Weakness and numbness of the extremities and intermittent

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Reference no: EM133867661

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The nurse in the outpatient clinic is caring for a 44-year-old female client. Nurses' Notes Vital Signs 9/17 1000 Client is a 44-year-old female experiencing new onset of occasional blurred vision, fatigue, weakness and numbness of the extremities, and intermittent muscle aches. Client reports a debilitating onset of fatigue while vacationing in Florida the week before. Client states the heat was intolerable and just wanted to rest in bed most of the time. Client reports a change in memory and having problems concentrating while at work. Client reports occasional constipation that has not changed or gotten worse. Neurologic: awake, alert, oriented x 3; pupils equal and reactive to light and accommodation; corneal reflex present bilaterally; extraocular movements intact; hand grasps equally present but weak; bilateral weakness of upper thighs present Cardiovascular: apical 68 beats/min and regular; no jugular vein distention; pulse present and equal bilaterally; no peripheral edema; capillary refill 2 seconds Respiratory: breath sounds present and clear over all lung fields; no cough; mucous membrane moist; nailbeds pink Gastrointestinal: bowel sounds present x 4 quadrants; abdomen soft, nondistended; nontender upon palpation Musculoskeletal: slight tremor noted on left hand; muscle spasm of left calf.

Reference no: EM133867661

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