Pathophysiology and Current Management Practices Case Study

Pathophysiology and Current Management Practices - Case Study ExampleThis paper outlines three differential diagnoses for a case, their single pathophysiology and current management practices for those diagnoses. The case diagnosed in this paper is about a 62-year-old man who collapsed at a shopping center at about 1030 am after feeling extremely dizzy. The man who is also living alone had experienced an episode of falling from stairs eight months agone without any major injury. Although the man is awake and sitting on the ground, he shows signs of drowsiness and disoriented and has hindrance in talking. The man insists on going inhabitation even though his eyes suddenly move upwards and in a few seconds he begins a seizure. The key symptoms, in this case, are drowsiness, bother in talking, dizziness, difficulty in talking and seizure. The history such as episodes of falling, age, time of the incident and the fact he lives alone are also pivotal and important information in obta ining accurate differential diagnoses. The brain metabolism relies primarily on glucose to supply the energy necessary for metabolism. When levels in blood drop off below certain levels normally 0.55nm, subtle reduction in the mental effects of the brain occurs and results in the impairment of judgment resulting in symptoms like seizures. minute quantities of glucose force out be derived from the stored glycogen within the astrocytes however, a brain is dependent to the greater extent on the continual supply of glucose from the blood. Glucose from the blood diffuse into the interstitial cells, then into the central nervous system (CNS) and finally into the neurons. Within the CNS, energy is required for synthesis of signals and conveyance of information to the muscles. This explains the emergence of symptoms such as drowsiness, difficulty in talking, dizziness, and seizure. Generally lack of enough glucose supply to the brain would result in confusion and in severe cases, it is p receded with dizziness and drowsiness, seizure and finally, the patient can go into a coma.