Answer:
B. Leslie had more dopamine receptors than other participants.
Explanation:
Ritalin (methylphenidate hydrochloride) is a central nervous system stimulant drug used to treat Attention Deficit Hyperactivity Disorder (ADHD). Ritalin also serves to treat narcolepsy, a sleep disorder that is characterized by excessive daytime sleepiness, even if the person has slept well at night.
Ritalin increases the activity of certain areas of the brain that are poorly active, promoting increased attention and concentration, and decreasing impulsive behavior. In narcolepsy, Ritalin works by relieving sleep throughout the day. The mechanism of action of Ritalin is the same as that of amphetamines and other stimulants, ie it increases the concentration and reuse of neurotransmitters such as dopamine and norepinephrine in the brain. For this reason, people with more dopamine receptors in their brain (such as Leslie) when taking ritalin feel pleasant feelings.
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Based on the symptoms,
Differential diagnoses for the boy includes:
- Rocky Mountain Spotted Fever (RMSF) owing to his recent visit to Florida
- Meningitis
Course of treatment:
- The patient needs to be admitted
- Diagnostic tests including CBC, cultures of both blood and CSF to rule out meningitis should be done
Explanation:
Initial line of treatment with loading dose of doxycycline at 2.2 mg/kg and ceftriaxone at 100 mg/kg/day can be started.
RMSF is a contagious disease caused by ticks and is predominant in the southeastern regions of the United States like North Carolina. So the boy could have got the disease from his visit to N. Carolina. Doxycycline is a broad spectrum antibiotic is the most preferred treatment of choice for RMSF
Meningitis is a bacterial disease affecting the brain. Ceftriaxone is the treatment of choice for empirical treatment of meningitis.
Since the boy’s symptoms like fever, headache, petechial rashes etc are symptomatic of both RMSF and meningitis, both the antibiotics should be administered initially.
Then depending upon the culture results, other specific antibiotics and treatments can be started.
Answer:
A. The Fun And Care They've Been Having Together Might Be The Internal Factors
B. Distance, Interest And Demands
C. I'll Advice Her To Stay Away From Such Man
