Case study on central nervous system

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Case study on central nervous system. Read instructions below. Please be available to work on it immediately. Thanks
Annie is a swimmer for her college. Recently, she has experienced decreased performance in the pool,
resulting in slower times even though she has been working hard in practice. Additionally, she has been
plagued with blurry vision and eye strain. Her eye strain has become progressively worse over the last
month. Any typing done for school makes her fingers ache and feel weak, and sometimes they seem to
not function at all. Simple physical activities such as walking a flight of stairs makes her feel extremely
fatigued and leaves her gasping for air. On top of these symptoms, she is constantly tired.
Due to her symptoms, Annie decided to see her family doctor who referred her to a neurologist. After
running a series of test, the neurologist determined that Annie’s nerve function was normal as there was
no evidence for nerve fatigue and the nerve conduction velocity was fine. However, when testing the
muscle, it was determined that the muscle response decreased quickly during repeated nerve
stimulation. This suggested that muscle response fatigued. Lab tests were performed as well in order to
reach a diagnosis. When an edrophonium test was performed, Annie reported feeling much better, but
only for a short period of time. Additionally, when looking at Annie’s blood work, it was determined that
there were an abnormally high level of antibodies in her blood. It was also discovered that Annie has a
tumor on her thymus.

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