RT Book, Section
A1 Marquis-Gravel, Guillaume
A1 Azarbar, Sayena
A2 Salardini, Arash
A2 Biller, José
SR Print(0)
ID 1127049153
T1 Common Cardiorespiratory Problems on the Neurology Ward
T2 The Hospital Neurology Book
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071845830
LK neurology.mhmedical.com/content.aspx?aid=1127049153
RD 2024/04/19
AB CASE  47-1A  58-year-old  woman  is  hospitalized  for  a  flare-up  of  progressive  relapsing  multiple  sclerosis  (MS)  with  motor  symptoms.  Her  past  medical  history  includes  arterial  hypertension,  prediabetes,  osteoporosis,  and  a  previous  gastric  ulcer  treated  medically.  She  never  smoked,  and  does  not  drink  alcohol  or  take  illicit  drugs.  Her  father  had  a  nonfatal  myocardial  infarction  at  52  years,  and  her  mother  is  alive  and  in  good  health.  Her  current  medications  include  amlodipine,  risedronate,  omeprazole,  and  calcium  and  vitamin  D  supplements.  Upon  physical  examination,  she  appears  in  good  health.  Her  vital  signs  are  normal,  including  her  blood  pressure  at  110/82  mmHg  in  the  right  arm  and  112/82  mmHg  in  the  left  arm.  Cardiopulmonary  auscultation  and  abdominal  examination  are  unremarkable.  Upon  palpation,  her  apical  impulse  lasts  one  third  of  the  systole  and  is  not  displaced.  She  has  no  peripheral  edema,  eyelids  xanthelasmas,  or  tendinous  xanthomas.