HAYES MEDICAL CENTER 3231 riverbank Drive Perrysburg, OH 43551-1001 Phone 419-555-7800 Fax 419-555-7890 worship in aesculapian work for Over 50 Years penetrate MEDICINE UNIT October 18, 2011 Dr. Daniel Barnett Internal treat Unit Room 222 Hayes health check Center 3231 Riverside Drive Perrysburg, Ohio 43551-1001 Dear Dan: RE: Gail Bean DOB: 9/30/65 I examined your patient Gail Bean in neurological consultation in my Toledo office yesterday for the chief complaint of nystagmus. She does non genuinely shoot diplopia, nor is imaging blurred. She has no new(prenominal) neurological symptoms. A realize review of cranial affectionateness symptoms was negative. Headaches, ataxia or falling, and torpor or seizure were non detached. Cognitive statues and mental functions ar regulation. at that place is no new loss of descry and no new ring of the ears. The quality of hearing has non changed in whatsoever(prenominal) way. The patient is a 35-year-old bank examiner who starting time observanced jumping of her vision when flavour to the left locomote last Thursday.
She does not notice the jumping, a horizontal jjerking, or each other way of gaze except when looking to the left. Ms. Bean smokes ½ pack of cigarettes periodical and has smoked for 20 years. On average, she drinks alcohol a minuscular more than once a week. She does not use any regular medications. She has not had any head, neck, or ear injuries. She is not diabetic, nor does she have cancer, stock meat disease, heart valve disease, high snag pressure, or collagen vascular disease. I enjoy that you examined her from the general medical point of view and put cipher else. Neurological psychometric test revealed a right-handed clear distaff who was entirely dapper and cooperative. She was oriented to person, place, time, and situation with normal speech, affect, and mood. There was no sign of aphasia or other linguistic communication dis enounce, agnosia, or apraxia. Remote, recent, and retentive...If you want to enamour a full essay, order it on our website: Ordercustompaper.com
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