Lucas, a 16-year-old male, presents himself to your clinic with his mother. She tells you he was playing in a rugby game last night and was hit hard by another player and was knocked out. When he woke up he couldn't feel his legs.What is the diagnosis? Group of answer choicesAcute Bacterial MeningitisCerebral ConcussionParaplegiaSubdural Hematoma

Your patient a 14 year old soccer player fell on the soulder and neck after scorring a goal, when she had her legs swept out from under her by a defensive player. she is unable to move her right arm and in shoulder flexion and abduction, muscles are graded at 2/5 on assessment.  The shoulder in internally rotated and her hand is in waiters tip position after a week.  The shoulder MRI was normal.  What is the clinical diagnosis

Given the following symptoms, which is the most accurate diagnosis?Sudden and severe headache, vomiting, fever, and irratibility.Group of answer choicesAcute Bacterial MeningitisAcute Subdural HematomaCerebral ConcussionHeadache

Jose, a 16-year-old male, presents himself to your clinic with his mother. She tells you he was playing in a football game last night and was hit hard by another player and was knocked out. When he woke up he didn't know where he was or who his parents were. He was taken to the hospital where it was shown that his heart rate was 54 beats per minute and his blood pressure was 88/54. Shortly after vital signs were taken, Jose began to vomit.What is the treatment?   Bed rest.   Mild analgesics.   Gradual return to daily activities.   All of the above are part of the treatment plan for a cerebral concussion.

A 54-year-old female with symptoms of persistent fatigue and impaired cognitive function was examined by her physician.  During the exam, the patient expressed concern over increased body fat and, under questioning, reported having suffered a concussion during a soccer match in college.  Based upon the patient's symptoms and responses to questions, the physician ordered a panel of tests.A concussion is a mild traumatic brain injury (TBI) that results from impact to the skull.  TBI occurs most frequently in male patients, typically due to accidents; however, there is growing appreciation that TBI also occurs in male and female athletes during sporting events.  In addition, previously unrecognized chronic responses to TBI (eg, hormonal deficiencies) are now better understood.As part of the examination, the patient underwent a test to evaluate growth hormone (GH) secretion.  The brain participates in regulating GH secretion, and roughly half of the GH secreted into the blood is bound to a binding protein that increases the half-life of GH by inhibiting its urinary elimination.  Furthermore, lipid-soluble sex hormones, such as estradiol, augment GH secretion.During the GH secretion test, GH-releasing hormone (GHRH) was administered to the patient along with arginine.  GHRH is an endogenous stimulator of GH secretion, and arginine inhibits secretion of somatostatin, an endogenous inhibitor of GH secretion.  When administered together in healthy individuals, GHRH and arginine strongly stimulate GH secretion into the blood.  However, this patient exhibited an abnormally small response to GHRH and arginine, leading the physician to start the patient on GH therapy.  After a year, the patient's symptoms had improved, and body composition testing showed that her lean body mass had increased. Question 36Based on the passage, a likely mechanism by which GH therapy relieves chronic symptoms associated with TBI is by:A.stimulating protein synthesis in multiple tissues.B.inhibiting protein synthesis in multiple tissues.C.stimulating GHRH release by the pituitary.D.inhibiting GHRH release by the pituitary.

Tim is a 28 year old male who has played representative soccer for a number ofyears. Six months ago Tim began to notice excessive cramping and weakness inhis legs while playing soccer, which lead to several falls across multiple games. Timassumed it was due to inadequate hydration and nutrition, and kept pushingthrough. When this cramping, weakness, and propensity to fall began occurring offthe soccer field Tim went to see his doctor. His doctor became concerned when Timmentioned feelings of general weakness and muscled cramping in his arms andlegs that was quite consistent, and that his voice has also changed a little bit. Hewas referred to a neurologist and was eventually diagnosed with AmyotrophicLateral Sclerosis (ALS).Question 1 (~100 words)Provide a brief summary of ALSQuestion 2 (~100 words)Describe the main components of the respiratory systemQuestion 3 (~80 words)Explain how ALS impacts the components of the respiratory system.Question 4 (~80 words)Explain the differences between a restrictive and obstructive respiratory disorder,and Identify which patient below has a restrictive disorder. Justify your answerMeasurement Patient 1 Patient 2Forced vital capacity(FVC)Decreased NormalForced Expiratoryvolume in one second(FEV1)Decreased DecreasedFEV1/FVC ratio Normal DecreasedTotal lung capacity (TLC) Decreased IncreasedPage 1 of 2