Question

1. A 32-year-old while female presents to the Urgent Care with complaints of blurry vision and “fuzzy thinking” which has been present for the last several weeks or so. She works as an executive for an insurance company and put her symptoms down to the stress of preparing the quarterly report. Today, she noticed that her symptoms were worse and were accompanied by some fine tremors in her hands. She has been having difficulty concentrating and has difficulty voiding. She remembers her eyes were bothering her a few months ago and she went to the optometrist who recommended reading glasses with small prism to correct double vision. She admits to some weakness as well.  There was short term memory loss with listing of familiar objects. The APRN tells the patient that she will be referred to a neurologist due to the high index of suspicion for multiple sclerosis (MS).  

Question:

What is multiple sclerosis and how did it cause the above patient’s symptoms?

Answer 1

Multiple sclerosis is a condition in which th eimmune sysytem attacks the protective sheayhyelin that covers the nerve fibres and results im intetupted communicatiom problems between brain and body.

Patient may experince many symptoms .

• Vision problems.- the optic nerve is affected by inflamamtion and interupts the vision results in vision loss and double vision.
• Tingling and numbness.-The spinal cord is affected and results in interupted signals and cause numbness.
• Fatigue and weakness is caused by deterioration of spinal cord.
• Anxiety and mood swings.
• Walking difficulty,muscle weakness.
• Bowel and bladder dysfunction.

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