Niskayuna Hospital  1234 Meadowview DriveNiskayuna, New York(518)345-1000    REPORT    May 7, 2010  McDonnell, Joseph    CHIEF  illness: Numbness,  partial paralysis of his left side of his face, crocodile tears, increased thirst,  round  blemish of  sample, and experiencing pain in both ears.    HISTORY OF  dedicate unwellness:   Mr. Joseph McDonnell is a 50 year old  bit with  symbol II Diabetes.   He administers insulin as part of his  discourse and  foot races his glucose levels regularly.   He has no  business relationship of  high blood pressure or stroke.   He had Sarcoidosis    3 years ago and it was  hard-boiled with Prednisone prescription at onset to control  dread(a) rash symptoms and then with dexamethasone afterwards, to clear the redness, swelling and irritation.   His symptoms  change and subsided. Mr. McDonnell said two old age ago he  position he had influenza or the common  heatless because of his cold or flu-like symptoms,d loss of taste and appetitie and pain in    his ears.   When he began to experience facial problems he got concerned.   He thought hed had a mini-stroke.   Family history of Herpes simplex computer  virus (his wife).   She has sought treatment for her condition.     diagnosis:    long-suffering role may have Lyme Disease, due to muscle aches.   Possiblity ships  buzzers Palsy due to 7th  typeface symptoms or possibility of a neurological condition.

       PLAN:   Blood  taste for Lyme disease.   CT Scan, MRI  for neurological indications/conditions.   Electromyography and Nerve Conduction  velocity test to facial area for abnormalities or disorders.    TREATMEN   T:    enduring tested negative for Lyme dise!   ase and CT and MRI scans   impute no neurological issues.   Mr. McDonnells tested positive for   buzzers Palsy.   He has partial facial paralysis as shown by EMG and NCV tests.   Contraction of Herpes Simplex virus positive and treatment with Acyclovir to clear infected areas.    nerve centre drops administered to eyes TID to prevent dryness. Follow up in 2 weeks in office to check symptoms and see how Mr. McDonnell reacts to...If you  postulate to  raise a full essay, order it on our website: 
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