Questions: 1. Based on the findings above, explain what parts of the brain were affected. Ple

Questions: 1. Based on the findings above, explain what parts of the brain were affected. Please mention laterality, if necessary, and the functions of each part of the brain. 2. Explain the connections between the affected parts of the brain and the affected body parts, e.g., connection between this part of the brain and the muscles of the upper extremity, etc. 3. What other functions of the cerebral cortex will remain intact? Why. CASE:MDS is a 15-year-old boy, living in a rural community in Batangas with his parents and his younger sister. During a visit, he was seen seated on the bamboo slit floor, occasionally grinding his teeth, hands to the neck and torso, quiet, glancing about, partially ambulatory with scooting over floor. Review of systems revealed to be unremarkable. However, during the physical examination, it was found out that he had chronic suppurative otitis media on his left ear. He showed postural deviations when compared to typical adolescents. He was also able to move against gravity, wherein his UEs facilitate scooting. He exhibited withdrawal from pain on all extremities and had bilaterally hyperreflexive biceps and patellar deep tendon reflexes.When it comes to growth and development, MDS was noted to grasp at 2-3 y/o, laugh at 4 y/o, say “ah” at 5 y/o, and startle at 6 y/o. He was also able to sit independently up at 5 y/o, and performed stepping motions noted on assisted walking at around 6 y/o. He started scooting at 13 y/o. However, he did not turn to name calling. He did not seem to have any food preference and had been noted to be unable to chew on his own. Feeding of small whole portions had been attempted but oropharyngeal obstruction consistently noted. No sipping has been noted, only gross grating of the teeth. MDS noted to signal for food by scooting over to mother with patient occasionally grasping his mother’s hand. Satiety of patient is assumed when there is accumulation of food in mouth. Amount of food given per meal is grossly smaller than of younger sister’s intake.MDS is fully dependent on mother for activities of daily living. MDS has no activities he can do independently. Bathing and grooming are done by daily, and is changed to new set of clothes daily. Toilet needs are not verbalized; MDS spontaneously defecates and urinates in his shorts. When the household is expecting visitors, MDS is put on diapers. MDS was noted have play-like activities at around 7 years of age. MDS in his younger years was played with by his elder brother with rolling a ball while MDS chases it over the floor. However, when his elder brother had become a teenager, he spent less time playing with MDS. MDS’s younger sister also plays with MDS with a ball but had lesser playing time. His activities are generally limited to glancing around, scooting over the floor, and thumbsucking. MDS’s sleeping schedule consists of sleeping at around 9pm to 10pm then wakes up at around 7am to 8am. According to his parents, he doesn’t have trouble falling asleep and maintaining sleep. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)