Entries by Daphne Hanson

Long-term care system base eligibility for services

The “ideal” long-term care system base eligibility for services on functional needs rather than financial needs. Find the criteria for eligibility for Medicaid coverage for a nursing facility in your state (you can get the eligibility standards directly from the state or from a nursing facility). Do you think they measure functional needs vs. financial […]

The diagnosis of transient ischemic attack

A 68-year-old man was brought to the emergency department by his family. During his routine morning walk, he noticed a sudden onset of left facial numbness associated with a dull headache on the right posterior aspect of his head. He was staggering to the right side and feeling unsteady and nauseated, with no vomiting. He […]

Myasthenia gravis

Case study: A 61-year-old male complains of intermittent weakness and muscle fatigue that has progressively worsened over the past month. He was an internationally known extreme mountain climber but now he says he has difficulty in getting his morning paper. Initially, he thought his symptoms of profound leg weakness and fatigue were due to his […]

Nerve causing optic neuritis

CASE STUDY: A 32-year-old white female presents to Urgent Care with complaints of blurry vision and “fuzzy thinking” which has been present for the last several weeks. She works as an executive for an insurance company and puts her symptoms down to the stress of preparing the quarterly report. Today, she noticed that her symptoms […]