Nervous System & Special Senses


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M18_F1.jpg"}},{"insert":"\n\n"},{"insert":"Your break is nearly over, having been significantly shortened by a mountain of paperwork. The last sheet signed, you dive into your bag and pull out your lunch.\n\nYou\u0027re about to tuck in when you get a call. The next patient is waiting to be seen. You sigh resignedly and ask for them to be called in.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M18_F2.jpg"}},{"insert":"\n\n"},{"insert":"You straighten up in your seat, glancing at the patient\u0027s file; in walks 22-year-old Peter, currently on treatment for temporal lobe epilepsy, looking sorely in need of a good night\u0027s rest.\n\nYou offer him a seat and he rubs his eyes before smiling and offering you a handshake.\n"}]}


{"ops":[{"insert":"Peter pinches the bridge of his nose and heaves a heavy sigh, then turns to meet your gaze. \u0022I\u0027m sorry, doctor. I\u0027ve been so exhausted lately. I usually see Dr. Li, but as you know, she\u0027s recovering from a bad car accident.\u0022\n\nYou reassure him and ask him to continue at his own pace.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M18_F4.jpg"}},{"insert":"\n\n"},{"insert":"\u0022Well, I was diagnosed with epilepsy a couple of months ago. Dr. Li gave me some medication, which I\u0027ve been taking exactly as she told me to.\u0022\n\n\u0022It was working fine for a bit, but now it doesn\u0027t seem to work at all. I\u0027m having as many seizures as I did before starting with the medication, and it\u0027s really taking a toll.\u0022\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M18_F5.jpg"}},{"insert":"\n\n"},{"insert":"Peter hands his current prescription along with a letter from his neurologist. He\u0027s been taking 800mg of carbamazepine a day with good adherence.\n\nHe doesn\u0027t recall any side effects of the medication and insists that the nature of his seizures have not changed.\n\nThe letter from his neurologist informs you that Peter had originally been suffering from focal seizures 2-3 times a week.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M18_F4.jpg"}},{"insert":"\n\n"},{"insert":"Peter suddenly perks up, as if remembering something important.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M18_F7.jpg"}},{"insert":"\n\n"},{"insert":"\u0022Do you need me to call someone to back my story up, doctor? My partner can come in and talk to you, if it\u0027s necessary. He\u0027s waiting outside.\u0022\n"}]}