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Reasonable diagnosis for an illness based on a case.




Markus posted a question Jul 23, 2014 at 4:06am;Hi Please help me URGENTLY;for Cognitive Neuroscience.;It regards coming up with a reasonable diagnosis for;an illness based on a case.;-Attached is an example, ie. a tutorial.;-And also attached is the actual case to be solved, entitled "Case to solve.pdf;featuring "Patient C.L.;I need this very quick. If you cannot write it up, or can only do key points, that is fine... I can write it up if I get a response soon.;Name and describe the signs, symptoms and potential syndrome(s);? Determine cognitive domain(s) impacted and possible brain damage localization (be;specific!). Also describe other areas of cognitive functioning that you think might be;impacted based on cognitive neuroscience research. Describe other clinically relevant data;you would like to obtain (e.g. neuroimaging, neuropsychological reports etc.).;? Provide potential diagnoses - list 2-3 possible diagnoses that you feel should be considered;based on the facts of the case. Then narrow your reasoning down to what you feel is the most;likely diagnosis.;Each of these aspects should be fully explained and justified based primarily on information;provided in the course (including the lectures). In addition to the course materials, you should;cite two (2) additional research papers related to your final diagnosis and that have informed;your clinical decision-making process. HOWEVER, this is not intended as a research paper. I;do not expect lengthy discussions on the etiologies nor an extensive bibliography. You may;write 750 words for this assignment so your thoughts should be well reasoned and precisely;stated. Superfluous writing and unfounded statements are STRONGLY discouraged.;Please see ?Term Paper Tutorial? lecture notes in the ?Term Paper? folder on Moodle further;details on how to approach the assignment.;The case study analysis is due at the beginning of lecture, July 23rd.;Case: Patient C.L.;C.L., a 55 year old right-handed woman, sought an evaluation for an overall decline in;her writing, spelling, arithmetic and reading abilities. These had been present for approximately;one year and had led her to resign from her position as a second grade teacher. Lapses of;memory occurred occasionally. Despite these deficits, daily living activities remained intact.;Her general physical examination and elementary neurological examination showed no deficits.;Examination revealed an alert, cooperative and pleasant woman who was appropriately;concerned about her predicament. She was fully oriented to time [year, month and day of the;week] and place [country, province, city and location of testing] but had only a vague knowledge;of current news events [who is the Premier of Ontario?].;She could not recite months in the correct order. Her phonemic verbal fluency [name as;many words as you can beginning with ?S?] was normal but was below expectation for lexical;items (name as many animals as you can). Her performance on a word list recall measure [repeat;as many words as you can from the word list I just read to you] suggested that she did not have a;primary memory disorder.;There was mild hesitancy to her spontaneous (conversational) speech, but no true wordfinding;pauses. She did well on confrontation naming [what is the name of the object in this;picture?], showing only mild hesitation on naming of object parts. Only a single phonemic;paraphasia [pronouncing ?shoulen? for ?shoulder?] was noted. Her language comprehension was;preserved (oral and written). Reading was slow but accurate, including reading numbers.;Writing was very poor. She had severe spelling difficulties, even for simple words, including;regular (e.g. ?buy?) and irregular (?bought?) forms. When asked to solve arithmetic problems she;said that 8 + 4 was 11 and could not calculate 4 X 12. When tested, she found it difficult to;verbally identify which of her fingers was tapped by the examiner. She also had difficulty;moving specific fingers to command, but was able to move the correct finger in response to a;tap.;On her way to be scanned she received detailed instructions on how to get to radiology;(which included two right and one left turn), but she kept taking the wrong turns, something her;husband describes as typical of her lately. She had difficulties in target scanning [find a;particular symbol out of an array of many different symbols]. Clock drawing showed minimal;misplacement of numbers and she could not properly copy a cube.;Because of her relatively young age and unusual presentation, an extensive workup was;performed. A variety of laboratory tests were unremarkable. A brain magnetic resonance;imaging (MRI) scan showed moderate atrophic changes. Single-photon, emission computed;tomography (SPECT: a measures of blood flow and brain activity) showed reductions in regions;of the temporal-parietal junction, with greater reductions observed in the right than the left;hemisphere.;-Please note, exact diagnosis does not matter so much. The point is rationale behind the possible diagnoses, like "a lesion in 'this area', causing...;Thank you most kindly. Good day.;Additional Requirements


Paper#15459 | Written in 18-Jul-2015

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