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HBS Huntington's Disease

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lily fite

on 6 November 2012

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Transcript of HBS Huntington's Disease

Lily, Brianna, Victoria, Brittany 2.2.5
Breakdown Situation: Depression
Mild mood swings
Hands move on their own
Feet move on their own
Forgetting little details
Bruises from falling down Symptoms: Frontal lobe damage is related to every symptom except clumsiness
Motor cortex damage could incite hand and feet movement
Hippocampus possibly involved in mind mood swings
Cerebellum responsible for clumsiness Causes for Disease: At first, the culprit was believed to be a stroke for the following reasons:
movement impairment
loss of memory
mainly 1 region of the brain was affected
But, we could not ignore these:
Seemingly genetic (mother had similar symptoms)
Movement of hands and feet
Mood swings Disease Candidate #1 Genetic defect on chromosome 4
Progressive deterioration of nerve cells in the brain Huntington's Disease Susan must visit a neurologist periodically to determine the development of her brain deterioration, as well as to continue visiting a therapist for her depression.
Huntington's disease often results in severe depression, and suicide is the #2 killer of people with this disease (infection is most common). It is important for her to seek help from these two types of doctors. What now? Patient #6- Susan, a 35 year-old teacher, has been referred to you from a psychologist who works in your building. She was being treated for depression and mild mood swings, but now that she has started having physical symptoms, the psychologist thinks she needs a neurology consult. Obviously nervous, Susan says, “You might think I am crazy, but sometimes my hands and feet just seem to move on their own, kind of like they are dancing.” She goes on to say that she remembers her mother experiencing the same thing a few weeks before she died. Sadly, her mother was killed in a car crash before the doctors could ever explore her symptoms. Other than the limb movement, Susan has noticed that she seems to be forgetting little details at work. She has a few bruises on her legs. When asked about them, she tells you that she has been a bit clumsy lately and seems to fall down more than she used to. It is known to cause: behavioral disturbances, moodiness, restlessness, loss of coordination, paranoia, facial movements, personality changes, speech impairment amantadine - stop feet and hand movement (normally used for Parkinson's patients) dopamine blockers - calm depression and mood swings Incurable, though there is symptom help! Linkage to Communication Error: Deterioration of neurons in different regions of the brain
Frontal, Susan
Signals cannot be relayed effectively
Origin of signal is gone
Communication between body and brain: removed
Lack of ability to do activities once possible Neurologist Diagnose neurological disease in adults and children
Find treatment for such diseases and illnesses
Clinical research, trials, and translational research
Manage patients with neurological diseases
Schooling: 4 years undergrad, 3-8 years internship/residency Therapist Must counsel people with psychological, behavioral, and emotional problems
Focus on cognitive solutions to problems, not medication
Teach new solutions to old problems instead of medicating into sedation
Crisis intervention
Master's degree, internship under practicing therapist, licensure test Works Cited health.nytimes.com
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