Csa - Case Study Example

Download file to see previous pages 1. Assessment There are many illnesses that could be happening with Bret but there are many preliminary tests that would have to be done. The first thing would be to check his vital signs. I would want to know his blood pressure to rule out high blood pressure because it could cause fatigue and weakness over time. I would also check to see whether he had been drinking enough water when he does sports because some of the weakness could be due to dehydration (Mayo Clinic). I would want to do an ultrasound on his legs to make sure that there were no blood clots or other challenges with his legs. I would also want to send him to an neurologist because the weakness in his legs may be early signs of multiple sclerosis (MS). Some of the symptoms of multiple sclerosis are the fatigue, had tremors, and double vision (Merk Online Manual 2010). The challenge with is symptoms is that they could be one of many types of diseases and it would be important to narrow down the focus. I would also want to order an MRI to see if there are challenges in the brain or the muscles that are more physical. 2. Treatments The treatments would depend on what was found from the various tests. If it was MS, it is a treatable disease. Some of the treatments that may be used would be dependant on how the symptoms are working with Bret. There are Corticosteroids are used more often than other treatments. Also, Interferon Injections may be used in order to help delay the total disability of this issue. 3. Prognosis Many people who have MS live for a very long time and are able to maintain a lifestyle that stays healthy. Regular exercise is important and physical therapy can help maintain balance. Case Study 2 Corey is 14 years old and is an avid mountain biker. He has been riding with his friends every weekend. At one point in the current ride, he has decided to ride the Abyss trail because none of his friends have had the courage to ride it. As Corey was negotiating the last trail, he hit a root sideways with his bike and it spun out of control, flipping Corey backwards over a small ravine. He hit the back of his head on a rock outcrop and flipped over face down into pine needles. He jumped up, brushed himself off, and said he was okay. However, he had cracked his helmet and on the way home, he could not remember what happened or starting down the hill. His head was hurting and the boys noticed that the back of his head was bloody. Corey was very thirsty, drank a Mountain Dew quickly and threw up. His friends rush him to the hospital and his parents meet them there. Once his head and scalp are stitched he says that his head still hurts, but he does not feel that he will throw up. He knows what school he goes to, but he cannot recall starting down the hill before the accident. It is apparent that he has suffered a concussion because of the headache, nausea, and the amnesia about the traumatic event (Mayo Clinic 2011). I would tell the parents that they should watch him closely for the next couple of days because he may have had a head injury that we cannot see. I would have ordered an MRI for him to see whether there was anything else to be concerned about in this process. However, he could have some other challenges with dizziness or nausea in the next couple of days. I would tell them to bring him back if he had any other symptoms or if he seemed to be drowsy or more fatigued than normal. I would also tell them that if his speech begins to slur or he has other symptoms that are not ...Download file to see next pages Read More