Please answer the following questions about this case study: 1. Provide the diagnosis * 2. Provide the pathophysiology for this diagnosis * 3. Provide predominant age and sex *
History of present illness:
Patient is a 28 year old Caucasian female presenting to an outpatient clinic with complaints of weakness, numbness, tingling, and mild tremors (for the last 2 weeks) in her upper extremities, having trouble concentrating, fatigue, dizziness, and lacking balance for at least three and half months.
Past medical history
Breast fibroadenoma
Mononucleosis
Family history:
Father has HBP
Mother has Rheumatoid arthritis
Social History
No tobacco, illicit drugs, or alcohol history
Patient has 2 children and lived with husband in Alaska for most of her adult life.
Currently having trouble with home choirs and playing with children.
Allergies
None
Medications
Multivitamins
Key Labs, images, or procedures performed in relation to current diagnosis.
CBC:
- Hemoglobin: 10.8g/dL
MRI with contrast: Inflammatory demyelination within the central nervous system. Currently inconclusive.
Lumbar puncture (spinal tap): Elevated levels of IgG antibodies, and oligoclonal bands
Visual evoke potentials (VEP): Shows impaired transmission along the optic nerve pathways.
Key Physical Examination findings:
- Neurological exam:
- Cranial nerve examination: Issues with balance were discovered
- Discrepancies in overall muscle strength, such as weakness.
Please answer the following questions about this case study:
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