Mandy Wallsmith (Part 1) MF4 Neurology
					Activity
Tutorial
					
											Tutorial
Mandy Wallsmith is a 19-year-old young lady who has been brought to the Emergency Department because of problems walking.  Approximately one week ago, she noticed some numbness in her left leg.  She thought she had slept on it the wrong way initially, but then the numbness persisted.  The next day she fell while skating and landed on her backside.  Over the next few days, she reports feeling significant pain in her lower back and progressive “heaviness” in her left leg.  She began having difficulty lifting her left leg.  She also noticed that her right leg seemed to feel cold when she showered.  After speaking to her parents about her symptoms, she was brought to a walk-in clinic where an x-ray of the spine was ordered.  This reported no fractures, and Mandy was advised to follow-up with her family doctor if her symptoms did not improve in the next few days.  When she started to have episodes of urinary incontinence, her parents became very concerned, and decided to bring her to the Emergency Department.
										
											Curriculum Block
Medical Foundation 4 / Neuroscience / Part 4 / Week 1 
					
                     - Indicates most relevant
					
											Objectives
General Objectives
- Explain the organization of the two major sensory systems of the spinal cord.
- Differentiate peripheral versus central loss of sensation.
- Contrast upper versus lower motor neuron dysfunction.
Global Objectives
										
											Assessments
End-Unit Tutorial Assessment
Mini Concept Application Exercise (CAE)
						
											Tags
Basic Sciences
									
										Anatomy		
											
										
									
									
										Physiology		
											
										
									Curriculum Block
									
										Medical Foundation 4		
											
										
									
									
										Neuroscience		
											
										
									
									
										Part 4		
											
										
									
									
										Week 1		
											
										
									Curriculum Week
									
										Part 4		
											
										
									
									
										Week 4		
											
										
									Discipline
									
										Emergency Medicine		
											
										
									
									
										Neurology		
											
										
									MCC Presentations
									
										Back Pain and Related Symptoms (e.g., Sciatica)		
											
										
									
									
										Incontinence, Urine, Adult		
											
										
									
									
										Numbness / Tingling / Altered Sensation		
											
										
									
									
										Weakness (not caused by Cerebrovascular Accident)		
											
										
									McMaster Program Competencies
									
										1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.		
											
										
									
									
										1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice		
											
										
									
									
										1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment		
											
										
									
									
										1.5 Develop and carry out patient management plans		
											
										
									
									
										2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.		
											
										
									
									
										2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare		
											
										
									MeSH
									
										Demyelinating Autoimmune Diseases, CNS [C10.314.350]		
											
										
									
									
										Motor Neuron Disease [C10.668.467]		
											
										
									
									
										Multiple Sclerosis [C10.314.350.500]		
											
										
									
									
										Myelitis, Transverse [C10.228.854.525.553]		
											
										
									
									
										Neurologic Examination [E01.370.376.550]		
											
										
									
									
										Spinal Cord [A08.186.854]		
											
										
																		