{"id":129065,"date":"2021-12-20T00:00:00","date_gmt":"2021-12-20T00:00:00","guid":{"rendered":"https:\/\/nursingstudybay.com\/2021\/12\/20\/lake-erie-college-of-osteopathic-medicine-problembased-essay\/"},"modified":"2021-12-20T00:00:00","modified_gmt":"2021-12-20T00:00:00","slug":"lake-erie-college-of-osteopathic-medicine-problembased-essay","status":"publish","type":"post","link":"https:\/\/www.studyproessays.com\/help\/lake-erie-college-of-osteopathic-medicine-problembased-essay\/","title":{"rendered":"Lake Erie College of Osteopathic Medicine ProblemBased Essay"},"content":{"rendered":"
\n

Lake Erie College of Osteopathic Medicine<\/p>\n

Problem-Based Learning<\/h3>\n

L-E-C-O-M<\/h2>\n

Bradenton<\/h2>\n

School of Dental Medicine<\/h3>\n

New Case<\/h2>\n

Andrew Kasem<\/h2>\n

Written by: Dewan S. Raja, MBBS, Julie Brown PhD, and Erik Terdal PhD<\/p>\n

Case Contents by Page<\/h2>\n

CC: \u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085<\/h3>\n

Chief Complaint<\/h2>\n

Hx: \u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085 Patient History<\/p>\n

PE:\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085<\/h3>\n

Physical Examination<\/h2>\n

CDs<\/p>\n

Ds and TX: \u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085<\/h3>\n

Diagnosis and Treatment\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085<\/h3>\n

Clinical Course\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085.<\/h3>\n

Outcome\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085\u0085<\/h3>\n

CHIEF COMPLAINT:<\/h2>\n

Mr. Kasem is a 69-year-old white man, brought in by his son, who states:<\/p>\n

My father has become increasingly confused, irritable and reclusive over the last three years, believing that his family members are plotting to steal his money.<\/p>\n

<\/div>\n<\/p>\n

History of Present Illness<\/h3>\n

Mr. Kasen\u0092s son states that his father has become increasingly confused and withdrawn over the last three years, believing that his family members are plotting to steal his savings and possessions. Mr. Kasem has progressive difficulty remembering new things, difficulty expressing himself and balancing the checkbook. Sometimes he is unable to recall the name of everyday objects Recently, Mr. Kasem has been alluded to speaking with relatives who died several years ago.<\/p>\n

<\/div>\n

Mr. Kasem has a hard time to drive to familiar supermarkets. Sometimes he lost his way to return home. Mr. Kasem has five grown-up kids and very often he confuses with the name of his children, became apathetic and forbade them to visit. He has no history of seizure<\/p>\n

Past Medical History<\/h2>\n

Mr. Kasem has hypertension for about 15 years. He is also a patient of type 2 diabetes since 2007. His diabetes and hypertension were controlled by diet and medication so far According to the son, the father has no known serious general medical conditions, alcohol abuse, or psychological instabilities. Mr. Kasem has no history of head trauma and stroke. Mr. Kasem is a retired high school teacher. He has no history of surgery and hospitalization. He was well-liked by his students and colleagues for his pleasant personality<\/p>\n

Family History<\/h2>\n

The son of the patient told that his grandparents are all expired and died of natural causes during their seventies. The son could not provide any clues to the neurological or psychological diseases in his family members<\/p>\n

Social History<\/h2>\n

Mr. Kasem is married for 38 years. His wife is a 65-year-old woman and is apparently healthy. She takes care of her husband. Mr. Kasem never smoked in his life.<\/p>\n

Drug History<\/h2>\n

Mr. Kasem is taking quinapril 40 mg daily and Glucophage) Metformin 11 mg once daily. His wife helps him to take the prescribed medications regularly<\/p>\n

Vital Signs:<\/h2>\n

Temperature99.4\u00b0F (Axilla)<\/h3>\n

Pulse116 bpm<\/h2>\n

Respiration24\/min<\/h2>\n

B.P.146\/85 mmHg (right arm)<\/h3>\n

Weight 78KgPulse<\/h2>\n

Height 5 ft. 11 inches<\/h3>\n

Oximetry 97%<\/h2>\n

General: Malnourished and dehydrated. Sad and weak looking with possible weight loss<\/p>\n

Skin: No lesions or rashes<\/h3>\n

HEENT: Pupils are round and reactive. Tympanic membranes normal bilaterally. No thyromegaly or cervical lymphadenopathy. No neck rigidity<\/p>\n

Lungs: Clear to auscultation bilaterally. No rale, wheezing, and crepitus<\/p>\n

Heart: PMI not palpable; Regular rate and rhythm. Normal S1, S2. No murmurs, clicks, gallops, or rubs. No paroxysmal nocturnal tachycardia, sleeps on two thin pillows, normal S1 and S2, no tachycardia, no murmur, and no history of fainting<\/p>\n

Abdomen: Normal bowel sounds, soft, nontender, nondistended, no scars, no masses or hepatosplenomegaly.<\/p>\n

Urologic: Hesitancy and incontinence, uses a pullover at night to prevent bed soiling<\/p>\n

Extremities: No clubbing, cyanosis, or edema. Restricted range of motion.<\/p>\n

Neurological Examination<\/h3>\n

Mr. Kasem seems to be disoriented to time and place. He could not tell the date of today and the location where he is now. Mr. Kasem followed some of the commands although he was partly inattentive and drowsy. He could produce a few recognizable words. His language is lacking in detail and substance. He had difficulty to understanding the spoken language of the attending physician. He could repeat three words but could not recall after a small distraction. Mr. Kasem has hard time to recall the name of three of his children and he failed to recall the everyday objects like the pencil, eraser, and paper. Mr. Kasem was unable to calculate simple math like two plus three is what. Mr. Kasem was unable to draw a circle. Mr. Kasem has a slow and shuffling gait, short steps, and has difficult to initiate walking. There is no tremor or rigidity.<\/p>\n

CDs<\/p>\n

CD 1 CBC<\/h2>\n

CD 2 Serum Electrolyte<\/h3>\n

CD 3 Hemoglobin A1C, Glucose and BUN\/creatinine<\/p>\n

CD 4 Liver and thyroid function Tests<\/h3>\n

CD 5 Serum vitamin B12, Iron, and Folic Acid<\/p>\n

CD6 Urine Analysis<\/h2>\n

CD 6 Syphilis serology (RPR)<\/h3>\n

CD 7 HIV screening<\/h2>\n

CD 8 Lumbar puncture and CSF findings<\/h3>\n

CD EKG<\/h2>\n

CD 9 EEG<\/h2>\n

CD 10 CT scan and MRI of the brain<\/h3>\n

CD 11 Mini-Mental Status Examination<\/h3>\n

CD12 Trail Making Test<\/h3>\n

Treatment<\/h2>\n

Patient safety, including risks associated with impaired driving<\/p>\n

Home safety to prevent fall<\/h3>\n

Cholinesterase inhibitors<\/h3>\n

Donepezil (Aricept) 5 mg QD for 4-6 weeks<\/p>\n

Cognex (Tacrine Hydrochloride) 10mg QID for four weeks<\/p>\n

NMDA receptor antagonist: Memantine (Namenda)\u0097any contraindication? 5 mg QD<\/p>\n

Antipsychotic drugs<\/h2>\n

Olanzapine(Zyprexa) 2.5 mg QD<\/h3>\n

Objectives<\/h2>\n

After completing this case the students should be able to<\/p>\n

Define dementia, amnesia, aphasia, apraxia, acalculia<\/p>\n

List the causes of confusion<\/h3>\n

Describe the pathogenesis of Alzheimer\u0092s disease<\/p>\n

Enumerate the differential diagnosis of Alzheimer\u0092s\u0092 disease<\/p>\n

Enlist the common drugs used for the treatment of Alzheimer\u0092s Disease, their mechanism of actions and adverse effects<\/p>\n

Write the management plan for a patient with Alzheimer\u0092s disease<\/p>\n<\/article>\n","protected":false},"excerpt":{"rendered":"

Lake Erie College of Osteopathic Medicine Problem-Based Learning L-E-C-O-M Bradenton School of Dental Medicine New Case Andrew Kasem Written by: Dewan S. Raja, MBBS, Julie\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7641,8827,10535,10533,10534,10531,10529,6744,10532,10530,7741],"tags":[10553,10549,10616,10615,7687,10254,10627,10104,10247,8857,10552,10295,10900,2984,3903,10548,10622,8901,10551,8907],"class_list":["post-129065","post","type-post","status-publish","format-standard","hentry","category-australia-essay-writers","category-australia-essays","category-do-my-university-assignment-for-me","category-essay-pro-dissertation-writers","category-homework-help-services-best-websites","category-i-need-help-writing-a-page-paper-assignment","category-masters-essays","category-nursing-studybay","category-pay-someone-to-write-a-paper-for-you","category-website-that-writes-assignments","category-studybay","tag-1-assignment-help-online-service-for-students-in-the-usa","tag-ai-plagiarism-free-essay-writing-tool","tag-australian-best-tutors","tag-best-trans-tutors","tag-buy-essay-uk","tag-can-someone-write-my-assignment-for-me","tag-cheap-dissertation-writer","tag-essypro","tag-help-me-write-my-dissertation","tag-help-with-writing-an-essay","tag-help-write-my-paper-ai-free","tag-homework-for-you","tag-nursing-bay","tag-nursing-essay","tag-nursing-study-bay","tag-online-essay-writers","tag-phd-essays","tag-studbay","tag-write-my-assignment-help-for-college-students","tag-write-my-essay-for-me"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/129065","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=129065"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/129065\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=129065"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=129065"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=129065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}