Identify four risk factors in this patient that are consistent with multiple sclerosis. 2. What probably precipitated this most recent attack of multiple sclerosis? 3. Should any of the patient’s vital signs be a cause for concern? 4. Does the rectal examination provide any information that the patient’s constipation is a result of multiple sclerosis? 5. Briefly explain how a Romberg maneuver is done and what it may reveal. 6. Is a positive Romberg sign good or bad? 7. Identify all of the abnormal blood chemistry test results in Table 44.2 and provide a reasonable explanation for each abnormal test result. 8. Are the patient’s cerebrospinal fluid glucose and protein levels normal, abnormally high, or abnormally low? 9. Why is lymphocytosis in the CSF consistent with an attack of multiple sclerosis. 10. Before a definitive diagnosis of multiple sclerosis is made, healthcare providers will often conduct various tests on patients. Briefly explain the rationale for each of the following tests. a. serum vitamin B12 concentration b. serum folate concentration c. erythrocyte sedimentation rate d. antinuclear antibody (ANA) test e. serology for Lyme disease f. VDRL (now known as RPR) test
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[Solved]: Identify four risk factors in this patient…