NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS

Walden University NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS– Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS

Whether one passes or fails an academic assignment such as the Walden University NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS

The introduction for the Walden University NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS

After the introduction, move into the main part of the NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

Stuck? Let Us Help You

Completing assignments can sometimes be overwhelming, especially with the multitude of academic and personal responsibilities you may have. If you find yourself stuck or unsure at any point in the process, don’t hesitate to reach out for professional assistance. Our assignment writing services are designed to help you achieve your academic goals with ease. 

Our team of experienced writers is well-versed in academic writing and familiar with the specific requirements of the NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS assignment. We can provide you with personalized support, ensuring your assignment is well-researched, properly formatted, and thoroughly edited. Get a feel of the quality we guarantee – ORDER NOW. 

Sample Answer for NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS

Patient initial:S.M Age: 48 years old Gender: Male 

CC: Bilateral Foot Pain 

HPI 

S.M is a 48-year-old Hispanic male present to the facility with complaints of discomfort in her toes and the left foot, as well as heel of the right foot tingling and numbness over the previous two weeks. He is worried about his life since the pain forces him to drop his work equipment. The patient states that he is unable to bear weight. In the right wrist, the pain is assessed at a 37 out of 10. When he engages in physical activity, the pain is intensified. Nevertheless, relaxing and using medications including Ibuprofen 800mg PO as required and Tylenol 325mg PO as appropriate will help to alleviate the pain. 

Current Medications for NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS Patient

Ibuprofen 800mg PO as required for pain 

Multivitamin PO daily 

Tylenol 500mg PO as needed for pain  

Allergies 

No known drug or environmental allergies 

 PMH 

Type 2 Diabetes Mellitus 

PSH 

No surgical history 

Sexual/Reproductive History: Heterosexual; sexually active 

Personal/Social History: Married, denies cigarette smoking, alcohol, and illicit drug use 

Immunization History: Patient’s immunizations up to date; Influenza vaccine 2020; Last Tdap 11/2017 

Significant Family History: 

Mother: History of obesity  

Father: History of diabetes 

Paternal grandmother: died age 80 due to hypertension  

Paternal grandfather died age 86 from cardiac arrest; history of dementia 

Maternal grandmother died age 75 from heart attack; history of breast cancer  

Maternal grandfather died age 72 from throat cancer 

Lifestyle: S.M lives at home with his 40 years old wife. He works 9 hours a day at a workshop. He has a primary care physician and goes for his monthly checkups. He denies mental health problems. He denies exposure to domestic violence. 

Review of Systems: 

General: Denies experiencing headaches, migraines or insomnia 

HEENT: Head: Atraumatic and Normocephalic,. Eyes: no double vision or vision loss. ENT: the oral mucosa seems moist; Denies hearing loss or problems 

Neck: No pain or discomfort; Trachea midline Breasts:  

Respiratory: No history of SOB, or past TB illnesses.  

Cardiovascular/Peripheral Vascular: ; No chest pain or discomfort; Denies heart palpitation 

Gastrointestinal: No appetite loss or changes or weight gain. Denies vomiting, nausea, diarrhea, or constipation 

Genitourinary: Denies incontinence or frequency on urination. 

Musculoskeletal: pain in her toes and left foot, with tingling and numbness in the heel of the right foot  

Neurological: Denies history of seizures. 

Skin: Intact, warm and dry. Denies open wounds or rashes. 

Objective Data 

Vital signs: Temp 97.9 oral; BP 122/45 MAP 70 Right arm sitting; HR 77; RR 16 non-labored; O2 99% room air; Wt.: 60kg; Ht: 5’5”; BMI: 26.4 

General: Patient alert and oriented x4 with no acute distress. He is a well-nourished and developed man who appears his stated age. 

HEENT: Pupils respond equally to light. He is not jaundiced or pale. Moist Oral mucosa. No pharyngeal erythema. 

Neck: There is no neck elevation. No carotid swelling, or bruit. 

Chest/Lungs: is adequate bilateral air entry. Bilaterally clear lung sounds. No coughing or wheezing.  

Heart/Peripheral Vascular: Ha uniform rhythm and rate . No gallop, murmur, rub. Regular peripheral circulation 

Abdomen: stomach is soft and nontender. Bowel sounds present and regular. Recent known bowel movement 1 days ago 

Genital/Rectal: Deffered 

Musculoskeletal: Has full ROM. No found swelling or deformities. Right foot strength 3/5 and Left toe abduction 2/5 

Neurological: Alert and oriented with no acute distress; Has a steady gait. Congruent mood and affect. 

Diagnostic results: 

X-ray Upper extremity: X-rays of the feet may be ordered if there is limited toe motion, or evidence of arthritis or trauma. (Cleveland Clinic, 2021) 

Tinel’s Sign: tap or press on the median nerve in your feet with a reflex hammer. If your toes tingle or if you feel an electric-shock-like sensation, the test is positive (Cleveland Clinic, 2021). 

Phalen test: rests his feet on a table and allows the heel to fall forward freely. If numbness and tingling is experience in the toes within 60 seconds, the test is positive (Cleveland Clinic, 2021). 

Differential Diagnoses 

Tarsal Tunnel Syndrome: Tarsal tunnel syndrome is a more probable differential diagnosis, and it happens when the tibial nerve, which runs posterior to the medial side, gets entrapped, causing symptoms such as searing pain or tingling in the sole of the foot or the lower heel (Rose & Singh, 2020). A positive Tinel’s test is common in individuals with tarsal tunnel syndrome, (Rose & Singh, 2020). 

Multiple Sclerosis: Numbness is a feeling that is absent, reduced, or altered. One may get a pins and needles feeling along with the sense of your leg being “asleep” (NMSS, 2020). Despite the patient’s complaints of tingling and numbing, no indication of changed sensation was made. 

Paget’s Disease: Paget’s disease is a condition in which bone metabolism is accelerated as a consequence of aberrant and excessive bone resorption and creation (McCance & Huether, 2014). This is a more significant diagnosis to evaluate, because it impacts the axial skeleton, “particularly the vertebrae, head, sacrum, sternum, pelvic, and femur. The symptoms correspond to the issues displayed by the patient. 

Peripheral Neuropathy: Peripheral neuropathy is a sort of nerve injury that damages the legs and feet, as well as the hands and arms on occasion. Burning, tingling, or “pins and needles” sensations, numbness, discomfort, and weakness are some of the symptoms (NIDDK, 2018). The symptoms correspond to the complaints expressed by the patient. 

Foot Sprain: A foot sprain is a frequent ailment, especially in the workplace and in sports. A ligament damage caused by an acute traumatic incident or chronic repeated motions is known as an acute foot sprain (May & Varacallo, 2020). As a manual worker, the patient’s legs are repeatedly moved, potentially spraining her feet. 

Also Read:

DIGITAL CLINICAL EXPERIENCE: COMPREHENSIVE (HEAD-TO-TOE) PHYSICAL ASSESSMENT

LAB ASSIGNMENT: ASSESSING THE GENITALIA AND RECTUM

References 

May J. D., & Varacallo M. (2020). Foot Sprain. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK551514/ 

McCance, K. L., & Huether, S. E. (2014). Pathophysiology: The biologic basis for disease in adults and children (7th ed.). Mosby 

National Institute of Diabetes and Digestive and Kidney Diseases (2018). Peripheral Neuropathy. Retrieved from https://www.niddk.nih.gov/health- information/diabetes/overview/preventing-problems/nerve-damage-diabetic- neuropathies/peripheral-neuropathy 

National Multiple Sclerosis Society. (2020). Numbness or Tingling. Retrieved from https://www.nationalmssociety.org/Symptoms-Diagnosis/MS-Symptoms/Numbness 

Rose, B., & Singh, D. (2020). Ingerior heel pain. Othopaedics and Trauma, 34(1), 10–16. https://doi.org/10.1016/j.mporth.2019.11.002 

Sample Answer 2 for NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS

Patient Information:

Initials: N.T, Age: 46 years, Sex: Female, Race: White

S.

CC ” I have pain in both ankles”

HPI: N.T. is a forty-six-year-old white female patient who reported to the facility for a check. She complains of pain in both her ankles, even though she expresses more concern with the right ankle. The patient was playing soccer during the weekend when she heard a pop sound, which led to uncomfortable pain. The patient also experienced swelling following the pop sound. Consequently she is also unable to bear her weight. The pain is throbbing and more concentrated on the right ankle. She also rates the pain while resting. The pain is also radiating up the right lower extremity.

Current Medications: The patient is not using any medication currently.

Allergies: There are no records of allergies to food, medication, or environment.

PMHx: The patient indicated that she took her full dose of COVID-19. All other immunizations and annual flu tests are up to date.

Soc Hx: The patient is currently a single parent with three children. She works in the hotel industry. She likes playing soccer, which she does mostly during weekends but also occasionally in the evenings. She denies the previous or current use of alcohol. She also denies smoking or use of other illegal drugs.

Fam Hx: The patient’s parents are still alive; the father is eighty years old, and the mother is seventy-seven years old. The father is living with diabetes and hypertension while the mother has been treated for depression before and is currently living with osteoporosis. She has one elder brother and a younger sister and both are fairly healthy with no major health concerns.

 ROS:

GENERAL: No fatigue, weakness, chills, fever, and weight loss.

  HEENT: The patient’s head is normal; No visual loss, blurred vision, or double vision. She also denies reduced hearing, sneezing, congestion, sore throat, or even runny nose.  

SKIN: No signs of rash, itching, or bruising.  

 CARDIOVASCULAR: No chest discomfort, chest pain, or pressure. Denies palpitations or edema.  

RESPIRATORY: The patient denies any shortness of breath, sputum, or cough.

GASTROINTESTINAL:  The patient denies anorexia, nausea, vomiting, or abdominal pain.

GENITOURINARY:  No burning or pain during urination. She denies pregnancy. NEUROLOGICAL: She denies headache, dizziness, paralysis, ataxia, or numbness.

MUSCULOSKELETAL: She reports bilateral ankle pain. The pain is more concentrated on the right ankle as compared to the left ankle. She also reports swelling in the right ankle and is unable to bear her weight.  

HEMATOLOGIC: No anemia or bleeding.  

LYMPHATICS:  No history of splenectomy; denies enlarged nodes.

PSYCHIATRIC: No history of headache or mental illness.

  ENDOCRINOLOGIC: No Polydipsia or polyuria.   

 ALLERGIES:  No known allergies, either to food, medication, or environment

O.

Physical exam:

Vital signs: BP: 116/75, Temp: 97.0, RR: 18, HR: 76, Height: 6.2, Weight: 141 lbs

General: The patient is well-dressed and groomed. She is alert and oriented. She appears concerned regarding her ankle pain which started after hearing a pop sound when playing soccer during the weekend.

HEENT: The head is atraumatic and Normocephalic.  No ear pain or discharge. No loss of vision, no runny or stuffy nose. The patient’s neck is supple.

Skin:  The skin is warm and dry, with no wounds and no skin rashes. Bruising was seen in the right lateral ankle.

Chest: The heartbeat and heart rate are both regular, with no gallops, murmurs, or extra sounds. No cough or dyspnea. The patient’s lungs are clear.

The musculoskeletal system: The patient’s right ankle has bruises, and the fibula’s lower aspects are tender upon palpation. Less motion range was observed in the ankles. The swelling was also observed. Pain experienced on the leg when bearing weight. The left ankle had no bruising, swelling, or tenderness.

Diagnostic results: The Ottawa Ankle rule is to be used to help determine if the patient needs an X-ray to confirm or rule out a fracture (Morais et al.,2021). Ultrasound can be conducted to assess the structure of the soft tissues such as ligaments and tendons.

Differential Diagnoses

1. An Ankle sprain: This is a condition which usually occurs when the ligaments supporting a person’s ankle are torn or stretched. In most cases, the foot can forcefully turn outward or inward. Ankle sprains are known to be common when individuals participate in activities such as soccer and go for a sudden directional change (Halabchi & Hassabi, 2020). The condition can have varied severity, usually from mild to severe. This condition may present with various symptoms, such as finding it difficult to walk, joint stiffness, soreness, bruising, swelling, and pain. The patient was playing soccer when she heard a pop sound, leading to pain and swelling in her right ankle. The patient showed several of these symptoms which makes an ankle sprain one of the diagnoses.
2. Achilles tendonitis: This is a condition that may present with pain and discomfort due to tendon injuries like a tear or inflammation. The condition is sometimes known as Achilles tendinitis. In most cases, the illness may come due to a repetitive strain or overuse of the Achilles tendon, which then makes a patient to experience swelling and pain. It can also result due to weak or tight calf muscles which is known to lead to higher strain on the Achilles tendon. Other causes include a sudden increase in physical activity which can be characterized by an increased frequency, duration or intensity of the physical exercise or activity that a person engages in. Some of the symptoms include pain in the back of a person’s leg, pain exacerbated with activity, a stiff Achilles tendon, and swelling (Touzell, 2020). In addition, a patient may experience a mild thickening of the tendon, tenderness and a significant reduced range or motion.  The patient heard a pop sound when playing soccer, which makes this condition suspect.

• Chronic Ankle Instability: This is a condition that may result from multiple cases of ankle sprains, which then makes the patient prone to injuries. This condition may present with various symptoms such as ankle instability, injuries, swelling, pain, and re-injuries for more than half a year (Herzog et al.,2019). The patient may also experience recurrent sprains, complications maintaining balance and feelings of giving away. The condition is also known to substantially impact a persons, stability, mobility and the overall quality of life. The patient reported some of these symptoms, which makes this condition to be a potential diagnosis. However, the patient has no history of incomplete healed ligaments, which again makes this condition less likely.

1. Ankle fracture: This is a condition that entails cracking or breaking of one or more of the bones which make up the ankle joint. It can occur in either the talus, fibula or tibia. Ankle fracture may happen when a person experiences events such as an awkward landing or forceful impact. The condition can also be caused by osteoporosis which causes the bones to weaken, hence exposing the person to the condition. Sudden rolling or twisting of the ankle with force can also lead to this condition. Consequently, a person may put stress on the ankle, leading to the condition. Some of the symptoms include complications bearing weight, bruising, and swelling (Briet et al.,2019). Other symptoms may also include misalignment or deformity of the ankle and pain. The patient presented with some of these symptoms, making this a potential diagnosis.
2. Muscle soreness: Muscle soreness can be experienced after an individual takes part in physical activity or exercise. The condition is sometimes known as a delayed onset of muscle soreness. The condition is in most cases experienced when an individual takes part in physical exercise or activity that entail the eccentric muscle contraction, or lengthening of the muscle under tension. In addition, it is known to typically begin twenty four hours to forty eight hours after an exercise can have its peak around seventy two hours. The patient may experience reduced flexibility and strength and pain or discomfort in the skeletal muscles (Heiss et al.,2019). Other symptoms may include muscle discomfort, tenderness and stiffness. An individual with the condition may also experience an exacerbation of the soreness when the affected muscles are stretched or moved. The patient experienced pain when playing soccer, which makes this a potential diagnosis.

References

Briet, J. P., Hietbrink, F., Smeeing, D. P., Dijkgraaf, M. G., Verleisdonk, E. J., & Houwert, R. M. (2019). Ankle fracture classification: an innovative system for describing ankle fractures. The Journal of Foot and Ankle Surgery, 58(3), 492-496. https://doi.org/10.1053/j.jfas.2018.09.028

Halabchi, F., & Hassabi, M. (2020). Acute ankle sprain in athletes: Clinical aspects and algorithmic approach. World Journal of Orthopedics, 11(12), 534. https://doi.org/10.5312%2Fwjo.v11.i12.534

Heiss, R., Lutter, C., Freiwald, J., Hoppe, M. W., Grim, C., Poettgen, K., … & Hotfiel, T. (2019). Advances in delayed-onset muscle soreness (DOMS)–part II: treatment and prevention. Sportverletzung· Sportschaden, 33(01), 21-29. DOI: 10.1055/a-0810-3516

Herzog, M. M., Kerr, Z. Y., Marshall, S. W., & Wikstrom, E. A. (2019). Epidemiology of ankle sprains and chronic ankle instability. Journal of Athletic Training, 54(6), 603-610. https://doi.org/10.4085/1062-6050-447-17

Morais, B., Branquinho, A., Barreira, M., Correia, J., Machado, M., Marques, N., … & Diogo, N. (2021). Validation of the Ottawa ankle rules: Strategies for increasing specificity. Injury, 52(4), 1017-1022. https://doi.org/10.1016/j.injury.2021.01.006

Touzell, A. (2020). The Achilles tendon: Management of acute and chronic conditions. Australian Journal of General Practice, 49(11), 715–719. Doi: 10.3316/INFORMIT.553809190362672.

Sample Answer 3 for NURS 6512 CASE STUDY ASSIGNMENT: ASSESSING NEUROLOGICAL SYMPTOMS

 Patient Information:

Initials: J.P

Age- 48 years

Sex- Male

Race- Asian

S.

CC (chief complaint): “I cannot feel my toes in the left foot.”

HPI: J.P. is a 48-year-old Asian male patient presenting with a chief complaint of not feeling his toes on the left foot. The patient has a known history of diabetes mellitus type 2. He states that the symptoms began about two months ago, and he first ignored them. However, the problem has persisted, and he is concerned that he could end up with an amputated leg. He also reports experiencing numbness in the heel of the right foot and a tingling sensation.

Current Medications: Metformin 850 mg PO OD; Simvastatin 40 mg

Allergies: No drug/food allergies.

PMHx: Diagnosed with Type 2 Diabetes at 44 years; Hyperlipidemia; Obesity. Immunization is current. No surgical history.

Soc Hx: J.P. is an insurance agent with a Diploma in Sales and Marketing. He is married and has two children, 20 and 15 years. He smokes ½-1 PPD and drinks beer 3-4 bottles at least five times a week. He takes 3-4 meals a day and sleeps an average of six hours. His hobbies are traveling and watching soccer.

Fam Hx: The paternal grandfather died from Heart failure and had HTN and DM. The father died at 74 years from Kidney failure and had DM and HTN. The elder brother has a history of HTN. Children are alive and well.

ROS:

GENERAL:  Denies weight changes, fever, chills, increased fatigue, or malaise.

CARDIOVASCULAR:  Negative for chest pain, exertional dyspnea, palpitations, or edema.

RESPIRATORY:  Negative for shortness of breath, cough, wheezing, or sputum.

NEUROLOGICAL:  Positive for loss of sensation in the left foot, numbness in the right heel, and tingling sensations. Denies headaches, muscle weakness, or syncope.

O.

Physical exam:

Vital signs: BP- 136/84; RR-16; Temp-98.6; HR-80; HT-5’7; WT- 260 BMI-40.7

General: 48-year-old Asian male. The patient is morbidly obese. He is alert, calm, and in no distress. He is well-groomed and appropriately dressed. He is oriented X3 and maintains eye contact.

Cardiovascular: Regular heart rate and rhythm. S1 and S2 are present. No heart murmurs.

Respiratory: Symmetric chest expansion with smooth respirations. Lungs are clear on auscultation bilaterally.

Neurological:  Normal gait and posture.

Muscle strength 5/5. Reduced distal sensations in both feet. Decreased vibratory and pinprick sensation over the toes on the left foot.

Hypoactive Deep tendon reflexes.

Negative Tinel test.

Diagnostic results: The recommended diagnostic tests for this patient include:

Fasting blood sugar (FBS) to assess the blood glucose levels.

HbA1c to assess the patient’s glycemic levels in the past three months.

The two tests will assess for hyperglycemia that leads to neuropathy through blood vessel changes that cause nerve hypoxia (Galiero et al., 2023).

Nerve conduction studies (NCS) and electromyography (EMG): To assess the characteristics of the neuropathy, the localization, the severity, and the likely prognosis.

A.

Differential Diagnoses

1. Diabetic Diffuse neuropathy: This is the most common neuropathy in diabetic patients. It is characterized by widespread loss of nerve function. It has a slow onset, affects both sides of the body, affects motor and sensory nerves, advances slowly, is permanent, and includes autonomic nerve dysfunction (Fan & Gordon Smith, 2022). The differential is based on the patient’s complaints of loss of sensation in the left foot, numbness in the right heel, and tingling sensation. Besides, the patient had reduced distal sensations in both feet and decreased vibratory and pinprick sensations over the toes on the left foot.
2. Diabetic Focal neuropathy: This affects a single nerve or nerve group. It is usually caused by an acute ischemic event or by nerve trapping and leads to nerve damage or nerve death (Galiero et al., 2023). Positive symptoms of loss of sensation in the left foot, numbness in the right heel, and tingling sensation align with this differential.
3. Vitamin B-12 deficiency: The patient presents with clinical manifestations of peripheral neuropathy like reduced sensation and tingling sensations, which occur in Vitamin B-12 deficiency (Guéant et al., 2022).
4. Alcoholic Neuropathy: This is characterized by damage to nerves due to long-term excessive alcohol consumption. Clinical symptoms include spontaneous burning pain, painful sensations with or without burning quality, and weakness in the extremities (Julian et al., 2019). The patient’s neuropathy symptoms can be associated with his overindulgence in alcohol.
5. Tarsal tunnel syndrome (TTS): This is a neuropathy caused by compression of the posterior tibial nerve and its branches. Common symptoms included dysesthesia, paresthesia, numbness, tingling, and burning pain in the sole (Rodríguez-Merchán & Moracia-Ochagavía, 2021). The patient has a loss of sensation in the left foot, numbness in the right heel, and tingling sensation, making this a differential diagnosis.
6.  

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

References

Fan, Q., & Gordon Smith, A. (2022). Recent updates in the treatment of diabetic polyneuropathy. Faculty reviews, pp. 11, 30. https://doi.org/10.12703/r/11-30

Galiero, R., Caturano, A., Vetrano, E., Beccia, D., Brin, C., Alfano, M., … & Sasso, F. C. (2023). Peripheral neuropathy in diabetes mellitus: Pathogenetic mechanisms and diagnostic options. International Journal of Molecular Sciences, 24(4), 3554. doi: 10.3390/ijms24043554

Guéant, J. L., Guéant-Rodriguez, R. M., & Alpers, D. H. (2022). Vitamin B12 absorption and malabsorption. Vitamins and hormones, 119, 241–274. https://doi.org/10.1016/bs.vh.2022.01.016

Julian, T., Glascow, N., Syeed, R., & Zis, P. (2019). Alcohol-related peripheral neuropathy: a systematic review and meta-analysis. Journal of Neurology, pp. 266, 2907–2919. https://doi.org/10.1007/s00415-018-9123-1

Rodríguez-Merchán, E. C., & Moracia-Ochagavía, I. (2021). Tarsal tunnel syndrome: current rationale, indications, and results. EFORT open reviews, 6(12), 1140–1147. https://doi.org/10.1302/2058-5241.6.210031