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Beth Romano

on 13 November 2016

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Transcript of x

Mystery Disease - Patient: Joe Bloggs
by Beth Romano & Jeff Berg

Patient Vital Signs:
Name: Joe Bloggs
Age: 42
Sex: male
BP: 120/75
Temp: 98.8 deg F
Pulse: 82 beats pm
Oxygen: 15 breaths pm
Height: 5-10
Weight: 155lbs

Case History
Ankle injury 1 year ago
Increasingly irritable
Trouble at work completing complicated tasks
Trouble sleeping, not eating, losing weight.
Recently father passed away
Mother passed from pneumonia, after mysterious illness that left her unable to walk, eat, or dress herself.
Losing interest; possible depression
Physical Exam
Fingers twitching
Walk with rapid and jerky body movements
Test Recommendations
Mental state tests
Psychosocial history
Blood test for genetic marker on Chromosome 4
Genetic counseling
MRI/CT & PET scans
Laboratory Analysis
Chromosomal test came back indicating the HD gene
Scans showed deterioration of cerebrum

Medications to help with symptoms (i.e. depression)
Maintain physical fitness as much as possible
There is no cure or reversal of disease
Counseling for patient and family
The Future of HD
Clinical trials
-Dance therapy
-Video game exercise
-Deep brain stimulation
Full transcript