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Medical - Essay Example

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New Health Center Martinsville, Virginia History and Physical Examination Patient Name: ABC Patient Number: 2011-7654-12 Birth Date: 04/23/86 Date: 02/08/11 Room number: 12 History: Twenty four years old female, Ms. ABC presented to the clinic with complaints of sudden onset of facial weakness since this morning…
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Download file to see previous pages... She also reported difficultly in speaking resulting in slightly slurred speech. Her sister also commented on her facial appearance saying that her face seemed disfigured. While having breakfast she also noticed having excessive tearing in the right eye (Crocodile tears). These symptoms progressively worsened over the course of the next 8 hours and thus she decided to undergo evaluation for these complaints. She does not have any other existing comorbid conditions and has not had any similar complaints in the past. Her past medical history revealed that she had recently recovered from an episode of common cold and her family history was positive for diabetes, however, she herself is not a known diabetic. Social history was unremarkable. Physical Examination: On inspection of the face, it was observed that the nasolabial folds on the left side of the face were flattened and the patient was unable to completely close her left eye. When the patient was asked to forcefully close her right eye, inward and upward rolling of the eyeball was noted, i.e. demonstration of the Bell’s phenomenon (Monnell & Zachariah, 2009). When she was asked to raise her eyebrows and smile, weakness of the right facial muscles was noted. ...Download file to see next pagesRead More
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