ICU Case Study

Jun 18th, 2015
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Alabama State University
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Willa Schemaykit is a 62 year old female who presented in the E.D. at Middleofnowhere Medical Center. She was 65.3 kg and 61 inches. Her chief complaint was back and leg discomfort on going for 5 days. She also complained of nausea and emesis, problems stopping urination, increasing weakness, and stumbling. She is a non-smoker and denied any alcohol or drug use. The patient was admitted to Middleofnowhere Medical Center with potential Guillain-Barre Syndrome. Guillain-Barre Syndrome is a neuromuscular disorder also known as acute inflammatory demyelinating polyneuropathy or Landry's ascending paralysis. It is a disorder that causes acute inflammation of the peripheral nerves, and is characterized by a loss of reflexes and symmetrical paralysis. Guillain-Barre typically presents in the legs first with weakness and ascends. An infection prior to the onset of Guillain-Barre is common (Malley, 2005). Paresthesia in the distal extremities is also common. Deep aching pain on the posterior back

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Spring 2011ICU Case StudyRyan Sharkey3/15/2011Sharkey Page |2Willa Schemaykit is a 62 year old female who presented in the E.D. atMiddleofnowhere Medical Center. She was 65.3 kg and 61 inches. Her chief complaint wasback and leg discomfort on going for 5 days. She also complained of nausea and emesis,problems stopping urination, increasing weakness, and stumbling. She is a non-smoker anddenied any alcohol or drug use. The patient was admitted to Middleofnowhere Medical Centerwith potential Guillain-Barre Syndrome.Guillain-Barre Syndrome is a neuromuscular disorder also known as acuteinflammatory demyelinating polyneuropathy or Landry's ascending paralysis. It is a disorderthat causes acute inflammation of the peripheral nerves, and is characterized by a loss ofreflexes and symmetrical paralysis. Guillain-Barre typically presents in the legs first withweakness and ascends. An infection prior to the onset of Guillain-Barre is common (Malley,2005). Paresthesia in the distal extremities is also common. Deep aching pain on the posteriorback of the patient happens in about half of those whom the disease affects. Paresthesia in thedistal extremities is also common. Deep aching pain on the posterior back of the patienthappens in about half of those whom the disease affects (Moses, 2011).She appeared clammy and diaphoretic. A grade II/VI heart murmur was noted She hasa history of asthma, goiter in neck, dyslipidema, and has had a burning tongue intermittently

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