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Patient

case
project

BY OM. J
Patient 1
Nordstrom
D. Krypton
Demographics and • Birth of date: Jan 3, 2003
• Race: American Indian
description of the • Age: 19

patient • Gender: male


• Nordstrom is a project manager and an engineer for a tantrum
company that makes military equipment for the army. He had to
go to Egypt for engineering work for the military in the summer
and after a week of the workday was done, he had a week of
vacation in which he went to the USA to beautiful beaches in
Florida but soon he started to complain of extreme fatigue that
he can’t get up as he came to the USA and booked at the hotel
relax. Also, he complained about headaches and started to see
hallucinations of dead people with voices from people “ you are
going to be mummed soon”. Even sometimes he can’t even use
his legs and hand for normal walking because he feels aches in
his leg joints
• Before he went to the US, Nordstrom had
also gone to an American base which was
near the river Nile. After making
blueprints and presenting the product, he

Medical history went to his hotel in Egypt before he had


a seizure in the lobby room and had a

of the patient
fever for a few days in his room (after
that it was gone). After receiving a call
from the boss, Nordstrom packs up for
Florida and goes to the airport for the
trip to the USA.
Visual assessment • The patient is sweating a little even though the air
conditioner is on which indicates that the patient still has a
and info of the fever from Egypt but a little

Patient • also, the patient is seen in a confused state when asked


about the difference between the sphere and square.

• vital signs: extreme fatigue, a seizure, fever for a few days,


aches in the leg joints, and hallucinations. Also, the place
that he went to is also near the Nile river

• O2 levels: 40%

• Blood pressure: 125/55

• Height: 60 ft

• Weight: 20 pounds

• Pain level: 8.0


Diagnostic tests for •


Brian biopsy

Blood tests for any viruses

the Patient • Ultrasonography

• Spinal tap

• Electroencephalogram
Treatment to
• For now, Nordstrom can have anti-inflammatory medication like
corticosteroids. It can also have antiviral medications like Acyclovir
with Anticonvulsant medications like Dilantin

this disorder • But for treatment to happen fully, it also needs 2 therapies for this
disorder which is Physical therapy and Psychotherapy
What does the
Patient have?
• This is Encephalitis because it came
from the Nile river (from the west Nile)
and many mosquitos transmit this
disorder a virus may cause this problem.
Also, the Patient was from the Nile river
which his disorder can come from due to
Egypt’s mosquitos
Patient 2- Luna D.
Clover
Demographics
and description of
the patient
• Birth date: March 16, 1962

• Age: 58

• Race: American

• Gender: Female

• Luna D Clover was a veteran of the war on terror, the war in Afghanistan, and
the Gulf War. after retiring in 2016, she now lives with her family with a
loving husband and cute adult children with her grandkids. luna woke up and
complained about a big black hole in her vision that was bothering her. She
got second-degree burns on her legs and hands due to a blocking vision of the
fire on the campfire due to the big black hole. Also, before she was eating
with her family, she was writing in a lined notebook that saw wavy lines and
burly text spots. when her son came to visit her, she could only see her son’s
face a little due to a little blacked area(before this incident happen). when she
met her grandkids, she said that she could not look at the grandkid's faces
when Mack and jane came to a visit after the incident happened.
Medical history
of the patient
• Luna’s mother was a Russian
(Caucasian) and Luna's father was a
white person. Luna’s mother had type 2
diabetes while Luna's father was normal.
Also, before she retired, she used to
smoke with her friends as a candidate to
try to get rid of the stress on the
battlefield.
Visual assessment
and info about the
Patient
• She has Blisters on the lateral sides of the arms and legs and when did Amsler
Grid Eye Test, she complained that she only saw curly lines on the grid
around the black spot.

• Vital info: she has a big black hole in her vision, difficulty seeing her
grandkids and son’s faces, the wavy lines and burly text spots, smoking in
her early years in the U.S army, and her mother is a Caucasian race

• Eye pressure: 20 mmHg

• Blood pressure: 134/34

• O2 levels: 94%

• Pain level: 5

• height: 24ft

• Weight: 29 pounds

• The burned area: about 27% of the body


Diagnostic tests •


Amsler grid eye test

Visual Refraction Eye Test

for the Patient


• Slit lamp exam (with a dilution of the iris)

• Ophthalmoscopy

• Fluorescein angiography

• Optical coherence tomography


Treatment for
this disorder
• So, Luna can take high-dose of antioxidant vitamins which it can take:
• 500 milligrams of vitamin C
• 400 IU of vitamin E
• 10mg of lutein
• 2mg of zeaxanthin
• 80mg of zinc oxide
• 2mg of copper oxide

• Also, she can take low-light rehabilitation by an occupational


therapist to avoid total loss of central vision and learn to live with the
disorder or do surgery to implant the telescopic lens in both eyes.

• Along with that, Luna will have to use the antibiotic ointments on her
legs and her arms with a dressings that will cover her burned area for
healing
What does the
• Luna has this eye disorder called Macular Degeneration where her
macula has worn down due to smoking in her past years in the army.
This is macular degeneration because she is seeing a black hole where

patient have?
normal people with this type of disease can cause to see a black hole in
their vision and see curvy lines in the straight lines which is the very
first symptom that many people see when they get Diagnosed with
Macular degeneration.
Sources

• First patient:
• https://www.mayoclinic.org/diseases-conditions/encephalitis/symptoms-causes/syc-20356136

• Second Patient:
• https://my.clevelandclinic.org/health/diseases/15246-macular-degeneration

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