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What are 7 Differential Diagnoses (Rank in order 1-7 with most likely as #1)  and put MNM  (must not miss) next to DDx that are critical to not miss if  answers for iHuman Brad Banerjee?

 

Note:  PLEASE CONSIDER ALL INFORMATION BEFORE CHOOSING ANSWERS.  READ EVERYTHING including the PE FINDINGS (NEURO). If you aren’t sure…. don’t answer and waste my question please.

 

Height, Weight, and Vital Signs: Height: 6’2″ Weight: 190 lbs
Vitals: Temp: 36.9 C, HR: 76, BP: 164/104, RR: 16 Unlabored, O2: 97% Room Air

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= Brad Banerjee: History Physical Exam
Assessment Test Results Diagnosis Organize Key
Your Problem Statement Findings Wri… Show more

Past Medical History

Untreated Hypertension x 2yrs

 

Family History

Father Died at 38 of Heart Attack.
Mother Died of Stroke at 50. Also had DM and HTN.

 

Abnormal exam findings listed :

Neurological: 

Alert and Oriented x4. 

Progressive symptoms.

Patient reports dizziness as “spinning sensation” 

Positive Romberg’s Test.  

Broad-based stance and gait.  

Stance and gait ataxia with falling towards the right side (ipsilateral). 

Sitting ataxia with falls to the right. 

Skew deviation – hypertrophic deviation on left.  

Double-vision x 1day,  on and off (diplopia)

Facial and hand numbness/tingling

New onset hiccups x 1day, constant

 

Musculoskeletal: 

Difficulty walking reported “leg heavy”

Strength is asymmetrical, weak on left hand grip and left leg raise compared to the right.

SCIENCE
HEALTH SCIENCE
NURSING
NURS 6152

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