Question

Case: While volunteering at an assisted living facility, you are asked to participate in the care of an 82 year-old female resident with limited mobility. When you are first introduced to Gladius Claymore, you notice she often rubs and taps at the side of her left hip, but still greets you with a welcoming smile. Gladius often spoke of experiencing shooting pain, numbness, and weakness on her lower back, the posterior side of her left buttocks, and her posterior lower limb. She first started experiencing these symptoms ever since she suffered a bad fall a few months back. “The doctor said I had a ‘slipped disc’ in my waist” she tells you “But I don’t get why it would make my thigh hurt!” You help Gladius make it to her physical therapy appointment and spend some time chatting with her clinician. When the clinician finds out you are taking a human anatomy class she begins to quiz you about some of the anatomy related to Gladius presentations and complications that might be associated with it. Gladius has a good time quizzing you too (and telling to when you’re wrong) and wishes you luck on your upcoming exam. Goal: Using the description above, describe the most likely diagnosis for Gladius’s presentation (should include anatomical terms), and compared it with an in-depth discussion of the normal, healthy anatomy (hint: should include tissue types found in the bone and joints in the vertebral column). Next, describe the common causes of this presentation, especially in someone of Gladius’ demographic group. Gladius’s presentation may cause impingement on components of the central and/or peripheral nervous system, describe those components using correct anatomical terminology. Describe the layers and spaces surrounding the spinal cord. Lastly, how might someone like you get involved with Gladius and brighten her day.

Answer 1

diagnosis :

Gladius had experiencing the shooting pain, numbness, weakness of her lower back.

CONDITION:

It seemed to be a sciatic nerve compression

sciatic nerve compression :

It is formed from the L4 to S3

segments of the sacral plexus.

Collection of nerve fibre to form sacral part

Of the spinal cord.

If any compression occurs in the low back (L4 to S3)

It leads to sciatic nerve compression .

components, sciatic nerve from the peripheral nervous system .

symptoms :pain, pressure ,numbness, tingling or pricking sensation which radiates down to the leg of the affected side,

It show the they have compression in the sciatic nerve, because it's radiates pain to the leg (thigh part ,below the knee, feet)

diagnosis : X-ray, MRI,

Treatment : Lambar traction, and followed by the exercise given by the physical therapist.