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R.R. is a 46-year-old white female being treated for Reflex Sympathetic Dystrophy (RSD). RSD is a chronic pain condition resulting from trauma to the sympathetic nervous system. In R.R.’s case, the trauma was caused by carpel tunnel surgery, in which the SNS did not heal correctly, causing chronic pain. The RSD is currently located in her right hand, and has not yet spread to anywhere else. R.R.’s hand is vasoconstricted most of the time, giving it a purple appearance. It is constantly cold, and movement is limited. R.R. has also experienced partial seizures in the same extremity. Allergies known to the patient consist of chocolate, peanuts, strawberries, shrimp, and dust. Medications the patient is currently on include Clonidine (Catapres TSS), Gabapentin (Neurontin), Escitalopram Oxalate (Lexapro), and Orthotricyclin. The patient is taking Clonidine for pain control, however other therapeutic uses include treatment of HTN, Tourette’s Syndrome, migraines, and alcohol or opioid withdrawl. The patient is taking Neurontin to help control partial seizures that occur due to RSD. As of right now, this is the only therapeutic use of this drug. Other uses are being tested, such as bipolar disorder, and aggression associated with dementia, but none have been proven. The Lexapro is taken for depression, a common finding in patients with RSD. This is its only therapeutic use. Orthotricyclin is the patient’s birth control pill.
Approximate Word count = 889
Approximate Pages = 3.6
(250 words per page double spaced)
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