Question

Read the following case study and answer the following questions in two lines each.

A white, 38-year old man with no family history was admitted to the hospital for extreme and abnormal weakness in his hands. He has a history of weakness and muscle atrophy in his right hand for 2 years, noticing the same in his left soon after. For the next 6 months, he had noticed a thinning of the arms (predominantly in his right and his right thigh.

After a general examination, it was observed that his right shoulder appeared flatter and that muscles in his hands had wasted away. Uncontrollable twitching in his tongue was also observed. He had significant wasting of muscles in his hands and arms and right thigh. After testing his reflexes, it was noted that all four limbs responded in an exaggerated manner and shook especially when flexing his deltoid, pectoral, and quadriceps muscles. All other motor, sensory, and cerebellar examinations were within normal limits.

A MRI was ordered and found the brain and spine to be normal.

What is the patient’s background?

What symptoms are they presenting?

What system is involved in this disease?

What should the next test be?

How can it be treated?

Answer 1

1)From the information provided by case study we can know that patient is a 38 year old white man with no.family and he has muscle atrophy and weakness in his right hand from 2 years.From 6 months he also absorbed thinking of his right side arm and thigh.

2)After examination there is thinning of muscles in right shoulder and muscles in his arms are wasters away.Significant wasting of muscles in his right thigh,arms and hands.Uncpuntrallable twitching of toungue.Limbs responded in exaggerated manner and muscles are showing when tried to flex.

3) Muscoskeleton system or nervous system is involved in this disease.

4) Electromyogram test should be done to test the muscle function or nerve function.

5) Treatment include physical therapy, functional electrical stimulation,exercises and surgery.