[NPInfo] RE: Margie's Patient

[Linda Marie De Zago]

I am biased. . . .however, symptoms that include swallowing difficulty and
double vision sound like a bleed in the cerebellum and/or stem. Has your
patient had an echo-enhanced MRI with gad?

Respectfully,

Linda Marie De Zago, MS, ARNP-C



-----------------------
 
Hi,
Yes she had an eye exam.
Thanks

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In a message dated 5/10/2008 10:59:17 A.M. Eastern Daylight Time,  
gs_booboo at hotmail.com writes:


hello,

you didn't specifically say, (and being a fairly  green NP, I don't want to 
assume anything), but has she had a thourough eye  exam by an
ophthalmologist 
before all the other big tests??    
-------------------------------------

Nila FNP-BC

> From: Margienp at aol.com
> Date: Sat, 10  May 2008 09:32:37 -0400
> Subject: Re: [NPInfo] Friday Funny?   HUMOR
> To: npinfo at nurse.net
> 
>  
>   
> Hell all,
> I am looking for some opinions on a dx. My cousin  is having double vision

x  
> 6 months , no other sx, no fatigue,  swallowing difficulty, no dropping 
> eyelids.  She is in the  process of testing, every test has been neg.
> They have considered, ms,  brain tumor, myst. grav. They now say they are

> thinking of a  type of Muscular dystrophy. She is being eval at a teaching

>  hospital.
> Any opinions. She is near Winston Salem NC.
>   
> Thanks Margie
>