Reference no: EM133563278
Case Study:
Mark, a 65 year-old man, is being evaluated episodes of loss of consciousness. He reports three similar "spells" over the past month of which he recalls a sense of déjà vu followed by a loss of awareness. He says that family members who witnessed these episodes have described him as being unresponsive, recounting that he stares and repetitively smacks his lips for 1 minute, followed by a few minutes of confusion and garbled speech before he returns to normal awareness. He has no significant personal or family medical history and takes no medications.
PE: AAO x3, MOE x4 TC, equal bilaterally with 5/5 strength, no cranial nerve deficits; normal S1, S2, no extra heart sounds; peripheral pulses equal bilaterally 2+; no peripheral edema; breath sounds clear, and equal bilaterally; abdomen soft, flat and non-tender with active bowel sounds. VS: T 98.5 degrees F, P 82, R 12, BP 135/72.
What is the relevant objective and subjective assessment data from the case study?
What does this data indicate? What conclusions can you make? Using Ivanovski and Miralles (2019) "Lambert-Eaton Myasthenic syndrome: Early diagnosis is key", what additional diagnostic testing is indicated? What is your preliminary diagnosis(es)?
What is the underlying pathophysiology that produce the clinical manifestations in this case study? You can use text, flowchart or outline to provide a detailed discussion. Please use your own words and do not "cut and paste" from a reference.
Based on the pathophysiology, what clinical course and complications could you anticipate?
What patient education and follow up is required for the case study patient?