1.W.H., a woman, age 36, has received a diagnosis of multiple sclerosis. She has lost part of her left visual field and has weakness in her left leg. W.H.’s mother had multiple sclerosis.
1. State the factors in the history and the diagnostic tests that would indicate multiple sclerosis as a diagnosis.
2. Describe the pathophysiology of multiple sclerosis.
3. State the possible locations of the lesions that have caused visual and motor deficits.
4. Describe the typical course of multiple sclerosis that W.H. can expect in future.
5. Suggest several measures that can be used to minimize exacerbations.
6. Explain why adequate nutrition and hydration are important in patients with chronic neurologic conditions, including specific potential complications that may be avoided.
7. Explain why a program of moderate activity is important for W.H.
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