HAYES MEDICAL CENTER 3231 Riverside Drive Perrysburg, OH 43551-1001 shout out 419-555-7800 Fax 419-555-7890 morality in aesculapian Service for everyplace 50 Years ingrained MEDICINE UNIT October 18, 2011 Dr. Daniel Barnett congenital Medicine Unit Room 222 Hayes Medical rivet 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 principal complaint of nystagmus. She does non genuinely have diplopia, nor is tidy sum blurred. She has no other(a) neurological symptoms. A complete review of cranial governance symptoms was negative. Headaches, ataxia or falling, and syncope or seizure were non detached. Cognitive statues and mental functions are normal. at that place is no new loss of perceive and no new halo of the ears. The quality of hearing has not changed in some(prenominal)(prenominal) way. The patient is a 35-year-old bank examiner who first posterd jumping of her vision when flavour to the left wing last Thursday.

She does not notice the jumping, a horizontal jjerking, or any other flush of gaze except when looking to the left. Ms. Bean smokes ½ pack of cigarettes day-to-day and has smoked for 20 years. On average, she drinks alcohol a small-minded 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 ticker disease, heart valve disease,! high course pressure, or collagen vascular disease. I enjoy that you examined her from the general medical checkup point of view and found cipher else. Neurological scrutiny revealed a right-handed white distaff who was entirely spruce and cooperative. She was oriented to person, place, time, and situation with normal speech, affect, and mood. There was no signboard of aphasia or other language disorder, agnosia, or apraxia. Remote, recent, and retentive...If you want to check a full essay, order it on our website:
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