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A 35-Year-Old Woman Comes to the Physician Complaining of Right

question 476

Multiple Choice

A 35-year-old woman comes to the physician complaining of right thigh numbness. She states that her symptoms started a few weeks prior to delivering her first child. She describes numbness and paresthesias along the anterolateral aspect of her right thigh. She denies any weakness, difficulty walking, back pain, recent trauma, or bowel/bladder difficulty. Her symptoms have improved somewhat after the delivery of her child a few days ago. Her past medical history is significant for asthma, rheumatoid arthritis, and Lyme disease treated with 2 weeks of oral doxycycline therapy. Her current medications include albuterol and sulfasalazine.
Her blood pressure is 110/60 mm Hg, pulse is 72/min, and respirations are 12/min. Her BMI is 34 kg/m². On neurological examination, she has a reduction in pain and temperature perception along the anterolateral aspect of her right thigh. The remainder of the neurological examination is normal.
Which of the following is the most appropriate next step in management?

Summarize the outcomes of psychological versus biological treatments for disorders.

Describe the process and ethical considerations of psychosurgery.

Appreciate the long-term advantages of psychological treatments over biological treatments.

Understand the issues related to deinstitutionalization and its impact on patient care.

Definitions:

Globalization

The growth and spread of investment, trade, production, communication, and new technology around the world.

Spread of Investment

The diversification of investments across different sectors, assets, or geographies to reduce risk and achieve a more stable return.

Production

The process of creating goods and services through the combination of labor, materials, and technology.

Communication

The process of transferring information, ideas, emotions, and intentions between individuals through verbal, non-verbal, written, or visual means.