a 54 year old right handed female consulted a neurologist for co numbness in her feet for the pa

1. The patient is scheduled to have an MRI of the brain with and without contrast.

Question

A 54-year-old right-handed female consulted a neurologist for complaints of numbness in her feet for the past two weeks with "pockets" of numbness in the abdomen. Her legs feel heavy and numb. Her hands started tingling a week ago, and she is feeling very nervous. She has had similar episodes over the past three (3) years, lasting about a week at a time, often after stressful events or during hot weather. She states that at times her vision is blurred. PMH: No operations/no serious illnesses/accidents Father: age 71, L & W; Mother, age 66, is bipolar Her only sibling, a sister, age 28, has cerebral palsy. SH (social history): denies smoking or use of street drugs, drinks socially OH (occupational history): certified public accountant. Marital status: married ROS: non-contributory VS: T 98.2°F, P 82 and regular, R 16, B/P 110/68, Ht 5'3", Wt. 140 lbs. PE: HEENT: WNL. Neck: negative, heart/lungs: normal Cranial nerves intact. Reflexes: DTRs are increased, greater on the right without spasticity. There is numbness to tactile pin stimulation over both extremities. She demonstrates ataxia. Dx: R/O MS (Rule out Multiple Sclerosis) Plan: Schedule MRI of the brain with and without contrast. Describe the test the patient is scheduled to have. It is a scan produced by magnetic fields and radio frequency waves.

          A 54-year-old right-handed female consulted a neurologist for complaints of numbness in her feet for the past two weeks with "pockets" of numbness in the abdomen. Her legs feel heavy and numb. Her hands started tingling a week ago, and she is feeling very nervous. She has had similar episodes over the past three (3) years, lasting about a week at a time, often after stressful events or during hot weather. She states that at times her vision is blurred.

PMH: No operations/no serious illnesses/accidents
Father: age 71, L & W; Mother, age 66, is bipolar
Her only sibling, a sister, age 28, has cerebral palsy.

SH (social history): denies smoking or use of street drugs, drinks socially
OH (occupational history): certified public accountant. Marital status: married

ROS: non-contributory
VS: T 98.2°F, P 82 and regular, R 16, B/P 110/68, Ht 5'3", Wt. 140 lbs.

PE: HEENT: WNL. Neck: negative, heart/lungs: normal
Cranial nerves intact. Reflexes: DTRs are increased, greater on the right without spasticity.
There is numbness to tactile pin stimulation over both extremities. She demonstrates ataxia.

Dx: R/O MS (Rule out Multiple Sclerosis)
Plan: Schedule MRI of the brain with and without contrast.

Describe the test the patient is scheduled to have.
It is a scan produced by magnetic fields and radio frequency waves.

a 54 year old right handed female consulted a neurologist for co numbness in her feet for the past two weeks with pockets of numbness in the abdomen her legs feel heavy and numb her hands st 15254

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