Reference no: EM133857329
Nursing Client Madison is a 15-year-old who comes to the clinic to see the nurse. She is shy and embarrassed, but she confides that her new boyfriend asked her to come in to be tested. She is very much in love and he will not have physical contact with her until she is seen by someone. She is not sure why, but he mentioned chlamydia.
1. How can gabapentin and carbamazepine act with a cervical disc prolapse?
2. Do patients with cervical spondylosis, experiencing neck pain and stiffness, benefit from putting on a neck collar? If so, for how long should the collar be worn?
3. What is indicated by a straightening of the lumbar spine with a loss of normal lordosis, and is there any relation to ankylosing spondylitis?
4. Can cervical spondylosis cause hypertonia in one upper limb?
5. Should a female patient, with mild congestive cardiac failure, microalbuminuria and cervical spondylosis receive IV vitamin D/ analogues? Would this not increase the risk of calcium stones owing to the mild renal impairment? Would oral vitamin D be preferable?
6. What is the recommended treatment for spinal canal stenosis? Do carbamazepine or vasodilators have a role to play in its treatment?
7. What technique is used for injecting steroids locally in the case of carpal tunnel syndrome?
8. In a patient who has sustained an anterior cruciate ligament (ACL) knee injury and whose pain and swelling have subsided on conservative treatment, what are the chances of complications (e.g. osteoarthritis, fibrosis) from the torn ligament. Will the patient be able to lead a normal life?
9. Is either gapapentin or carbamazepine effective in the treatment of meralgia paraesthetica?
10. What is the clinical differentiation between Dupuytren's contracture and ulnar nerve palsy? Is it the absence of sensory deficit in the former? Are there any other differentiating factors?