Question

earodnichm-American male reported to his physici as a result of an increase intracranial of the sphenoid bone, abnormal psychological factors, and visual disturbances. He stated that he has been having this pain for several months and treated it with ibuprofen. The patient states his pain is a 9/10 currently and is not alleviated with a medication. 20/200 score on Snellen test. His physician ordered a comprehensive chem. panel with CBC, hormone panel, and Cranial MRI (review attached document for results.) lpressure causing an erosion ny a. Which lab parameters are elevated or decrease? b. As a result of the above abnormalities, what is proper name for each imbalance parameter? c. What structure is causing the abnormalities in the laboratory values? d. What structure is affected as a result of this patient's symptoms and laboratory values? e. What is this patient's diagnosis? f. What are the different forms of this diagnosis? g. What structure will be impinged if it increases in size h. What is the visual field deficit that this patient will anteriorly? experience? Shade the visual field affected(s) in the diagram below i. What hormone(s) will not be affected? j. Explain the physiological mechanism of the hormone involved in the formation of Goiter?

Answer 1

Q. No a) Answer :

* Here the client is having pain since several months and he treated with ibuprofen, this medication prolonged usage leads to changes In the lab values are,

* According to client reports CBP means complete blood picture in these we will see all hemoglobin, white blood cells and platelets. So due to that medicine decreased platelets counts leads to bleeding may observs, from nose and gastrointestinal, and erotion of the sphenoid bone also abserved here.

* So, here we will see thrombocytopenia due to decreased platelets.

* And increased blood pressure.

* if there is any infections means WBC count may increases.

* if the bleeding increasing automatically the HB also will be decreases it leads to anemia.

b) Answer :

Proper name for each imbalance parameters are

* Decreased platelets called Thrombocytopenia.

* Increased WBC called leucocytosis.

* Decreased hemoglobin called Anemia.

* increased blood pressure hypertension.

* 9/10 pain on pain scale is severe pain.

d) Answer:

According to the clients symptoms and lab parameters the central nervous system structure, and cardiovascular system structure, and hemotological system structures may get affected.

e) patient diagnosis is

''Idiopathic Intracraneal Hypertension ''

In these only we will see the increased intracraneal pressure,

And it leads to pressure on optic nerve leads to visual disturbances and erotion of craneal bones.

f) different forms of these diagnosis are

* Being intracraneal hypertension

* Pseudo tumor cerebri.