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U Module 5 Case Study #1 Case Study #2 Discussion Questions Outpatient Office Encounter The patient, Mrs. Elaine Markus, is a 37-year-old woman with a history of migraine headaches and visual field disturbances. History of Present Illness ✓ Expand All A Collapse All Mrs. Elaine Markus is a 37-year-old woman with a history of migraine headaches and visual field disturbances. She has a left medial lower quadrant defect lan area of reduced visual function) that was noted in December of 2014 and has been stable. She recently developed a right temporal lower quadrant defect, which was first noted in September of 2019 and has had worsening symptoms in October. Prior Imaging An MRI in November showed a normal study of the brain including visual cortex and periventricular white matter, with a normal study of the orbits, optic nerves, and extra ocular muscles. A pituitary microadenoma (small benign tumor of the pituitary gland) of approximately 3 mm on the left side of the gland was found with no compromise of the optic chiasm. Mrs. Markus underwent further evaluation by MRI with pituitary cuts and the microadenoma was again noted left of midline causing no compression of the optic nerves nor invasion of the cavernous sinus. The microadenoma is approximately 5 mm. Past Medical History Past medical history is also significant for depression, asthma, and a hiatal hernia. Her current medications include Prozac, Imitrex, and Azmacort MDI. Summary In summary, Mrs. Markus is a patient with an incidentally noted pituitary microadenoma on MRI. This is reportedly new when compared with prior studies. We cannot explain the new visual field disturbances except for the adenoma. A pituitary workup has been initiated and her prolactin level is mildly elevated, but this can be secondary to her medications, especially Prozac, which can cause hyperprolactinemia. Thyroid function is normal, and a growth hormone test level is pending. I will proceed to rule out hypercortisolemia and Cushing's disease. Question 1 After reviewing the Outpatient Office Encounter of Elaine Markus (Case Study 1) and provide the following in your post. • Perform a quality assessment of the medical terminology used by identifying one or two terms that may be inaccurate or confusing within the context of the case presented.

U Module 5 Case Study #1 Case Study #2 Discussion Questions Outpatient Office Encounter The patient, Mrs. Elaine Markus, is a 37-year-old woman with a history of migraine headaches and visual field disturbances. History of Present Illness ✓ Expand All A Collapse All Mrs. Elaine Markus is a 37-year-old woman with a history of migraine headaches and visual field disturbances. She has a left medial lower quadrant defect lan area of reduced visual function) that was noted in December of 2014 and has been stable. She recently developed a right temporal lower quadrant defect, which was first noted in September of 2019 and has had worsening symptoms in October. Prior Imaging An MRI in November showed a normal study of the brain including visual cortex and periventricular white matter, with a normal study of the orbits, optic nerves, and extra ocular muscles. A pituitary microadenoma (small benign tumor of the pituitary gland) of approximately 3 mm on the left side of the gland was found with no compromise of the optic chiasm. Mrs. Markus underwent further evaluation by MRI with pituitary cuts and the microadenoma was again noted left of midline causing no compression of the optic nerves nor invasion of the cavernous sinus. The microadenoma is approximately 5 mm. Past Medical History Past medical history is also significant for depression, asthma, and a hiatal hernia. Her current medications include Prozac, Imitrex, and Azmacort MDI. Summary In summary, Mrs. Markus is a patient with an incidentally noted pituitary microadenoma on MRI. This is reportedly new when compared with prior studies. We cannot explain the new visual field disturbances except for the adenoma. A pituitary workup has been initiated and her prolactin level is mildly elevated, but this can be secondary to her medications, especially Prozac, which can cause hyperprolactinemia. Thyroid function is normal, and a growth hormone test level is pending. I will proceed to rule out hypercortisolemia and Cushing's disease. Question 1 After reviewing the Outpatient Office Encounter of Elaine Markus (Case Study 1) and provide the following in your post. • Perform a quality assessment of the medical terminology used by identifying one or two terms that may be inaccurate or confusing within the context of the case presented.

Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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U Module 5 Case Study #1 Case Study #2 Discussion Questions Outpatient Office Encounter The patient, Mrs. Elaine Markus, is a 37-year-old woman with a history of migraine headaches and visual field disturbances. History of Present Illness ✓ Expand All A Collapse All Mrs. Elaine Markus is a 37-year-old woman with a history of migraine headaches and visual field disturbances. She has a left medial lower quadrant defect lan area of reduced visual function) that was noted in December of 2014 and has been stable. She recently developed a right temporal lower quadrant defect, which was first noted in September of 2019 and has had worsening symptoms in October. Prior Imaging An MRI in November showed a normal study of the brain including visual cortex and periventricular white matter, with a normal study of the orbits, optic nerves, and extra ocular muscles. A pituitary microadenoma (small benign tumor of the pituitary gland) of approximately 3 mm on the left side of the gland was found with no compromise of the optic chiasm. Mrs. Markus underwent further evaluation by MRI with pituitary cuts and the microadenoma was again noted left of midline causing no compression of the optic nerves nor invasion of the cavernous sinus. The microadenoma is approximately 5 mm. Past Medical History Past medical history is also significant for depression, asthma, and a hiatal hernia. Her current medications include Prozac, Imitrex, and Azmacort MDI. Summary In summary, Mrs. Markus is a patient with an incidentally noted pituitary microadenoma on MRI. This is reportedly new when compared with prior studies. We cannot explain the new visual field disturbances except for the adenoma. A pituitary workup has been initiated and her prolactin level is mildly elevated, but this can be secondary to her medications, especially Prozac, which can cause hyperprolactinemia. Thyroid function is normal, and a growth hormone test level is pending. I will proceed to rule out hypercortisolemia and Cushing's disease. Question 1 After reviewing the Outpatient Office Encounter of Elaine Markus (Case Study 1) and provide the following in your post. • Perform a quality assessment of the medical terminology used by identifying one or two terms that may be inaccurate or confusing within the context of the case presented.
Transcribed Image Text:U Module 5 Case Study #1 Case Study #2 Discussion Questions Outpatient Office Encounter The patient, Mrs. Elaine Markus, is a 37-year-old woman with a history of migraine headaches and visual field disturbances. History of Present Illness ✓ Expand All A Collapse All Mrs. Elaine Markus is a 37-year-old woman with a history of migraine headaches and visual field disturbances. She has a left medial lower quadrant defect lan area of reduced visual function) that was noted in December of 2014 and has been stable. She recently developed a right temporal lower quadrant defect, which was first noted in September of 2019 and has had worsening symptoms in October. Prior Imaging An MRI in November showed a normal study of the brain including visual cortex and periventricular white matter, with a normal study of the orbits, optic nerves, and extra ocular muscles. A pituitary microadenoma (small benign tumor of the pituitary gland) of approximately 3 mm on the left side of the gland was found with no compromise of the optic chiasm. Mrs. Markus underwent further evaluation by MRI with pituitary cuts and the microadenoma was again noted left of midline causing no compression of the optic nerves nor invasion of the cavernous sinus. The microadenoma is approximately 5 mm. Past Medical History Past medical history is also significant for depression, asthma, and a hiatal hernia. Her current medications include Prozac, Imitrex, and Azmacort MDI. Summary In summary, Mrs. Markus is a patient with an incidentally noted pituitary microadenoma on MRI. This is reportedly new when compared with prior studies. We cannot explain the new visual field disturbances except for the adenoma. A pituitary workup has been initiated and her prolactin level is mildly elevated, but this can be secondary to her medications, especially Prozac, which can cause hyperprolactinemia. Thyroid function is normal, and a growth hormone test level is pending. I will proceed to rule out hypercortisolemia and Cushing's disease. Question 1 After reviewing the Outpatient Office Encounter of Elaine Markus (Case Study 1) and provide the following in your post. • Perform a quality assessment of the medical terminology used by identifying one or two terms that may be inaccurate or confusing within the context of the case presented.
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