answer- the last one you said
i think... i'm not 100% sure though
i'm taking the test rn... good luck
1 : the act of predetermining : the state of being predetermined: such as
a : the ordaining of events beforehand
b : a fixing or settling in advance
2 : a purpose formed beforehand
Answer: The next most appropriate step would be a LUMBAR PUNCTURE.
Explanation:
A LUMBAR PUNCTURE is a medical procedure that is usually carried out by a trained health personnel. It is a procedure that is carried out in the lumbar region of the spinal cord to access and obtain the cerebrospinal fluid which is used for further diagnosis of an underlying disease or illness.
A LUMBAR PUNCTURE is often adviced when the symptoms of a disease is related to the central nervous system. From the symptoms observed from the 19-year-old woman at the emergency department which includes:
--> generalized headache which is increasing in intensity,
--> blurred vision,
--> intermittent diplopia,
--> vague dizziness.
--> bilateral papilledema and
--> normal MRI of the brain.
Since the MRI of the brain is normal, the most appropriate step to be taken by the health care provider is a lumbar puncture which enables a direct access to the cerebrospinal fluid. This would help to rule out an elevated intracranial pressure which may be the cause of the generalized headache which is increasing in intensity.
Answer: Weakness, numbness, poor balance, stroke, Parkinson's , and seizures. Neurological disorder can also cause memory loss.
Answer: check her medical history to see if she has had these issues before during your physical exam alway check above and below the area the patient is complaining about. So for sinuses palpate the sinus drainage passage with the digits of your fingers. For below palpate the back of the neck ask if there’s any tenderness or pain also examine the throat and check the lymph nodes and tonsils. Do an oral exam look at the tonsils tongue teeth look for any inflammation or redness. Look in the nasal cavity to see if you see a deviated septum dryness bleeding any blockage after a full physical exam like that order your x-ray which would typically not be done on an acute patient with these symptoms but in a patient with chronic issues continuing I would immediately get a consult to a specialist which in her case would be an ENT( ears,nose,throat). A simple clinical treatment for sinus issues would to just put the patient on a antihistamine some examples are (Benadryl, Allegra and Clara tin) I’d recommend the patient follow up within a week to see if that helped at all and then if not follow through with the plan I set in place above. If you do place the patient on an antibiotic I would recommend (amoxicillin).
Hm2(FMF) Gill
Explanation:
