structure to a protein found in myelin.

Kathy continues to see the neurologist on a regular basis and gives herself an injection every evening. Over the course of seven months of therapy, she only experiences one occurrence of numbness, which subsides after a couple of days. She tries to stay positive and tries to minimize the disease’s impact on her life.

Questions 7. What is myelin and how does it aff ect the transmission of nerve impulses? Identify the cells responsible for the

formation of myelin. 8. What are the “scleroses” in Multiple Sclerosis and where do they occur? How does this infl uence nerve

transmission? 9. How do an MRI and spinal tap help confi rm the diagnosis of Multiple Sclerosis?

10. Why did steroids help alleviate Kathy’s symptoms? 11. How does Copaxone work as treatment for Multiple Sclerosis? How do other types of medications diff er? 12. Why did Kathy experience the altered sensation in her lower body? Was there something wrong with her skin?

Why couldn’t she stand? Was there something wrong with the muscles of her right leg? 13. Did Kathy’s hearing loss have anything to do with the Multiple Sclerosis? Why/Why not?

http://sciencecases.lib.buffalo.edu
http://sciencecases.lib.buffalo.edu
http://sciencecases.lib.buffalo.edu/cs/collection/uses/

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Professional Coursework Help
A+GRADE HELPER
Premium Solutions
Online Assignment Help
Financial Hub
Math Specialist
Writer Writer Name Offer Chat
Professional Coursework Help

ONLINE

Professional Coursework Help

After reading your project details, I feel myself as the best option for you to fulfill this project with 100 percent perfection.

$39 Chat With Writer
A+GRADE HELPER

ONLINE

A+GRADE HELPER

This project is my strength and I can fulfill your requirements properly within your given deadline. I always give plagiarism-free work to my clients at very competitive prices.

$20 Chat With Writer
Premium Solutions

ONLINE

Premium Solutions

I am a PhD writer with 10 years of experience. I will be delivering high-quality, plagiarism-free work to you in the minimum amount of time. Waiting for your message.

$16 Chat With Writer
Online Assignment Help

ONLINE

Online Assignment Help

I have read your project description carefully and you will get plagiarism free writing according to your requirements. Thank You

$40 Chat With Writer
Financial Hub

ONLINE

Financial Hub

I have assisted scholars, business persons, startups, entrepreneurs, marketers, managers etc in their, pitches, presentations, market research, business plans etc.

$25 Chat With Writer
Math Specialist

ONLINE

Math Specialist

After reading your project details, I feel myself as the best option for you to fulfill this project with 100 percent perfection.

$30 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

500words - Assignment 300 words - Discussions(SPORT AND SOCIETY) - Nc rules for writers launchpad custom - El gato painting company bank reconciliation - Lilydale west primary school - Stat 200 week 5 homework problems - Cell homeostasis virtual lab answer - Small gas engines fundamentals service troubleshooting repair applications - One paragraph essay - Similarities between knights and samurai - How to avoid framing bias - Where is the word christian found in the bible - Unit 5 DB Collective Bargaining - 200 word journal - Hazel grove pool timetable - The crucible act 1 film analysis worksheet answers - Force - HW - Walmart amish macaroni salad discontinued - History of Art through the Middle Ages (week 4 Project) - Milestone 1 - 15 skeeter drive mernda - Consumer behavior a strategic approach - Hp business technology optimization - Discussion - Physics homework - Interesting facts about the hawaiian hawk - Grosvenor grammar school rugby - Tranter inc is considering a project - Dissertation Topics , Due date 26th September - The song of the wreck charles dickens analysis - A level chemistry required practicals - Bdc entrepreneurial potential self-assessment - Parenting rewards and responsibilities student workbook answers chapter 16 - Steelers family fest bogo ticket code - The man he killed analysis - Www cengagebrain com shop terms html - Bios apothecary amaranth infused hair serum reviews - Accumulated depreciation and depreciation expense are classified, respectively, as - Why do halogens exist as diatomic molecules - Niche partitioning and species coexistence worksheet answers - Bernie madoff’s unethical behavior affected ______. - Homework for lab 10 two dimensional motion answers - APA 7TH EDITION (4) - It's all about the climb - Different counseling theories - Armidale waste management facility - Quadrant housing association - Physics units and dimensions formulas - Boeing 737-300 fuel tank capacity - Chaos theory management ppt - The theme of the fur coat - How to make a multiplication table in visual studio - Proof variance of geometric distribution - Arduino uno self balancing robot code - Www 2easy com br id logistics - Dis - Bugs alive exhibition melbourne museum - Skip to the lou my darling a potty book - How to avoid getting swamped by the manman - 4 l's of listening - Business law case study essay - Kbro3 s kbr s o2 g - Discussion: The Future of Aviation Simulation - Glo bus 3 year strategic plan sample - The following cost data relate to the manufacturing activities of chang company - Bosch starter motor identification - Single subject design social work - The word worldview is derived from two german words meaning “world” and “perception.” - Argumentative Essay Instructions - Writing for radio advertisement - E accent grave alt code - Patophysiology Topic 1 DQ2 - Hp power manager 4.2 exploit - Pseudo code for grading system - Dawson states that he is chairman of the board quizlet - Hitotsu futatsu mittsu yottsu itsutsu muttsu - Permutations and combinations in excel - Could someone complete this assignment - Kinetics and graphs mastering chemistry - Ministry of sound garage xxv download zip - Essay - Harley mission statement - Apply 4 - Describe the operating cycle for your own business venture - How to prepare a cvp income statement - D 5 - Brittany road st leonards - The most commonly used standard data code to represent alphabetical - How to make a presentation about a famous person - What are the 3 most essential questions to ask in threat modeling? - Counseling skills reflection of meaning - Bsc2010 exam 3 - Peter berger invitation to sociology pdf - U.S. Film And Theater Studies - paraphrasing interviews - Property valuation report pdf - When did the zoot suit riots happen - Situation specific theory evaluation - Cia test full form