[Expert Solution]: Patient’s Chief Complaints and History of…

Patient’s Chief Complaints and History of Present Iliness the vame time as he wax reconring from the illiness. Past Medical History First attack of apparent MS at age 22: Patient had been in uscellent health and suddenty into refat arrn and neck, right arn and neck: muscles became weak; symptoms tesolvel Secood aruack of appirent M5 at age 25: Fision in lefr eyd became distorted, colors fated eral weeks Thind atsack of MS at age 28: Weakness in left leg and foen, patient had vo be extremely culious with each siep, beringing the entire leg up with the knee ben and extending the leg outward with an exigherated movement, diagnasis of AIS cotvinted Fofth arack of MS at age 36 . Sensations of “electrical bazzing” in ber boty whetever she fallowed by sensation of numbess in the right bips, the next day, parient developed a sensucion of “spinning; became extremely nausenus with severe vomiting, lost sense of balia both legs and left arm becume weak: developed mild incontinence; bepan fosing sight in nght eyc fatigue; muscle cramps frequeni; mone of the ssmptoms seemed to iemit Family History distorer astation Thescquestions pertain to the infurmation ahove it Social History The puliene in marrind and employod is spocial procadurs mive at the hapilal sto and Medications Ibuprofes 400 my po PRN for actaxional hradactie Allergies No known dray allergies Review of Systems Progressive weakness in arms and legs Reports feeling “run doon” Recent past diffruity with incentimences Sibjecthe focting of extreme weakness is hat weather Reports lower abdominal lulliness Denics ary current swallowing or spech problems Physical Examination and Laboratory Tests General The patient is a middle-aged white woman who appears to be her stated age. She does not appear to be in acute distress. The patient’s gait is slow and deliberate, bat she is able to walk. without assistance. Her affect is sad and she is tearful throughoun the examination. She states that she is very concerned about the progerssion of her disease- Vital signt table[[fir,T19.,,,,],[b,T40simitin,A.,,