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]