Neuro assessment

CASE STUDY 3: Drooping of Face

A 33-year-old female comes to your clinic alarmed about sudden \”drooping\” on the right side of the face that began this morning. She complains of excessive tearing and drooling on her right side as well.

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Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case. Can not use WNL, or “normal” must provide information if you have to be creative.

With regard to the case study you were assigned:
Review this week\’s Learning Resources and consider the insights they provide about the case study.

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Consider what history would be necessary to collect from the patient in the case study you were assigned.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient\’s condition. How would the results be used to make a diagnosis?
Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

SAMPLE SOLUTION

SOAP note
Patient initials: J.M
Age: 33 years
Gender: Female
Ethnicity: Latino
Subjective data
Chief complaint (CC): Drooping on the right side of the face
History of patient illness (HPI): J.M, a 33 year-old Latino presented this morning complaining of drooping on the right side of | GET AN EXPERT FOR YOUR ASSIGNMENT / that she observed it when she woke up in the morning. She also complains of excessive tearing and drooling on the right side….