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.
Jeremy is going with dehydration and electrolyte imbalance which commonly thought to be the cause of muscle cramps. This is most evident factor when training in hot and humid conditions due to an increased loss of electrolytes through sweat.
Exercise associated muscle cramps are mainly treated with hydration and electrolyte supplementation but this could be neglecting the underlying cause of cramps during or after exercise. The most effective way of treating cramps before they affect body athletic performance is neuromuscular re-education.
What is neuromuscular re-education?
Neuromuscular re-education involves training weak, underactive muscles to help balance the work load..
Charle horse is type of a cramp which occurs when the muscle involuntarily contracts and cannot relax. The calves and thighs are two of the most common areas affected, although cramps can strike hands, arms, abdomen, and feet. They typically last from several seconds to a few minutes, and athletic person can often feel a knot when presses the painful area.
For more information regarding cramps, visit:
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Current Procedural Terminology
Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations. Might not exactly be an answer, but I hope it helps
Integumentary system, skeletal system, muscular system, lymphatic system, respiratory system, digestive system, nervous system, endocrine system, cardiovascular system, urinary system, and reproductive systems
